Contraception and abortion in a low-fertility setting: the role of seasonal migration

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dc.contributor.authorSevoyan, A.
dc.contributor.authorAgadjanian, V.
dc.date.issued2013
dc.description.abstractCONTEXT: Seasonal labor migration is common among men in many former Soviet republics. Little research has examined contraceptive use and induced abortion among women in such low-fertility, high-migration settings, according to husband’s migration status. METHODS: Combined data from 2,280 respondents of two surveys of married women aged 18–45 in rural Armenia—one conducted in 2005 and one in 2007—were used. Logistic regression analyses examined whether a husband’s migration status was associated with his wife’s current use of the pill or the IUD, or with the probability that she had had a pregnancy that ended in induced abortion. Additional analyses were conducted to determine whether relationships were moderated by household wealth. RESULTS: Women with a migrant husband were less likely than those with a nonmigrant husband to be currently using the pill or the IUD (odds ratio, 0.6); with increased household wealth, the likelihood of method use increased among women with a nonmigrant husband, but decreased slightly among women with a migrant husband. Overall, the probability that a pregnancy ended in abortion did not differ by migration status; however, the likelihood of abortion increased with wealth among women married to a nonmigrant, but not among those married to a migrant. CONCLUSIONS: Despite their husband’s absence, women married to a migrant may have an unwanted pregnancy rate similar to that of women married to a nonmigrant. Improved access to modern contraceptive methods is likely to be positively associated with contraceptive use among women with a nonmigrant husband, but not among those with a migrant husband.
dc.description.statementofresponsibilityArusyak Sevoyan and Victor Agadjanian
dc.identifier.citationInternational Perspectives on Sexual and Reproductive Health, 2013; 39(3):124-132
dc.identifier.doi10.1363/3912413
dc.identifier.issn1944-0391
dc.identifier.issn1944-0405
dc.identifier.orcidSevoyan, A. [0000-0001-7711-8427]
dc.identifier.urihttp://hdl.handle.net/2440/80996
dc.language.isoen
dc.publisherAlan Guttmacher Institute
dc.rightsCopyright status unknown
dc.source.urihttp://www.guttmacher.org/pubs/journals/3912413.html
dc.subjectHumans
dc.subjectContraception
dc.subjectAbortion, Induced
dc.subjectLogistic Models
dc.subjectAttitude to Health
dc.subjectContraception Behavior
dc.subjectMarriage
dc.subjectSeasons
dc.subjectEmigration and Immigration
dc.subjectPregnancy
dc.subjectPoverty
dc.subjectAdult
dc.subjectMiddle Aged
dc.subjectRural Population
dc.subjectHealth Services Accessibility
dc.subjectArmenia
dc.subjectFemale
dc.subjectMale
dc.subjectYoung Adult
dc.titleContraception and abortion in a low-fertility setting: the role of seasonal migration
dc.typeJournal article
pubs.publication-statusPublished

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