Barriers to accessing and using contraception in highland Guatemala: the development of a family planning self-efficacy scale

Emma Richardson,1 Kenneth R Allison,1,2 Dionne Gesink,1 Albert Berry3 1Dalla Lana School of Public Health, University of Toronto, 2Public Health Ontario, 3Department of Economics, Munk Centre for International Studies, University of Toronto, Toronto, ON, Canada Abstract: Understanding the persistent...

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Main Authors: Richardson E, Allison KR, Gesink D, Berry A
Format: Article
Language:English
Published: Dove Medical Press 2016-04-01
Series:Open Access Journal of Contraception
Subjects:
Online Access:https://www.dovepress.com/barriers-to-accessing-and-using-contraception-in-highland-guatemala-th-peer-reviewed-article-OAJC
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author Richardson E
Allison KR
Gesink D
Berry A
author_facet Richardson E
Allison KR
Gesink D
Berry A
author_sort Richardson E
collection DOAJ
description Emma Richardson,1 Kenneth R Allison,1,2 Dionne Gesink,1 Albert Berry3 1Dalla Lana School of Public Health, University of Toronto, 2Public Health Ontario, 3Department of Economics, Munk Centre for International Studies, University of Toronto, Toronto, ON, Canada Abstract: Understanding the persistent inequalities in the prevalence rates of family planning and unmet need for family planning between indigenous and nonindigenous women in Guatemala requires localized explorations of the specific barriers faced by indigenous women. Based on social cognitive theory, elicitation interviews were carried out with a purposive sample of 16 young women, aged 20–24 years, married or in union, from the rural districts of Patzún, Chimaltenango, Guatemala. Content analysis was carried out using the constant-comparison method to identify the major themes. Based on this qualitative study, the following barriers are incorporated into the development of a self-efficacy scale: lack of knowledge about and availability of methods, fear of side effects and infertility, husbands being against family planning (and related fears of marital problems and abandonment), pressure from in-laws and the community, and the belief that using contraception is a sin. This is the first evidence-informed self-efficacy scale developed with young adult, indigenous women that addresses the issue of family planning in Latin America. Keywords: indigenous, marginalized populations, elicitation interviews, social cognitive theory
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spelling doaj.art-cdee1408a9384a768158b6d1ee6f7fbd2022-12-21T22:54:15ZengDove Medical PressOpen Access Journal of Contraception1179-15272016-04-012016Issue 1778726676Barriers to accessing and using contraception in highland Guatemala: the development of a family planning self-efficacy scaleRichardson EAllison KRGesink DBerry AEmma Richardson,1 Kenneth R Allison,1,2 Dionne Gesink,1 Albert Berry3 1Dalla Lana School of Public Health, University of Toronto, 2Public Health Ontario, 3Department of Economics, Munk Centre for International Studies, University of Toronto, Toronto, ON, Canada Abstract: Understanding the persistent inequalities in the prevalence rates of family planning and unmet need for family planning between indigenous and nonindigenous women in Guatemala requires localized explorations of the specific barriers faced by indigenous women. Based on social cognitive theory, elicitation interviews were carried out with a purposive sample of 16 young women, aged 20–24 years, married or in union, from the rural districts of Patzún, Chimaltenango, Guatemala. Content analysis was carried out using the constant-comparison method to identify the major themes. Based on this qualitative study, the following barriers are incorporated into the development of a self-efficacy scale: lack of knowledge about and availability of methods, fear of side effects and infertility, husbands being against family planning (and related fears of marital problems and abandonment), pressure from in-laws and the community, and the belief that using contraception is a sin. This is the first evidence-informed self-efficacy scale developed with young adult, indigenous women that addresses the issue of family planning in Latin America. Keywords: indigenous, marginalized populations, elicitation interviews, social cognitive theoryhttps://www.dovepress.com/barriers-to-accessing-and-using-contraception-in-highland-guatemala-th-peer-reviewed-article-OAJCFamily planningIndigenousMarginalized populationsElicitation interviewsSocial Cognitive Theory
spellingShingle Richardson E
Allison KR
Gesink D
Berry A
Barriers to accessing and using contraception in highland Guatemala: the development of a family planning self-efficacy scale
Open Access Journal of Contraception
Family planning
Indigenous
Marginalized populations
Elicitation interviews
Social Cognitive Theory
title Barriers to accessing and using contraception in highland Guatemala: the development of a family planning self-efficacy scale
title_full Barriers to accessing and using contraception in highland Guatemala: the development of a family planning self-efficacy scale
title_fullStr Barriers to accessing and using contraception in highland Guatemala: the development of a family planning self-efficacy scale
title_full_unstemmed Barriers to accessing and using contraception in highland Guatemala: the development of a family planning self-efficacy scale
title_short Barriers to accessing and using contraception in highland Guatemala: the development of a family planning self-efficacy scale
title_sort barriers to accessing and using contraception in highland guatemala the development of a family planning self efficacy scale
topic Family planning
Indigenous
Marginalized populations
Elicitation interviews
Social Cognitive Theory
url https://www.dovepress.com/barriers-to-accessing-and-using-contraception-in-highland-guatemala-th-peer-reviewed-article-OAJC
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