Abortion and Contraceptive Use

Induced Abortion: A World Review, 1990 (Henshaw)

• Highlights– Laws & policies (Table 1)– Abortion rates and ratios (Table 2)– Explanations for variations in rates– Health issues– Provision of abortion services– Variation by demographics

• Age• Parity• Prior abortions

Trends in the Demand for Family Limitation in Developing Countries (Westoff and Bankole)

• Highlights– Total potential demand for limiting

• Increasing across developing countries– Slow, but steady in sub-Saharan Africa

– Use of contraceptives for limiting• Sub-Saharan Africa lags, but Botswana, Kenya,

and Zimbabwe “in the vanguard of the take-off”• Variance in regions

– Pakistan vs. Sri Lanka, Thailand– Haiti, Guatemala, Paraguay vs. Peru

Trends in the Demand for Family Limitation in Developing Countries (Westoff and Bankole)

• Unmet Need for Limiting– Increased uniformly for countries in SSA– Declining as contraceptive prevalence rises in

Asia and North Africa

• Women at Risk of Unwanted Childbearing– No clear direction of change in SSA– Pronounced decline in Asia/N. Africa– Latin America more mixed

Trends in the Demand for Family Limitation in Developing Countries (Westoff and Bankole)

• The Broad Picture– Regional diversity in tempo of the emergence

of family planning norms– Demand for contraception is increasing

throughout the developing world

• Policy recommendations

Trends in Contraceptive Use in the U.S.: 1982-1995 (Piccinino & Mosher)

• Data source: NSFG– Surveys of women ’73, ’76, ’88, ’95, (’02),

continuous interviewing– National sample of women 15-44– Provides data on marriage, divorce,

contraception, infertility, and health

Trends in Contraceptive Use in the U.S. (Piccinino & Mosher)

• 1955-1982– Rise and fall in pill use– Increase in sterilization– Decline in IUD & diaphragm use (1980s)– Rise in condom use (1980s)

• 1982-1995– Increases in use across all groups

• Increase in condom use– Especially for <25, Blacks, Latinos, and unmarrieds

• Decrease in use of pills, diaphragm, and IUD– Offset by use of condoms, implants, and injectables

• Increase in use of multiple methods