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Maternal and Child Health Journal

, Volume 21, Issue 11, pp 2132–2139 | Cite as

Emergency Contraception in Mexico: Trends in Knowledge and Ever-Use 2006–2014

  • Leo HanEmail author
  • Biani Saavedra-Avendano
  • William Lambert
  • Rongwei Fu
  • Maria I. Rodriguez
  • Alison Edelman
  • Blair Darney
Article

Abstract

Objectives A package of interventions to introduce emergency contraception (EC) to Mexico was implemented, resulting in the addition of EC to the national family planning guidelines in 2004. We describe EC knowledge and use among women in Mexico over time. Methods We used the 2006, 2009, and 2014 of waves of a nationally representative demographic survey (ENADID). We assessed EC knowledge and usage in women ages 15–29 who are not using permanent methods and tested whether EC knowledge and use is changing over time after controlling for socio-demographic characteristics using logistic regression. Results Our sample included n = 99,223 (population N = 40,234,355) women ages 15–29. Overall, knowledge of EC increased over time: 62% in 2006 to 79% in 2009 to 83% in 2014 (p < 0.001). Among young women who have used contraception (n = 42,883; N = 16,816,701), the proportion that reported EC use increased from 3 to 11% to 29% (p < 0.001). Compared to non-users, women who had ever used EC were more likely to be using no method of contraception (44 vs. 35%) or barrier method (22 vs. 17%). Demographic factors including lower wealth, lower education, indigenous status and rural living are significantly associated with less EC knowledge and use. Stratified multivariate analysis found that demographic disadvantages magnify lower EC use among rural residents compared to non-rural residents. Conclusions for Practice Knowledge and use of EC are growing rapidly in Mexico, but disparities persist in demographically disadvantaged women, particularly those living in rural areas. Women who use EC appear to be at higher risk of unintended pregnancy based on current contraceptive use.

Keywords

Contraception Emergency contraception ENADID Mexico 

Notes

Acknowledgements

B.D. and B.S. are partially supported by a Society of Family Planning Junior Investigator Award (SFPRF9-JI2). M.R. is a Women’s Reproductive Health Research fellow; Grant 1K12HD085809.

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Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  1. 1.Department of Obstetrics and GynecologyOregon Health & Science UniversityPortlandUSA
  2. 2.National Institute of Public HealthCenter for Health Systems ResearchCuernavacaMexico
  3. 3.School of Public HealthOregon Health & Science UniversityPortlandUSA
  4. 4.Department of Emergency MedicineOregon Health & Science UniversityPortlandUSA

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