{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T00:26:27Z","timestamp":1769646387511,"version":"3.49.0"},"reference-count":41,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T00:00:00Z","timestamp":1762041600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T00:00:00Z","timestamp":1762041600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Japan Journal Nursing Sci"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To identify sociodemographic, psychological, and relational factors associated with the acceptance of VSC among adults of reproductive age in the Medina community, San Pedro Sula, Honduras.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional study was conducted with 240 randomly selected adults using structured interviews. Data were analyzed using descriptive statistics and multivariable binary logistic regression in Python to identify significant predictors of VSC acceptance. Independent variables included age, education, number of children, previous reproductive experiences, and relationship dynamics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Older age, higher education, urban residence, and being in a stable union were positively associated with VSC acceptance, with prior contemplation emerging as the strongest predictor (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001). Partner infidelity (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.026) and abortion history (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.031) were negatively associated. The logistic regression model demonstrated good discrimination (AUC\u2009=\u20090.85).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this community sample, older age, higher education, and prior reflection on VSC increased acceptance, with prior contemplation as the strongest predictor. Conversely, abortion history and partner infidelity reduced acceptance. The number of children and physician recommendation showed less consistent effects. Findings underscore the need for reproductive health education, relationship\u2010focused counseling, and policies supporting informed, autonomous contraceptive decisions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jjns.70032","type":"journal-article","created":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T05:30:49Z","timestamp":1762147849000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors influencing voluntary surgical contraception choice in a developing country: A cross\u2010sectional study"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2264-5753","authenticated-orcid":false,"given":"Edith Geraldina","family":"Gonz\u00e1lez Gonz\u00e1lez","sequence":"first","affiliation":[{"name":"School of Nursing National Autonomous University of Honduras  Tegucigalpa Honduras"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8301-4795","authenticated-orcid":false,"given":"Oscar Fidel","family":"Antunez Martinez","sequence":"additional","affiliation":[{"name":"School of Nursing National Autonomous University of Honduras  Tegucigalpa Honduras"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5257-6878","authenticated-orcid":false,"given":"Judith Victoria","family":"Castillo Mejia","sequence":"additional","affiliation":[{"name":"School of Nursing National Autonomous University of Honduras  Tegucigalpa Honduras"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,2]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/13625187.2020.1795117"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.7461"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/hbe2.195"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.40551"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40834-025-00350-x"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/17407745241264217"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0021932003006369"},{"key":"e_1_2_10_9_1","volume-title":"Biostatistics: A foundation for analysis in the health sciences","author":"Daniel W. W.","year":"2018"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2018.03.015"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/13625187.2022.2096215"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.15592"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/13691058.2020.1840630"},{"key":"e_1_2_10_14_1","unstructured":"Gonz\u00e1lez E. G. G.(2023).Factors that interfere with voluntary surgical contraception in users of the Miguel Paz Barahona polyclinic San Pedro Sula: July\u2013September 2022 (Master's thesis). Universidad Nacional Aut\u00f3noma de Honduras (in Spanish)."},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.31403\/rpgo.v63i1969"},{"key":"e_1_2_10_16_1","unstructured":"Instituto Nacional de Estad\u00edstica & Secretar\u00eda de Salud (Honduras). (2021).Encuesta Nacional de Demograf\u00eda y Salud\/Encuesta de Indicadores M\u00faltiples por Conglomerados (ENDESA\/MICS 2019). [National Demographic and Health Survey\/Multiple Indicator Cluster Survey Honduras 2019]. Tegucigalpa Honduras.https:\/\/mics.unicef.org\/sites\/mics\/files\/2024\u201008\/Honduras%202019%20MICS%20Survey%20Findings%20Report_Spanish.pdf(in Spanish)."},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.9745\/GHSP-D-22-00369"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.7448\/IAS.18.1.19462"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/GME.0000000000001905"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.2147\/OAJC.S411092"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/10502556.2023.2179837"},{"key":"e_1_2_10_22_1","volume-title":"StatPearls","author":"Marino S.","year":"2024"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.16299"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40834-025-00336-9"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1080\/00324728.2021.1996623"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.13748"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.38207\/JCMPHR\/2023\/NOV041003135"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0276059"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0230045"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(96)00236-3"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.22201\/fpsi.20074719e.2023.3.508"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20053904"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-023-15692-x"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.31661\/gmj.v13i.3534"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.17730\/humo.63.1.yxkf3jml6vkt3t0u"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2023.10.017"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-020-0885-0"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1080\/00324728.2021.1953118"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1080\/17441692.2020.1850831"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2021.03.045"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwk052"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2019.1690446"}],"container-title":["Japan Journal of Nursing Science"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jjns.70032","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jjns.70032","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jjns.70032","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T11:27:14Z","timestamp":1769599634000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jjns.70032"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,2]]},"references-count":41,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/jjns.70032"],"URL":"https:\/\/doi.org\/10.1111\/jjns.70032","archive":["Portico"],"relation":{},"ISSN":["1742-7932","1742-7924"],"issn-type":[{"value":"1742-7932","type":"print"},{"value":"1742-7924","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,2]]},"assertion":[{"value":"2025-06-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70032"}}