{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T21:50:23Z","timestamp":1769550623954,"version":"3.49.0"},"reference-count":28,"publisher":"Wiley","license":[{"start":{"date-parts":[[2020,1,29]],"date-time":"2020-01-29T00:00:00Z","timestamp":1580256000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100005292","name":"Brigham and Women's Hospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005292","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["International Journal of Reproductive Medicine"],"published-print":{"date-parts":[[2020,1,29]]},"abstract":"<jats:p>Compared to other Mexican states, Chiapas possessed the lowest rate of contraception use among women 15\u221249 years old (44.6%) in 2018. This convergent mixed-methods study assessed family planning use, perceptions, and decision-making processes among women and men in rural communities where Compa\u00f1eros En Salud (CES) works in Chiapas, Mexico. We conducted surveys of reproductive-aged women and semi-structured interviews with reproductive-aged women, men, and physicians completing their social-service year in CES communities from 2016 to 2017. Of the 625 survey respondents, 368 (58.9%) reported using contraception. The most common methods were female sterilization (27.7%), bimonthly injection (10.9%), and the implant (10.9%). Interviews were completed with 27 women, 24 men, and 5 physicians and analyzed through an inductive approach. Common reasons for contraception use were preventing pregnancy, lack of resources for additional children, and birth spacing. Adverse effects, influence of male partners, and perceived lack of need emerged as reasons for non-use. Male partners often made the final decision about contraceptive use, while women often chose what method. Physicians reported adverse effects, misconceptions about methods, and lack of women\u2019s autonomy as barriers to contraception use. Given misconceptions about contraception methods and the dominant role of men in contraception decision-making, our study illustrates the importance of effective counseling and equitable gender dynamics for family planning programming in rural Chiapas.<\/jats:p>","DOI":"10.1155\/2020\/1929143","type":"journal-article","created":{"date-parts":[[2020,1,29]],"date-time":"2020-01-29T18:30:51Z","timestamp":1580322651000},"page":"1-9","source":"Crossref","is-referenced-by-count":17,"title":["Gender-Informed Family Planning Perceptions and Decision-Making in Rural Chiapas, Mexico: A Mixed-Methods Study"],"prefix":"10.1155","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8233-6189","authenticated-orcid":true,"given":"Samantha","family":"Truong","sequence":"first","affiliation":[{"name":"Harvard Medical School, 25 Shattuck St., 02115 Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jimena","family":"Villar de Onis","sequence":"additional","affiliation":[{"name":"Geneva Foundation for Medical Education and Research, 150 Route de Ferney, 1211 Geneva, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexa","family":"Lindley","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, University of Washington, Box 356390, 98195 Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodrigo","family":"Baz\u00faa","sequence":"additional","affiliation":[{"name":"Compa\u00f1eros En Salud, Calle Primera Poniente Sur #25, 30370 \u00c1ngel Albino Corzo, Chiapas, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Reyes","sequence":"additional","affiliation":[{"name":"Programa Multic\u00e9ntrico de Residencias M\u00e9dicas, Tec Salud, Tecnol\u00f3gico de Monterrey, Av Morones Prieto No. 3000, Colonia Los Doctores, CP 64710 Monterrey, Nuevo Le\u00f3n, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariana","family":"Monta\u00f1o","sequence":"additional","affiliation":[{"name":"Compa\u00f1eros En Salud, Calle Primera Poniente Sur #25, 30370 \u00c1ngel Albino Corzo, Chiapas, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leanne","family":"Marcotrigiano","sequence":"additional","affiliation":[{"name":"La Cl\u00ednica de la Raza, P.O. Box 22210, 94623 Oakland, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7977-7960","authenticated-orcid":true,"given":"Rose L.","family":"Molina","sequence":"additional","affiliation":[{"name":"Harvard Medical School, 25 Shattuck St., 02115 Boston, MA, USA"},{"name":"Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Kirstein 3, 02215 Boston, MA, USA"},{"name":"Division of Women\u2019s Health, Brigham and Women\u2019s Hospital, 75 Francis St., 02215 Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60478-4"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69481-6"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1017\/S0021932016000663"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.26.3.w310"},{"key":"7","year":"2017"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2016.01.015"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-018-5439-0"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2017.01.005"},{"key":"12","first-page":"22","year":"2015","journal-title":"Measure Evaluation"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1891\/1541-6577.31.2.107"},{"key":"16","year":"2018"},{"key":"17","year":"2018"},{"key":"19","year":"2013"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-017-0392-4"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.2307\/2991962"},{"key":"22","year":"2012"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)60597-8"},{"key":"24","first-page":"13","volume":"38","year":"1996","journal-title":"Salud P\u00fablica de M\u00e9xico"},{"key":"25","volume-title":"Pr\u00e1cticas anticonceptivas: caracter\u00edsticas y tendencias entre mujeres no ind\u00edgenas de Chiapas, 1994 G\u00e9nero y Salud en el Sureste de M\u00e9xico","year":"1997"},{"key":"26","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(99)90136-8"},{"key":"27","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-71538-4_6"},{"key":"28","first-page":"687","volume":"67","year":"2005","journal-title":"Revista Mexicana de Sociolog\u00eda"},{"key":"29","doi-asserted-by":"publisher","DOI":"10.18235\/0000008#sthash.t2JhT07D.dpuf"},{"key":"30","doi-asserted-by":"publisher","DOI":"10.1590\/S0036-36342008000600008"},{"key":"31","doi-asserted-by":"publisher","DOI":"10.1080\/10810730.2014.918216"},{"key":"32","doi-asserted-by":"publisher","DOI":"10.1111\/j.1728-4465.2005.00060.x"},{"key":"33","doi-asserted-by":"publisher","DOI":"10.1017\/S0021932014000418"},{"key":"34","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-018-0569-5"}],"container-title":["International Journal of Reproductive Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/ijrmed\/2020\/1929143.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/ijrmed\/2020\/1929143.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/ijrmed\/2020\/1929143.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,1,29]],"date-time":"2020-01-29T18:30:54Z","timestamp":1580322654000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/ijrmed\/2020\/1929143\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,29]]},"references-count":28,"alternative-id":["1929143","1929143"],"URL":"https:\/\/doi.org\/10.1155\/2020\/1929143","relation":{},"ISSN":["2356-7104","2314-5757"],"issn-type":[{"value":"2356-7104","type":"print"},{"value":"2314-5757","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,29]]}}}