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Determinants of contraceptive choice among Japanese women: ten years after the pill approval

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  • Sayaka Nakamura

    (Nagoya University)

Abstract

The Japanese government approved the use of oral contraception (OC) in 1999, but OC users remain a small minority in Japan. Using the results of an online survey conducted in 2010, I examine the factors determining Japanese women’s choice of contraceptive method by estimating multinomial choice models. The estimation results indicate that OC use is positively associated with age, willingness to pay for contraceptive effectiveness, frequency of intercourse and experience with abortion or emergency contraception. These findings suggest that OC use increases as women learn from experience and that the low and declining frequency of intercourse in Japan offers one explanation for the slow diffusion of OC. Additionally, the findings indicate that OC use is more prevalent among women with a higher risk of unintended pregnancies. Subjective probabilities regarding each contraceptive method’s contraceptive effectiveness, disruption of romantic moods, partner disapproval, side benefits and minor, non-life-threatening side effects are important determinants of contraceptive choice. The perceived risk levels of OC side effects are significantly higher than the population-based probabilities, implying that increased medical knowledge might increase OC use.

Suggested Citation

  • Sayaka Nakamura, 2016. "Determinants of contraceptive choice among Japanese women: ten years after the pill approval," Review of Economics of the Household, Springer, vol. 14(3), pages 553-575, September.
    • Handle: RePEc:kap:reveho:v:14:y:2016:i:3:d:10.1007_s11150-013-9228-3
    DOI: 10.1007/s11150-013-9228-3
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    References listed on IDEAS

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    Cited by:

    1. Miller, Grant & de Paula, Áureo & Valente, Christine, 2020. "Subjective Expectations and Demands for Contraception," CINCH Working Paper Series (since 2020) 73328, Duisburg-Essen University Library, DuEPublico.

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    More about this item

    Keywords

    Contraceptive choice; Oral contraceptives; Technology diffusion; Subjective probability;
    All these keywords.

    JEL classification:

    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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