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Contraceptive choice as risk reduction? The relevance of local violence for women’s uptake of sterilization in Colombia

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  • Signe Svallfors

Abstract

Altered childbearing behaviour has been observed in many settings of violent conflict, but few studies have addressed fertility control. This is the first study to investigate empirically the relationship between local conflict and uptake of sterilization, the only contraceptive method that reflects a definitive stop to childbearing. The study is based on Colombia, a middle-income, low-fertility, and long-term conflict setting. It builds on a mixed methods approach, combining survey and conflict data with expert interviews. Fixed effects regressions show that local conflict is generally associated with an increased sterilization uptake. The interviews suggest that women may opt for sterilization when reversible methods become less accessible because of ongoing violence. Since sterilization is a relatively available contraceptive option in Colombia, it may represent a risk-aversion strategy for women who have completed their fertility goals. These findings can enlighten research and programmes on fertility and family planning in humanitarian contexts.

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  • Signe Svallfors, 2022. "Contraceptive choice as risk reduction? The relevance of local violence for women’s uptake of sterilization in Colombia," Population Studies, Taylor & Francis Journals, vol. 76(3), pages 407-426, September.
    • Handle: RePEc:taf:rpstxx:v:76:y:2022:i:3:p:407-426
    DOI: 10.1080/00324728.2021.1953118
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    Cited by:

    1. Svallfors, Signe & Båge, Karin & Ekström, Anna Mia & Elimian, Kelly & Gayawan, Ezra & Litorp, Helena & Kågesten, Anna, 2024. "Armed conflict, insecurity, and attitudes toward women's and girls' reproductive autonomy in Nigeria," Social Science & Medicine, Elsevier, vol. 348(C).
    2. Torrisi, Orsola, 2024. "Violent instability and modern contraception: Evidence from Mali," World Development, Elsevier, vol. 177(C).
    3. Signe Svallfors, 2024. "Giving Birth While Facing Death: Cesarean Sections and Community Violence in Latin America," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 43(2), pages 1-22, April.

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