Factors influencing voluntary surgical contraception choice in a developing country: A cross‐sectional study
Year: 2025
Type: article
Study design: Observational Study
Abstract: OBJECTIVE: 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. METHODS: A cross-sectional 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. RESULTS: 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 (p < .001). Partner infidelity (p = .026) and abortion history (p = .031) were negatively associated. The logistic regression model demonstrated good discrimination (AUC = 0.85). CONCLUSIONS: 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-focused counseling, and policies supporting informed, autonomous contraceptive decisions.
Source: Japan Journal of Nursing Science
DOI: 10.1111/jjns.70032
Institution: National Autonomous University of Honduras
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $2,890
OpenAlex ID: W4415781786