International Family Planning Perspectives | |
Contraceptive Dynamics in Guatemala: 1978-1998 |
Table 1. Percentage of 15-49-year-old women in union with selected characteristics, by year of survey, according to ethnicity, Guatemala | ||||
Characteristic | 1978 | 1987 | 1995 | 1998 |
Works outside home | ||||
All | 10.8 | 14.5 | 28.9 | 30.7 |
Ladino | 11.7 | 17.5 | 32.9 | 33.6 |
Mayan | 9.4 | 9.6 | 21.5 | 24.6 |
Owns radio | ||||
All | 73.9 | 65.5 | 80.3 | 81.6 |
Ladino | 80.9 | 70.8 | 84.9 | 84.0 |
Mayan | 63.2 | 56.9 | 71.9 | 76.5 |
Owns television | ||||
All | 17.9 | 30.2 | 51.2 | 57.9 |
Ladino | 28.7 | 43.5 | 65.9 | 70.7 |
Mayan | 1.6 | 8.6 | 24.2 | 30.3 |
No education | ||||
All | 59.0 | 46.3 | 34.9 | 30.9 |
Ladino | 40.2 | 28.9 | 20.5 | 18.0 |
Mayan | 87.5 | 74.6 | 61.4 | 58.9 |
Primary education | ||||
All | 33.7 | 44.6 | 47.7 | 49.7 |
Ladino | 48.1 | 57.0 | 53.9 | 54.6 |
Mayan | 12.0 | 24.4 | 36.3 | 39.2 |
Secondary education | ||||
All | 6.5 | 8.1 | 14.4 | 17.2 |
Ladino | 10.4 | 12.5 | 21.0 | 24.3 |
Mayan | 0.5 | 0.9 | 2.1 | 1.7 |
University education | ||||
All | 0.8 | 0.9 | 2.9 | 2.1 |
Ladino | 1.3 | 1.5 | 4.5 | 3.0 |
Mayan | 0.0 | 0.0 | 0.2 | 0.1 |
Figure 1. Percentage of women using a contraceptive method, by year, according to ethnicity |
Table 2. Percentage distribution of contraceptive users, by method, according to year and ethnicity | ||||||||||||
Method | 1978 | 1987 | 1995-1996 | 1998 | ||||||||
All | Ladino | Mayan | All | Ladino | Mayan | All | Ladino | Mayan | All | Ladino | Mayan | |
Female ster. | 31.9 | 32.0 | 30.9 | 44.6 | 44.0 | 50.7 | 45.5 | 45.8 | 42.4 | 43.7 | 45.0 | 33.2 |
Pill | 29.3 | 29.4 | 28.5 | 17.0 | 16.9 | 18.3 | 12.2 | 12.3 | 11.3 | 13.1 | 13.2 | 12.1 |
Rhythm | 15.2 | 14.3 | 23.9 | 12.3 | 12.1 | 14.1 | 11.4 | 10.2 | 21.5 | 14.8 | 13.2 | 28.4 |
IUD | 7.9 | 7.8 | 9.2 | 7.8 | 8.4 | 1.4 | 8.2 | 8.4 | 6.2 | 5.6 | 6.0 | 2.4 |
Injectable | 6.0 | 5.9 | 6.0 | 2.0 | 1.7 | 5.6 | 7.9 | 7.9 | 7.3 | 10.1 | 9.6 | 14.4 |
Condom | 4.0 | 4.3 | 1.6 | 5.0 | 5.5 | 0.0 | 7.0 | 7.3 | 4.2 | 6.0 | 6.7 | 0.9 |
Male ster. | 2.2 | 2.4 | 0.0 | 4.0 | 3.8 | 5.6 | 4.7 | 4.7 | 4.8 | 2.1 | 2.0 | 2.3 |
Withdrawal | 1.9 | 2.1 | 0.0 | 5.2 | 5.3 | 4.2 | 2.8 | 2.9 | 1.7 | 4.0 | 3.8 | 5.3 |
Barrier | 2.2 | 2.4 | 0.0 | 1.5 | 1.7 | 0.0 | 0.1 | 0.1 | 0.0 | 0.1 | 0.1 | 0.0 |
Other | 0.4 | 0.5 | 0.0 | 0.5 | 0.6 | 0.0 | 0.2 | 0.1 | 0.7 | 0.4 | 0.3 | 0.9 |
Total | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 |
Table 3. Percentage distribution of users of modern contraceptives, by source of method, according to year and ethnicity | ||||||||||||
Source | 1978 | 1987 | 1995-1996 | 1998 | ||||||||
All | Ladino | Mayan | All | Ladino | Mayan | All | Ladino | Mayan | All | Ladino | Mayan | |
APROFAM | 13.7 | 14.7 | 4.3 | 36.7 | 37.0 | 34.5 | 42.0 | 41.7 | 44.2 | 38.2 | 37.4 | 47.6 |
Ministry of Health | 44.2 | 43.4 | 52.3 | 21.5 | 20.0 | 36.2 | 17.1 | 16.4 | 24.1 | 20.6 | 19.7 | 29.7 |
Private facilities | 15.7 | 15.3 | 19.6 | 18.7 | 19.3 | 12.1 | 17.6 | 17.8 | 15.5 | 12.5 | 12.9 | 7.7 |
Social Security Institute | 6.8 | 6.9 | 6.1 | 9.7 | 10.0 | 6.9 | 8.1 | 8.2 | 6.8 | 13.7 | 14.9 | 1.0 |
Pharmacy | 15.9 | 16.9 | 6.1 | 7.4 | 7.6 | 5.2 | 11.7 | 12.4 | 5.6 | 11.9 | 12.6 | 4.3 |
Health worker | 1.2 | 0.6 | 7.8 | 3.5 | 3.6 | 1.7 | 1.5 | 1.5 | 1.9 | 1.1 | 1.0 | 1.6 |
Other | 2.4 | 2.3 | 3.9 | 2.5 | 2.4 | 3.4 | 2.0 | 2.0 | 1.9 | 2.0 | 1.4 | 8.2 |
Total | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 |
Private physicians, hospitals, clinics and nongovernmental organizations other than APROFAM. |
Table 4. Percentage of Mayan women using any method of contraception and percentage using a modern method, by selected characteristics, 1995-1996 | |||
Characteristic | N | Any method | Modern method |
Department | |||
Guatemala City | 141 | 17.7 | 14.9 |
Quetzaltenango | 155 | 21.9 | 16.1 |
Chimaltenango | 547 | 8.8 | 5.7 |
Alta Verapaz | 618 | 7.6 | 5.0 |
San Marcos | 210 | 5.2 | 4.8 |
Sololá | 459 | 5.9 | 2.4 |
Huhuetenango | 466 | 5.6 | 5.2 |
K'iche' | 457 | 5.0 | 3.9 |
Totonicapan | 488 | 3.3 | 2.3 |
Place of residence | |||
Urban | 642 | 21.5 | 17.2 |
Rural | 3,020 | 6.2 | 4.4 |
Linguistic group (all departments) | |||
Spanish | 756 | 19.0 | 14.6 |
Q'eqchi' | 519 | 6.7 | 3.7 |
Kaqchikel | 552 | 4.9 | 3.0 |
Mam | 395 | 6.6 | 5.6 |
K'iche' | 906 | 3.1 | 2.3 |
Poqomchi' | 75 | 1.3 | 1.3 |
Other | 338 | 4.1 | 3.3 |
Linguistic group (excluding Guatemala City and Quetzaltenango) | |||
Spanish | 602 | 13.5 | 9.5 |
Q'eqchi' | 518 | 6.8 | 3.7 |
Kaqchikel | 484 | 5.2 | 3.1 |
Mam | 362 | 6.6 | 5.8 |
K'iche' | 866 | 2.1 | 1.4 |
Poqomchi' | 75 | 1.3 | 1.3 |
Other | 338 | 4.1 | 3.3 |
Only those for which estimates are valid at the departmental level are included. Note: Based on 15-49-year-old women in union. |
Table 5. Odds ratios (and standard errors) from logistic regression analysis indicating the effects of socioeconomic characteristics on the likelihood of use of any contraceptive, all women, 1978-1998 | |
Characteristic | Odds ratio |
(N=17,482) | |
Mayan | 0.19 (0.075)** |
Age | 1.04 (0.004)** |
Works outside home | 1.42 (0.115)** |
Owns radio | 1.20 (0.112)* |
Owns television | 2.43 (0.224)** |
Primary education | 1.55 (0.128)** |
Secondary education | 2.54 (0.317)** |
University education | 3.23 (0.686)** |
Guatemala City | 1.70 (0.155)** |
Escuintla | 1.29 (0.126)** |
Quetzaltenango | 1.42 (0.187)** |
1987 | 1.15 (0.126) |
1995 | 1.07 (0.118) |
1998 | 1.42 (0.175)** |
Interactions | |
Mayan x age | 1.00 (0.008) |
Mayan x works | 1.08 (0.173) |
Mayan x radio | 1.25 (0.264) |
Mayan x television | 1.38 (0.250) |
Mayan x primary ed. | 1.07 (0.176) |
Mayan x secondary ed. | 2.51 (0.819)** |
Mayan x university ed. | 2.38 (1.968) |
Mayan x 1987 | 0.97 (0.264) |
Mayan x 1995 | 1.05 (0.271) |
Mayan x 1998 | 1.04 (0.292) |
Log likelihood | -8,365.2 |
*p<.05. **p<.01. Note: Based on 15-49-year-old women in union. |
Table 6. Odds ratios (and standard errors) from logistic regression analysis indicating the effects of socioeconomic characteristics on the likelihood of use of any contraceptive, Mayan women, 1995-1996 | |
Characteristic | Odds ratio |
(N=3,075) | |
Age | 1.04 (0.009)** |
Works outside home | 1.80 (0.318)** |
Owns radio | 1.37 (0.315) |
Owns television | 1.70 (0.360)* |
Primary education | 1.76 (0.341)** |
Secondary education | 5.76 (2.296)** |
Speaks Spanish | 2.03 (0.443)** |
Lives in urban area | 2.36 (0.456)** |
Linguistic group | |
Spanish | 1.30 (0.316) |
Kaqchikel | 1.00 (0.287) |
Q'eqchi' | 3.34 (0.883)** |
Mam | 1.91 (0.545)* |
Poqomochi' | 0.47 (0.487) |
Other | 0.94 (0.561) |
Log likelihood | -603.9 |
*p<.05. **p<.01. Reference group is K'iche'. Note: Based on 15-49-year-old women in union. |
Table 7. Odds ratios (and standard errors) from logistic regression analysis indicating the effects of access to services and socioeconomic characteristics on the likelihood of use of a modern contraceptive among all women, four departments, 1995-1996 | |
Characteristic | Odds ratio |
(N=1,979) | |
Live within 10 min. of services | |
All women | 0.86 (0.186) |
Mayan women | 2.30 (0.840)* |
Mayan | 0.03 (0.028)** |
Age | 1.04 (0.010)** |
Works outside home | 1.28 (0.239) |
Owns radio | 0.76 (0.204) |
Owns television | 2.26 (0.509)** |
Primary education | 1.36 (0.319) |
Secondary education | 2.09 (0.680)* |
Lives in urban area | 1.47 (0.287)* |
Interactions | |
Mayan x age | 1.02 (0.018) |
Mayan x work | 1.05 (0.387) |
Mayan x radio | 1.48 (0.836) |
Mayan x television | 1.23 (0.509) |
Mayan x primary ed. | 1.09 (0.474) |
Mayan x secondary ed. | 4.84 (3.078)* |
Log likelihood | -583.1 |
*p<.05. **p<.01. Note: Based on 15-49-year-old women in union. |
© copyright 2001, The Alan Guttmacher Institute. |