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Social Transmission and the Spread of Modern Contraception in Rural Ethiopia 英文参考文献
SocialTransmissionandtheSpreadofModern
ContraceptioninRuralEthiopia
AlexandraAlvergne1*,MhairiA.Gibson2,EshetuGurmu3,RuthMace1
1DepartmentofAnthropology,UniversityCollegeLondon(UCL),London,UnitedKingdom,2DepartmentofArchaeologyandAnthropology,UniversityofBristol,Bristol,
UnitedKingdom,3InstituteofPopulationStudies,CollegeofDevelopmentStudies,AddisAbabaUniversity,AddisAbaba,Ethiopia
Abstract
Socio-economic development has proven to be insufficient to explain the time and pace of the human demographic
transition.Shiftstolowfertilitynormshavethusbeenthoughttoresultfromsocialdiffusion,yettodate,micro-levelstudies
arelimitedandareoftenunabletodisentangletheeffectofsocialtransmissionfromthatofextrinsicfactors.Weuseddata
whichincludedthefirsteveruseofmoderncontraceptionamongapopulationofover900womeninfourvillagesinrural
Ethiopia, where contraceptive prevalence is still low (,20%). We investigated whether the time of adoption of modern
contraception is predicted by (i) the proportion of ever-users/non ever-users within both women and their husbands’
friendshipsnetworksand(ii)thegeographicdistancetocontraceptiveever-users.Usingamodelcomparisonapproach,we
found that individual socio-demographic characteristics (e.g. parity, education) and a religious norm are the most likely
explanatoryfactorsoftemporalandspatialpatterns ofcontraceptive uptake,whiletheroleof person-to-person contact
through either friendship or spatial networks remains marginal. Our study has broad implications for understanding the
processesthatinitiatetransitionstolowfertilityandtheuptakeofbirthcontroltechnologiesinthedevelopingworld.
Citation:AlvergneA,GibsonMA,GurmuE,MaceR(2011)SocialTransmissionandtheSpreadofModernContraceptioninRuralEthiopia.PLoSONE6(7):e22515.
doi:10.1371/journal.pone.0022515
Editor:R.AlexanderBentley,DurhamUniversity,UnitedKingdom
ReceivedMarch28,2011;AcceptedJune28,2011;PublishedJuly22,2011
Copyright: ? 2011 Alvergne et al. This is an open-access article distributed under the
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