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  • Title: Survey report: Puerto Rico.
    Author: Kent M.
    Journal: Popul Today; 1987 Feb; 15(2):4. PubMed ID: 12268505.
    Abstract:
    Findings of the 1982 Fertility and Family Planning Assessment suggest that Puerto Rico may have the highest rate of sterilization acceptance in the world. The survey found that 41% of married women in Puerto Rico have been sterilized to prevent further pregnancies and another 4.6% had husbands who had been sterilized. Moreover, 39% of young married women (25-29 years of age) opted for this method of permanent fertility control. Overall, 69% of married women were using some form of birth control at the time of the 1982 survey. Female sterilization accounted for 58% of total birth control use, compared with only 26% in the US. Oral contraceptives (8.3%), rhythm (5.2%), and the condom (4.4%) were the next most popular methods of family planning among the Puerto Rican contraceptive acceptors. Female sterilization was twice as prevalent among non-college educated Puerto Rican women than college-educated women, while reliance on male sterilization was greater among couples where the wife had at least a high school education. An estimated 33% of the decline in marital fertility in Puerto Rico in 1977-82 has been attributed to the level of sterilization. 27% of the sterilized women in Puerto Rico never used any other method of family planning, indicating a need for improved access to information about reversible methods for young women.
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