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Record W4411140463 · doi:10.1590/0102-311xen038024

Measuring access to contraceptive methods by ethnic groups in Colombia using small areas estimation

2025· article· en· W4411140463 on OpenAlexaff
Lina María Sánchez-Céspedes, Juan Sebastián Oviedo-Mozo, José-Luis Guerrero, Carlos Arturo Ramirez-Hernandez

Bibliographic record

VenueCadernos de Saúde Pública · 2025
Typearticle
Languageen
FieldMedicine
TopicGlobal Maternal and Child Health
Canadian institutionsUniversité de Montréal
Fundersnot available
KeywordsEthnic groupIndigenousDescendantFamily planningDemographyPopulationEstimationMedicineGeographyPolitical scienceSociologyResearch methodologyEconomics

Abstract

fetched live from OpenAlex

Afro-descendant and Indigenous women face limited access to contraceptives due to contextual barriers, partner disapproval, and educational gaps. One major challenge in designing policies to facilitate access to safe, effective, acceptable, and affordable contraceptive methods for these groups is the lack of data for informed decision-making by national and local governments. To address this information gap, we propose using small area estimation (SAE) focusing on population and ethnic groups rather than geographic areas. We estimated four state-level indicators for women by ethnic group: unmet need for family planning, family planning need satisfied, contraceptive prevalence rate, and modern contraceptive prevalence rate. SAE yielded consistent estimates with mean square errors mostly below 1% of the estimated values at both state and ethnic group levels. Contraceptive prevalence rates among Indigenous, afro-descendant, and non-ethnic women (who do not self-identify with an ethnic group) were 70.6%, 76.6%, and 81.7%, respectively. Lower contraceptive use is not determined by ethnicity. Being in a relationship increases the likelihood of contraceptive use; however, when afro-descendant and Indigenous women have partners from the same ethnic background this probability decreases. Consequently, addressing disparities in contraceptive use among ethnic groups requires government initiatives involving both women's partners and communities.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.495
Threshold uncertainty score0.702

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.118
GPT teacher head0.421
Teacher spread0.302 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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