Contraception and abortion in a low-fertility setting: the role of seasonal migration.

CONTEXT Seasonal labor migration is common among men in many former Soviet republics. Little research has examined contraceptive use and induced abortion among women in such low-fertility, high-migration settings, according to husband's migration status. METHODS Combined data from 2,280 respondents of two surveys of married women aged 18-45 in rural Armenia-one conducted in 2005 and one in 2007-were used. Logistic regression analyses examined whether a husband's migration status was associated with his wife's current use of the pill or the IUD, or with the probability that she had had a pregnancy that ended in induced abortion. Additional analyses were conducted to determine whether relationships were moderated by household wealth. RESULTS Women with a migrant husband were less likely than those with a nonmigrant husband to be currently using the pill or the IUD (odds ratio, 0.6); with increased household wealth, the likelihood of method use increased among women with a nonmigrant husband, but decreased slightly among women with a migrant husband. Overall, the probability that a pregnancy ended in abortion did not differ by migration status; however, the likelihood of abortion increased with wealth among women married to a nonmigrant, but not among those married to a migrant. CONCLUSIONS Despite their husband's absence, women married to a migrant may have an unwanted pregnancy rate similar to that of women married to a nonmigrant. Improved access to modern contraceptive methods is likely to be positively associated with contraceptive use among women with a nonmigrant husband, but not among those with a migrant husband.