Details:

Alternative Title:
Womens Health Issues
Publisher's site:
http://dx.doi.org/10.1016/j.whi.2018.04.006
Personal Author:
Hamidi, Odessa P. ; Deimling, Timothy ; Lehman, Erik ; Weisman, Carol ; Chuang, Cynthia
Hamidi, Odessa P. ; Deimling, Timothy ; Lehman, Erik ; Weisman, Carol ; Chuang, Cynthia Less -
Description:
Objectives:

In the United States, 45% of pregnancies continue to be unintended. Although many previous studies have focused on external barriers to contraceptive use such as cost or access, fewer studies have evaluated internal barriers such as individual characteristics. We hypothesize that high self-efficacy for contraception will be associated with use of more effective contraceptive methods.

Study Design:

The analytic sample is 861 privately insured Pennsylvania women aged 18 to 40 years not intending pregnancy for 12 months at enrollment. Contraceptive self-efficacy (high vs. low) was measured using an eight-item scale. The association of self-efficacy with prescription contraceptive use was determined using multivariable logistic regression adjusting for future pregnancy intention, history of unintended pregnancy, number of live births, non-White race, frequency of sexual intercourse, marital status, and age group.

Results:

Prescription contraceptive use was higher among those with high self-efficacy (adjusted odds ratio, 1.75; 95% confidence interval, 1.29–2.37).

Conclusions:

Women with high self-efficacy for contraception had an increased use of prescription contraceptive methods compared with nonprescription methods. Strategies for encouraging effective contraceptive choices in women with low contraceptive self-efficacy should be further studied.


Subjects:
[+]
Adolescent Adult Choice Behavior Contraception Contraception Behavior Drug Prescriptions Family Planning Services Female Humans Pregnancy Pregnancy, Unplanned Self Efficacy Surveys And Questionnaires Young Adult
Source:
Womens Health Issues. 28(6):509-513
Pubmed ID:
30131220
Pubmed Central ID:
PMC6345511
Document Type:
Journal Article
Funding:
U58 CD001304/CD/ODCDC CDC HHS/United States ; UL1 TR000127/TR/NCATS NIH HHS/United States ; UL1 TR002014/TR/NCATS NIH HHS/United States
U58 CD001304/CD/ODCDC CDC HHS/United States ; UL1 TR000127/TR/NCATS NIH HHS/United States ; UL1 TR002014/TR/NCATS NIH HHS/United States Less -
Place as Subject:
Pennsylvania
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:7769ba9eefcd9276d89d89bf2d41641f1bab2105473fc9717912b49f3cf3a379
Download URL:
https://stacks.cdc.gov/view/cdc/70146/cdc_70146_DS1.pdf
File Type:

Supporting Files

• nihms-1006889.nxml

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