Document Detail

Ambivalence and pregnancy: adolescents' attitudes, contraceptive use and pregnancy.
MedLine Citation:
PMID:  15687083     Owner:  NLM     Status:  MEDLINE    
CONTEXT: It is often argued that adolescents who become pregnant do not sufficiently appreciate the negative consequences, and that prevention programs should target participants' attitudes toward pregnancy. METHODS: Data from the first two waves of the National Longitudinal Study of Adolescent Health were used to examine whether 15-19-year-old females' attitudes toward pregnancy influence their contraceptive consistency and their risk of pregnancy. Characteristics and attitudes associated with pregnancy and contraceptive use were assessed using bivariate and multivariate analysis. RESULTS: Twenty percent of female adolescents were defined as having antipregnancy attitudes, 8% as having propregnancy attitudes and 14% as being ambivalent toward pregnancy; the remainder were considered to have mainstream attitudes. Among sexually experienced adolescents, having an attitude toward pregnancy was not associated with risk of pregnancy. However, those who were ambivalent about pregnancy had reduced odds of using contraceptives consistently and inconsistently rather than not practicing contraception at all (odds ratios, 0.5 and 0.4, respectively). Antipregnancy respondents did not differ from proprepregancy respondents in terms of their contraceptive consistency. However, having a positive attitude toward contraception was associated with increased likelihood of inconsistent and consistent contraceptive use compared with nonuse (1.6 and 2.1, respectively). CONCLUSIONS: Programs designed to prevent pregnancy need to give young women information about pregnancy and opportunities to discuss the topic so that they form opinions. Furthermore, programs should emphasize positive attitudes toward contraception, because effective contraceptive use is shaped by such attitudes and is strongly associated with reduction of pregnancy risk.
Hannah Bruckner; Anne Martin; Peter S Bearman
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Perspectives on sexual and reproductive health     Volume:  36     ISSN:  1538-6341     ISO Abbreviation:  Perspect Sex Reprod Health     Publication Date:    2004 Nov-Dec
Date Detail:
Created Date:  2005-02-02     Completed Date:  2005-06-06     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  101140654     Medline TA:  Perspect Sex Reprod Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  248-57     Citation Subset:  IM    
Department of Sociology, Yale University, New Haven, CT, USA.
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MeSH Terms
Adolescent Behavior / ethnology,  psychology*
Contraception Behavior / ethnology,  psychology*
Contraceptive Agents / therapeutic use
Contraceptive Devices / utilization
Health Knowledge, Attitudes, Practice*
Interviews as Topic
Logistic Models
Longitudinal Studies
Pregnancy in Adolescence / ethnology,  prevention & control,  psychology*
Sexual Behavior / ethnology,  psychology*
United States
Unsafe Sex / ethnology,  statistics & numerical data
Grant Support
Reg. No./Substance:
0/Contraceptive Agents

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