Document Detail


Emergency contraception use and non-use in young women: the application of a contextual and dynamic model.
MedLine Citation:
PMID:  15969852     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
There have been many approaches to understanding contraception use including social cognition models which have been criticised for their individualistic approach and their static nature. The present quantitative study developed and refined a contextual and dynamic model of contraception use that was derived using qualitative research. This model conceptualizes the predictors of contraception use in terms of the meaning and importance of a range of social goals, perceptions of vulnerability, and constraints on or facilitators of contraception use each of which changes over time. The present study operationalized this model in relation to emergency contraception and explored differences between users and non-users and between episodes of use and non-use. In terms of users and non-users, the results showed that the users of emergency contraception showed a more positive view of an emergency contraception user, perceived greater support from their partner for emergency contraception use, rated themselves more at risk of pregnancy, and felt more confident about asking for emergency contraception. In terms of use and non-use, use was related to an increased belief about the risk of pregnancy, increased partner support, increased concern about health care professionals and the side-effects of the drug, and a more positive identity of an emergency contraception. The study has helped to develop and refine the model and has identified some key factors that are specifically relevant to emergency contraception use in a sample of women in education in and around London.
Authors:
Caroline Free; Jane Ogden
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  British journal of health psychology     Volume:  10     ISSN:  1359-107X     ISO Abbreviation:  Br J Health Psychol     Publication Date:  2005 May 
Date Detail:
Created Date:  2005-06-22     Completed Date:  2005-08-03     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9605409     Medline TA:  Br J Health Psychol     Country:  England    
Other Details:
Languages:  eng     Pagination:  237-53     Citation Subset:  IM    
Affiliation:
Public Health Interventions Unit, London School of Hygiene and Tropical Medicine, UK. caroline.free@lshtm.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Adult
Aspirations (Psychology)
Contraceptives, Postcoital / administration & dosage*,  adverse effects
Culture*
Emergencies / psychology*
England
Female
Goals
Health Behavior*
Health Knowledge, Attitudes, Practice
Humans
Internal-External Control
Male
Pregnancy
Self Efficacy
Sexual Partners / psychology
Social Support
Chemical
Reg. No./Substance:
0/Contraceptives, Postcoital

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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