Document Detail


How contraceptive use patterns differ by pregnancy intention: implications for counseling.
MedLine Citation:
PMID:  11566285     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To increase awareness of issues to include in contraceptive counseling-the objectives of this study were to evaluate: 1) how contraceptive use patterns (eg, non-use), level of effectiveness of contraceptive method, and sociodemographic characteristics may be associated with the occurrence of unintended pregnancy; 2) patterns of health care use for women with intended and unintended pregnancy; and 3) the association between contraceptive use patterns and sociodemographic characteristics. In-person interviews were conducted with 279 women enrolled in a Medicaid managed care health plan who had been pregnant in the last 5 years. Self-reported measures of pregnancy intention, contraceptive use, and health care use were collected. The relationships of pregnancy intention with contraceptive use patterns, level of effectiveness of contraceptive method used, and patterns of recent health care use were assessed. Differences in contraceptive use patterns by sociodemographic groups were assessed. Seventy-eight percent of women reported an unintended pregnancy. Non-use of birth control the month before conception was reported by 57% of women with unintended pregnancies and 84% of women with intended pregnancies. Use of birth control of low effectiveness was reported by 20% of women with unintended pregnancies and 8% of women with intended pregnancies. Non-use or use of contraceptive methods of low effectiveness did not differ for women in different sociodemographic groups regardless of pregnancy intention status. A majority of women reported recent health care use. Health care providers should be aware that women who have no intention for pregnancy may not be using an effective contraceptive method NOR have an effective pattern of contraceptive use.
Authors:
R Petersen; J A Gazmararian; K Anderson Clark; D C Green
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Women's health issues : official publication of the Jacobs Institute of Women's Health     Volume:  11     ISSN:  1049-3867     ISO Abbreviation:  Womens Health Issues     Publication Date:    2001 Sep-Oct
Date Detail:
Created Date:  2001-09-21     Completed Date:  2001-10-18     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  9101000     Medline TA:  Womens Health Issues     Country:  United States    
Other Details:
Languages:  eng     Pagination:  427-35     Citation Subset:  IM    
Affiliation:
Cecil G. Sheps Center for Health Services Research and Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Contraception Behavior*
Counseling*
Female
Humans
Medicaid
Patient Acceptance of Health Care*
Pregnancy / psychology*
Pregnancy, Unwanted / psychology
Tennessee
Women's Health
Grant Support
ID/Acronym/Agency:
T32 HS00032/HS/AHRQ HHS

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


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