Document Detail

Preventing unplanned pregnancies among married couples: are services for only the wife sufficient?
MedLine Citation:
PMID:  7899568     Owner:  NLM     Status:  MEDLINE    
Unplanned pregnancies among married couples in the United States remains an important problem today. The effects of predisposing factors (conceptualized according to the Luker theory of contraceptive risk taking) on use of effective contraceptive methods and on the occurrence of an unplanned pregnancy were examined among a sample of 150 white married couples who did not desire a(nother) child within 2 years. The effects of husbands' predisposing factors on both dependent variables were highly significant, either directly or through interaction with their wives. The findings demonstrate the need for continued research on wife and husband effects on reproductive behaviors and outcomes.
Researchers used Udry's couple modeling statistical method to analyze data on 150 White, low and middle income, married couples living in the US during 1977-1979 who did not want a child or another child within two years to examine couple effects of predisposing factors on use of effective contraceptive methods and the rate of unplanned pregnancy. Wife's likelihood of quitting contraception was the most powerful variable in terms of use of effective methods (beta = 0.56; p 0.001). Wife's likelihood of quitting contraception, self-perception related to pregnancy, and importance of having a girl had significant interaction effects between the wife and the husband (beta = -0.09, -0.22, and 0.07, respectively; p 0.001 for all except importance of a girl, p 0.01). Effective method preference had a significant positive effect only for the wife (beta = 0.03; p 0.001). Enjoyment of infant care, perceived spousal desire for pregnancy, and encouragement by others to have a child had a significant effect on the occurrence of an unplanned pregnancy for the husband (beta = -0.68, 0.16, and 1.01, respectively; p 0.05 for infant care and encourage pregnancy, p 0.001 for perceived spousal desire for pregnancy; odds ratio [OR] = 0.51, 1.17, and 2.75, respectively). Effective method use was the only significant variable for the wife (beta = -0.42, OR = 0.66). These findings suggest that participation of husbands in reproductive education, decision making, and family planning services should be increased. They also indicate the need for national surveys that include data on both wife and husband to build a knowledge base about the effects of wives and husbands in reproduction, parenting, and family functioning and to use that knowledge to design changes in health care delivery that have a positive effect on the delivery of family planning or childbearing services in the US.
M E Zotti; E Siegel
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Research in nursing & health     Volume:  18     ISSN:  0160-6891     ISO Abbreviation:  Res Nurs Health     Publication Date:  1995 Apr 
Date Detail:
Created Date:  1995-04-21     Completed Date:  1995-04-21     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  7806136     Medline TA:  Res Nurs Health     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  133-42     Citation Subset:  IM; J; N    
College of Nursing, University of Arkansas for Medical Sciences, Little Rock 72205-7199, USA.
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MeSH Terms
Chi-Square Distribution
Contraception Behavior / statistics & numerical data
Family Planning Services / methods*,  statistics & numerical data
Least-Squares Analysis
Logistic Models
Pregnancy* / statistics & numerical data
Prospective Studies
Risk Factors
Spouses* / statistics & numerical data
United States
Urban Population / statistics & numerical data
Grant Support

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