Document Detail

Teen contraceptive decisions: childbearing intentions are the tip of the iceberg.
MedLine Citation:
PMID:  16418122     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To validate a model we developed while trying to understand why pregnant teens so often report that they did not want to become pregnant and could have obtained contraceptives before they conceived. METHOD: The study enrolled a racially/ethnically diverse group of 351 teenagers. Participants completed a questionnaire that asked about teen pregnancy risk factors, the expected effects of childbearing, the desire to remain non-pregnant, deterrents to contraceptive use, and contraceptive plans. RESULTS: Most participants were capable of using contraceptives but at high risk for unintended conception because they exhibited numerous sociodemographic risk factors, were unsure that pregnancy would affect their lives adversely, and were ambivalent about remaining non-pregnant. Believing a boyfriend wanted a baby and the anticipated effect of childbearing on 5 specific aspects of life explained 63% of the variance in the desire to remain non-pregnant, which, in conjunction with fears about using contraceptives, explained 20.5% of the variance in future contraceptive plans. CONCLUSIONS: Our new findings that expectations about the effect of childbearing explain the desire to remain non-pregnant may well help providers determine why teenagers who do not plan to conceive are often willing to allow themselves to do so by default. Further research is needed, as the model did not explain contraceptive decision-making adequately.
Catherine Stevens-Simon; Jeanelle Sheeder; Susan Harter
Publication Detail:
Type:  Clinical Trial; Journal Article; Multicenter Study; Research Support, U.S. Gov't, P.H.S.; Validation Studies    
Journal Detail:
Title:  Women & health     Volume:  42     ISSN:  0363-0242     ISO Abbreviation:  Women Health     Publication Date:  2005  
Date Detail:
Created Date:  2006-01-18     Completed Date:  2006-04-25     Revised Date:  2009-05-20    
Medline Journal Info:
Nlm Unique ID:  7608076     Medline TA:  Women Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  55-73     Citation Subset:  IM    
Dept. of Pediatrics, Division of Adolescent Medicine, University of Colorado Health Sciences Center, Denver, CO 80218, USA.
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MeSH Terms
Adolescent Behavior / psychology*
Contraception Behavior / psychology*,  statistics & numerical data
Decision Making*
Health Knowledge, Attitudes, Practice*
Interpersonal Relations
Pregnancy in Adolescence / psychology*
Sexual Behavior / psychology
Socioeconomic Factors
Grant Support
R40 MC 0011203//PHS HHS

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

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