Measuring contraceptive use patterns among teenage and adult women.
CONTEXT: Measures of contraceptive use at one point in time do not account for its changing nature. A measure that addresses the pattern of method use over time may better predict the cumulative risk of unintended pregnancy. METHODS: Women at risk of unintended pregnancy were selected from the 1995...
| Publicado en: | Family Planning Perspectives Vol. 31; no. 2; pp. 73 - 81 |
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| Autor principal: | |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Guttmacher Institute, Inc.
Mar/Apr99
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107199397&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107199397 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00147354 FPP jtl: Family Planning Perspectives issn: 00147354 maglogo: N pubinfo: dt: Mar/Apr99 vid: 31 iid: 2 pid: 13 pub: Guttmacher Institute, Inc. place: New York, New York artinfo: ui: 107199397 107199397 1999047681 10.2307/2991642 NLM10224545 107199397 ppf: 73 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Measuring contraceptive use patterns among teenage and adult women. aug: au: Glei DA sug: subj: Contraception Utilization Women In Adolescence Women In Adulthood Surveys Bivariate Statistics Multivariate Analysis Odds Ratio Age Factors Models, Theoretical Interviews Dependent Variable Independent Variable Logistic Regression Attitude to Sexuality Adolescence Adult Pregnancy Female Human Adolescent: 13-18 years Adult: 19-44 years Female ab: CONTEXT: Measures of contraceptive use at one point in time do not account for its changing nature. A measure that addresses the pattern of method use over time may better predict the cumulative risk of unintended pregnancy. METHODS: Women at risk of unintended pregnancy were selected from the 1995 National Survey of Family Growth, and their contraceptive use patterns were compared across age-groups. Survival analysis was used to validate women's long-term use pattern as an indicator of pregnancy risk, and multivariate regression analyses were used to explore potential covariates of current patterns of contraceptive use. RESULTS: More than two-thirds of women aged 15-19 report long-term uninterrupted contraceptive use, but they are more likely to report sporadic use and less likely to report uninterrupted use of a very effective method than are women aged 25-34. Compared with women aged 25-34, women aged 20-24 have higher rates of sporadic use and lower rates of effective uninterrupted use. Among teenagers, nonusers are 12 times as likely as uninterrupted effective users to experience an unintended pregnancy within 12 months at risk. Women in less stable relationships, those having more infrequent intercourse and women who have recently experienced nonvoluntary intercourse for the first time are more likely than others to have a high-risk contraceptive pattern. Women aged 17 and younger whose current partner is more than three years older are significantly less likely to practice contraception than are their peers whose partner is closer in age. CONCLUSIONS: Long-term contraceptive use pattern is a valid predictor of unintended pregnancy risk. Policies aimed at reducing unintended pregnancies should target women who do not practice contraception and those who are sporadic users. Women in unstable relationships, those having infrequent sex and women who experience sexual coercion need access to methods, such as emergency contraception, that can be used sporadically or after unprotected intercourse. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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