Why Are U.S. Women Not Using Long-Acting Contraceptives?
| Autor: | Koray Tanfer, Betsy Payn, Susan Wierzbicki |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
education.field_of_study
medicine.medical_specialty business.industry Population Public Health Environmental and Occupational Health Psychological intervention Logistic regression Social marketing Family planning Family medicine medicine Marital status education business Developed country Social psychology Unintended pregnancy |
| Zdroj: | Family Planning Perspectives. 32:176 |
| ISSN: | 0014-7354 |
| DOI: | 10.2307/2648234 |
| Popis: | Data from the 1993 and 1995 rounds of the National Survey of Women are used to examine the reasons women gave for not having used the implant or injectables whether they intended to use these methods and how their attitudes toward them may influence their decision to use such methods in the future. Logistic regression models were used to identify the social and demographic characteristics that influence womens decisions not to use these methods. Fewer than 2% of women who were at risk of an unintended pregnancy in 1995 were using the implant and under 3% were using the injectable. Women gave three major reasons for not using either of these methods: lack of knowledge; fear of side effects or health hazards; and satisfaction with the method they were currently using. Age education marital status parity and current contraceptive method strongly predicted fear of side effects lack of knowledge and satisfaction with the current method as reasons for not using the implant or the injectable. For example women aged 30 or older and those with a college education were half as likely as younger women and those with no college education to mention fear of side effects as their main reason for not using the implant. Likewise single women women with one or more children and those using a barrier method were 2-3 times more likely than married women childless women and those using a medical method to attribute nonuse to the implants side effects. Few women said they intended to use these methods in the next 12 months: 5% for the implant and 10% for the injectable. Single women women with no college education women with children women wanting to have a child (or another child) and women with positive attitudes toward the effect of using an injectable were significantly more likely to say they intended to use the injectable. Nevertheless substantial proportions of women reported quite negative attitudes about these methods. The low prevalence of use and the low level of use intention for the implant and for injectables raise questions about the promise for the future of these methods. Each method seems to appeal to certain subgroups of women however. Thus if proper interventions and social marketing are targeted to such groups they may be disabused of misperceptions regarding these methods and possibly become more willing to try them. (authors) |
| Databáze: | OpenAIRE |
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