Breaking News
February 24, 2019 - Study reveals insights into how the brain learns new locomotor patterns
February 24, 2019 - Depression Screening: MedlinePlus Lab Test Information
February 24, 2019 - Researchers discover a weakness in a rare cancer that could be exploited with drugs
February 23, 2019 - U.S.-based patient advocacy organizations received majority of pharma donations, finds study
February 23, 2019 - UCL and AIIMS collaborates to increase academic and student exchange
February 23, 2019 - Mechanism behind how diabetes causes muscle loss revealed
February 23, 2019 - Hepatocellular carcinoma diagnosis, prognosis and treatment may improve by identifying a protein
February 23, 2019 - The American Heart Association issues new reference toolkit for healthcare providers
February 23, 2019 - Studies explore physiological dangers that climate change will have on animal life
February 23, 2019 - Penn study reveals increase in health-related internet searches before ER visits
February 23, 2019 - Intensive therapy during early stages of MS leads to better long-term outcomes
February 23, 2019 - Prenatal Fluconazole Exposure Increases Neonatal Risks
February 23, 2019 - Mental Health Screening: MedlinePlus Lab Test Information
February 23, 2019 - Study suggests birth mechanics are part of the process that leads to autism
February 23, 2019 - Unhealthy diet linked to poor mental health
February 23, 2019 - Study gives a snapshot of crocodile evolution
February 23, 2019 - Research finds steep rise in self-poisonings among young people
February 23, 2019 - American Gastroenterological Association announces “AGA Future Leaders Program”
February 23, 2019 - Scientists uncover new mechanisms regulating neural stem cells
February 23, 2019 - Combinations of certain insecticides turn out to be lethal for honeybees
February 23, 2019 - AHA News: Why Are Black Women at Higher Risk of Dying From Pregnancy Complications?
February 23, 2019 - NIMH » Anxiety Disorders
February 23, 2019 - Autistic people urgently need access to tailored mental health support
February 23, 2019 - Newly designed molecule could benefit people with Friedrich’s Ataxia
February 23, 2019 - Chinese CRISPR twins may have better cognition and memory
February 23, 2019 - Study finds new genetic clues associated with asthma in African ancestry populations
February 23, 2019 - Fetal signaling pathways may offer future opportunities to treat lung damage
February 23, 2019 - Early-stage osteoarthritis drug wins prestigious innovation award
February 23, 2019 - Researchers report positive findings with dasotraline for ADHD in children ages 6-12
February 23, 2019 - News study reanalyzes the effects of noncaloric sweeteners on gut microbiota
February 23, 2019 - New device allows scientists to reproduce blow effects on the heart in lab
February 23, 2019 - Holy herb identified as a potential treatment for Alzheimer’s disease
February 23, 2019 - New technology platform digitally counts growth factors in single cells
February 23, 2019 - Physicians still remain at higher risk for burnout compared to other professionals
February 23, 2019 - Surgery and other treatments offer viable options for adult scoliosis
February 23, 2019 - Reduced antibody adaptability may make the elderly more vulnerable to influenza
February 23, 2019 - Researchers find increased rates of CRC screening in Kentucky after Medicaid expansion
February 23, 2019 - Neighborhood income, education associated with risk of disability progression in MS patients
February 23, 2019 - Endocrine Society opposes new rule that restricts access to Title X Family Planning Program
February 23, 2019 - 2019 guidelines for management of patients with atrial fibrillation
February 23, 2019 - Surprise rheumatoid arthritis discovery points to new treatment for joint inflammation
February 23, 2019 - A just-right fix for a tiny heart
February 23, 2019 - UMass Amherst scientist explores role of citrus peel in decreasing gut inflammation
February 23, 2019 - Owlstone Medical and Shanghai Renji Hospital collaborate to initiate breath biopsy lung cancer trial
February 23, 2019 - AMSBIO’s comprehensive portfolio of knock-out cell lines and lysates
February 23, 2019 - New app reliably determines physicians’ skills in forming accurate, efficient diagnoses
February 23, 2019 - Peripheral nerve injury can trigger the onset and spread of ALS, shows study
February 23, 2019 - Researchers uncover mechanisms that prevent tooth replacement in mice
February 23, 2019 - Once-a-day capsule offers new way to reduce symptoms of chronic breathlessness
February 23, 2019 - FDA Adds Boxed Warning for Increased Risk of Death with Gout Medicine Uloric (febuxostat)
February 23, 2019 - Phone-based intervention aids rheumatoid arthritis care
February 23, 2019 - Opioid epidemic makes eastern inroads and targets African-Americans
February 23, 2019 - New identified biomarker predicts patients who might benefit from HER2-targeted agents
February 23, 2019 - Study offers new insights into mechanisms of changes in erythrocytes under stress
February 23, 2019 - Antipsychotic polypharmacy may be beneficial for schizophrenia patients
February 23, 2019 - Researchers investigate how marijuana and tobacco co-use affects quit attempts by smokers
February 23, 2019 - Patients with diabetes mellitus have high risk of stable ischemic heart disease
February 23, 2019 - Transparency on healthcare prices played key role in Arizona health system’s turnaround
February 23, 2019 - A comprehensive, multinational review of peppers around the world
February 23, 2019 - Study finds modest decrease in burnout among physicians
February 23, 2019 - A simple change can drastically reduce unnecessary tests for urinary tract infections
February 23, 2019 - Deep Learning-Enhanced Device Detects Diabetic Retinopathy
February 23, 2019 - Researchers discover new binding partner for amyloid precursor protein
February 23, 2019 - Modest decrease seen in burnout among physicians, researchers say | News Center
February 23, 2019 - Transplanting bone marrow of young mice into old mice prevents cognitive decline
February 23, 2019 - Mogrify to accelerate novel IP and cell therapies using $3.7m USD funding
February 23, 2019 - Johns Hopkins study describes cells that may help speed bone repair
February 23, 2019 - Scientists demonstrate influence of food odors on proteostasis
February 23, 2019 - Researchers unlock the secret behind reproduction of fish called ‘Mary’
February 23, 2019 - Acupuncture Could Help Ease Menopausal Symptoms
February 23, 2019 - Researchers use AI to detect early signs of Alzheimer’s
February 23, 2019 - On recovery, vulnerability and ritual: An exhibit in white | News Center
February 23, 2019 - Memory Stored in Unexpected Region of the Brain
February 23, 2019 - Several health experts worldwide gather at EUDONORGAN event
February 23, 2019 - Discovery of potent compound in native California shrub may lead to treatment for Alzheimer’s
February 22, 2019 - Researchers create new map of the brain’s own immune system
February 22, 2019 - ICHE’s reviews on surgical infections, unnecessary urine tests, and nurses’ role in antibiotic stewardship
February 22, 2019 - UK Research and Innovation invests £200 million to create new generation of AI leaders
February 22, 2019 - Takeda collaboration to boost fight against Alzheimer’s and other neurodegenerative diseases
February 22, 2019 - Heavy drinking may change DNA, leading to increased craving for alcohol
Women’s intentions and attitude matter when it comes to using contraception

Women’s intentions and attitude matter when it comes to using contraception

image_pdfDownload PDFimage_print

A new Veterans Affairs study adds to the evidence that women’s intentions around becoming pregnant don’t fully explain whether and how they use contraception. Rather, their attitudes toward becoming pregnant also play a role.

For example, women who don’t plan on getting pregnant, but who nonetheless say it would be fine if it happened, or even that they would be happy about it, may be less likely to use birth control at all, or to use effective methods, than those who aren’t planning a pregnancy but say they would be upset if it occurred.

The finding, reported in the Nov. – Dec. 2018 edition of Women’s Health Issues, doesn’t seem surprising. Some past research has indicated as much. But the new evidence will help round out counselors’ understanding of what drives women’s decisions to use or not use contraception. It may also bolster efforts in VA to improve reproductive health services for women veterans.

Dr. Sonya Borrero, who led the research, says the finding offers a window into the complexity of women’s behaviors around planning or preventing pregnancies.

“Pregnancy intention and attitudes toward a hypothetical pregnancy are not always aligned,” says Borrero, who is with the University of Pittsburgh and VA’s Center for Health Equity Research and Promotion. “Counselors need to be aware of the range of thoughts and attitudes that may be shaping a woman’s behavior when it comes to using contraception.”

And, Borrero points out, intentions and attitudes may be relatively fluid, changing over the course of a few months based on factors like relationship status, financial situation, or social support. She says routine or frequent assessment is needed to help women make the best reproductive decisions.

Borrero’s team conducted phone interviews with 858 women veterans who had recently been VA primary care patients. The work was part of a larger study called Examining Contraceptive Use and Unmet Need among Women Veterans.

The new analysis was limited to women veterans at risk for an unwanted pregnancy. They answered questions about whether they were currently trying to become pregnant or planning to do so in the next year or at any point in the future. “Not sure” was another option.

They also answered questions, on a seven-point scale, about how they would feel if they did become pregnant, regardless of their plan: 1 was “it would be the worst thing that could happen to me,” and 7 was “it would be the best thing that could happen to me.”

Intentions and attitudes were aligned, but not perfectly so. Predictably, most (77 percent) of those intending to become pregnant in the next year said they would be content if it occurred. But at the same time, positive attitudes toward a hypothetical pregnancy were also reported by more than a quarter of the women who said they didn’t want to become pregnant until at least a year down the road (28 percent), and even among many women (14%) who said they had no plans at any time in the future to become pregnant. Only about a third of those who planned no future pregnancies said it would be the “worst thing” if it occurred.

Despite the mismatches that emerged between intention and attitude among many of the women, both factors were independently associated with contraception use. Women who said they “never” wanted to become pregnant were nearly three times more likely to report using contraception, versus those who expressed the intent to become pregnant within the next year. Similarly, women who said becoming pregnant would be the “worst” thing that could happen were nearly three times as likely to use contraception, compared with women who said a pregnancy would be the “best” thing that could happen.

A similar trend was seen regarding methods of birth control. The “never” group was more than three times as likely to be using highly effective methods, versus the “next year” group. The “worst thing” group was more than twice as likely to be using highly effective methods, versus the “best thing” group.

According to the study, “highly effective” methods of birth control include intrauterine devices and subdermal implants. Moderately effective methods include the pill, ring, patch, and injection. The least effective are barrier devices such as condoms, diaphragms, and cervical caps; fertility awareness methods; spermicides; and withdrawal.

The study also observed cultural patterns that have been seen in other research. For example, Hispanic women showed more positive attitudes toward unintended pregnancies than did white or black women. Meanwhile, among black women, neither intention nor attitude was significantly linked to contraceptive use.

“Improved understanding of racial/ethnic differences in pregnancy attitudes would allow for more culturally relevant and inclusive counseling strategies to help women to decrease their risk of undesired or unacceptable pregnancies,” wrote the researchers.

Dr. Amita Vyas, editor-in-chief of Women’s Health Issues, called the study “a strong contribution to the growing body of research that is expanding our understanding of how women make decisions about contraception.” She said it will “help providers offer patient-centered care and assist all clients in achieving their reproductive goals.”

Source:

https://www.research.va.gov/currents/1118-When-it-comes-to-using-birth-control-intention-and-attitude-matter.cfm

Tagged with:

About author

Related Articles