Abstract

Objectives: In the United States, 45% of pregnancies continue to be unintended. Although many previous studies have focused on external barriers to contraceptive use such as cost or access, fewer studies have evaluated internal barriers such as individual characteristics. We hypothesize that high self-efficacy for contraception will be associated with use of more effective contraceptive methods. Study Design: The analytic sample is 861 privately insured Pennsylvania women aged 18 to 40 years not intending pregnancy for 12 months at enrollment. Contraceptive self-efficacy (high vs. low) was measured using an eight-item scale. The association of self-efficacy with prescription contraceptive use was determined using multivariable logistic regression adjusting for future pregnancy intention, history of unintended pregnancy, number of live births, non-White race, frequency of sexual intercourse, marital status, and age group. Results: Prescription contraceptive use was higher among those with high self-efficacy (adjusted odds ratio, 1.75; 95% confidence interval, 1.29–2.37). Conclusions: Women with high self-efficacy for contraception had an increased use of prescription contraceptive methods compared with nonprescription methods. Strategies for encouraging effective contraceptive choices in women with low contraceptive self-efficacy should be further studied.

Original languageEnglish (US)
Pages (from-to)509-513
Number of pages5
JournalWomen's Health Issues
Volume28
Issue number6
DOIs
StatePublished - Nov 1 2018

Fingerprint

Self Efficacy
Contraceptive Agents
contraceptive
Prescriptions
self-efficacy
medication
Contraception
pregnancy
Pregnancy
contraception
Reproductive History
Coitus
Marital Status
Live Birth
status group
Age Groups
Logistic Models
Odds Ratio
marital status
Confidence Intervals

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Obstetrics and Gynecology
  • Public Health, Environmental and Occupational Health
  • Maternity and Midwifery

Cite this

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title = "High Self-Efficacy Is Associated with Prescription Contraceptive Use",
abstract = "Objectives: In the United States, 45{\%} of pregnancies continue to be unintended. Although many previous studies have focused on external barriers to contraceptive use such as cost or access, fewer studies have evaluated internal barriers such as individual characteristics. We hypothesize that high self-efficacy for contraception will be associated with use of more effective contraceptive methods. Study Design: The analytic sample is 861 privately insured Pennsylvania women aged 18 to 40 years not intending pregnancy for 12 months at enrollment. Contraceptive self-efficacy (high vs. low) was measured using an eight-item scale. The association of self-efficacy with prescription contraceptive use was determined using multivariable logistic regression adjusting for future pregnancy intention, history of unintended pregnancy, number of live births, non-White race, frequency of sexual intercourse, marital status, and age group. Results: Prescription contraceptive use was higher among those with high self-efficacy (adjusted odds ratio, 1.75; 95{\%} confidence interval, 1.29–2.37). Conclusions: Women with high self-efficacy for contraception had an increased use of prescription contraceptive methods compared with nonprescription methods. Strategies for encouraging effective contraceptive choices in women with low contraceptive self-efficacy should be further studied.",
author = "Hamidi, {Odessa P.} and Timothy Deimling and Erik Lehman and Carol Weisman and Cynthia Chuang",
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High Self-Efficacy Is Associated with Prescription Contraceptive Use. / Hamidi, Odessa P.; Deimling, Timothy; Lehman, Erik; Weisman, Carol; Chuang, Cynthia.

In: Women's Health Issues, Vol. 28, No. 6, 01.11.2018, p. 509-513.

Research output: Contribution to journalArticle

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