ArticleContraception2017
Change and consistency in US women's pregnancy attitudes and associations with contraceptive use.
Article in Contraception, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A systematic review of non-binary measures of pregnancy perceptions, attitudes and reactions, and associated outcomes.BMC pregnancy and childbirth · 2025Pooled it
- Family Planning Reminder Systems: An Updated Systematic Review.American journal of preventive medicine · 2018Pooled it
- Pregnancy Ambivalence, History of Pregnancy, Condom Use, and Contraceptive Use Among U.S. Youth Experiencing Homelessness.Maternal and child health journal · 2026Article
- Pregnancy, Birth, Neonatal, and Mental Health Outcomes Are Minimally Associated with Pregnancy Ambivalence.Studies in family planning · 2026Article
- Contraception Initiation in the Emergency Department: Adolescent Perspectives.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024Article
- Evaluating the MyPath web-based reproductive decision support tool in VA primary care: Protocol for a pragmatic cluster randomized trial.Contemporary clinical trials · 2022Article
- Pathways to reproductive autonomy: Using path analysis to predict family planning outcomes in the United States.Health & social care in the community · 2022Article
- Attitudes Toward Pregnancy Among Women Enrolled in Prevention of Mother-to-Child Transmission of HIV (PMTCT) Services in Moshi, Tanzania.AIDS and behavior · 2021Article
- Contraceptive Consistency and Poverty after Birth.Population research and policy review · 2021Article
- Pregnancy preferences and contraceptive use among US women.Contraception · 2020Article
- Change and stability in contraceptive use patterns among US women over a 12-month period: analysis using the 2013-2015 National Survey of Family Growth life history calendar.Contraception: X · 2020Article
- Article
- Stability of Retrospective Pregnancy Intention Reporting Among Women with Unwanted Pregnancies in the United States.Maternal and child health journal · 2019Article
- Exploring Multiple Dimensions of Young Women's Fertility Preferences in Malawi.Maternal and child health journal · 2019Article
- The Misclassification of Ambivalence in Pregnancy Intentions: A Mixed-Methods Analysis.Perspectives on sexual and reproductive health · 2019Article
- Psychometric Evaluation of an Instrument to Measure Prospective Pregnancy Preferences: The Desire to Avoid Pregnancy Scale.Medical care · 2019Article
- Beyond intent: exploring the association of contraceptive choice with questions about Pregnancy Attitudes, Timing and How important is pregnancy prevention (PATH) questions.Contraception · 2019Article
- Pregnancy Attitudes and Contraceptive Use among Young Adults with Histories of Foster Care.Children and youth services review · 2018Article
- Associations between Pregnancy Intention, Attitudes, and Contraceptive Use among Women Veterans in the ECUUN Study.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
- It's Not Planned, But Is It Okay? The Acceptability of Unplanned Pregnancy Among Young People.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
Corrections and comments
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Authors and funding
1 author.
Funding
Abstract
objectivesThis study examines the cognitive and affective dimensions of pregnancy attitudes in order to better recognize the role of each in pregnancy ambivalence as well as the relative importance of each in understanding contraceptive use. STUDY
designData from a national sample of 2894 women aged 18-39, gathered at baseline and 6 months later, were used to examine a measure of pregnancy avoidance (cognitive) and a measure of happiness about pregnancy (affective), both separately and jointly. I used bivariate and multivariate analysis to examine associations between attitudinal measures and consistent contraceptive use. I also examined changes in attitudes over time and associations between changes in attitudes and changes in consistent contraceptive use.
resultsWhile a majority of women, 53%, indicated that it was very important to avoid pregnancy, a substantially lower proportion, 23%, would have been very unhappy to be pregnant. In logistic regression models that included both measures, only pregnancy avoidance was associated with consistent contraceptive use. Cognitive attitude was less likely than affective attitude to change over time; additionally, change in pregnancy avoidance, but not happiness, was associated with change in consistent contraceptive use. CONCLUSION(S): Pregnancy avoidance appears to play a more important role in understanding consistent contraceptive use. Findings from this study provide support for the idea that positive feelings about a pregnancy do not contradict a desire to avoid conception and that feelings and intentions may be distinct concepts for many women. IMPLICATIONS: Health care providers should assess patients' pregnancy avoidance attitude but also recognize that this can change over a short period of time for some women and should be evaluated regularly.
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