ArticleBMC women's health2019
Using the theory of planned behavior and self-identity to explore women's decision-making and intention to switch from combined oral contraceptive pill (COC) to long-acting reversible contraceptive (LARC).
Article in BMC women's health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Randomized Trial of a Sexual Health Video Intervention for Black and Hispanic Adolescent Females.Prevention science : the official journal of the Society for Prevention Research · 2023Trial
- Understanding contraceptive choice after discontinuing the contraceptive pill in Germany - a qualitative inquiry.Reproductive health · 2026Article
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- A secret for survival: covert contraceptive use and the burden of male resistance to family planning in Kigezi, Uganda.Contraception and reproductive medicine · 2025Article
- Intention to switch from short-acting to long-acting reversible contraceptives among refugee women in Ethiopia: application of the theory of planned behavior.Contraception and reproductive medicine · 2025Article
- Geospatial analysis of area-level social and behavioral factors associated with short interpregnancy intervals in North Carolina, U.S.Preventive medicine reports · 2025Article
- Trends and pattern of contraceptive use among women attending a family planning clinic at a tertiary health facility in Ibadan, Nigeria.BMC public health · 2025Article
- Contraception Initiation in the Emergency Department: Adolescent Perspectives.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024Article
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- Article
- Establishing the Approach of Norm Balance toward Intention Prediction across Six Behaviors under the Theory of Planned Behavior.Pharmacy (Basel, Switzerland) · 2023Article
- Prevalence and determinants of intention to use modern contraceptives among grand-multiparous women in sub-Saharan Africa.Archives of public health = Archives belges de sante publique · 2022Article
- Getting Intentional about Intention to Use: A Scoping Review of Person-Centered Measures of Demand.Studies in family planning · 2022Article
- The ParentingWell Learning Collaborative Feasibility Study: Training Adult Mental Health Service Practitioners in a Family-Focused Practice Approach.Community mental health journal · 2022Article
- Article
- 'I feel like a person has a right to use a product to protect themselves…': a qualitative study of the risk-benefit calculus on women's contraceptive use and choice.Sexual health · 2020Article
- Choices and services related to contraception in the Gaza strip, Palestine: perceptions of service users and providers.BMC women's health · 2019Article
- Behavioural and contextual factors influencing intention to shift from short- to long-acting reversible contraceptive methods among women in central Ethiopia: a theory of planned behaviour-guided study.Therapeutic advances in reproductive healthArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background\Most college women use the combined oral contraceptive pill (COC) despite more effective long-acting reversible contraceptive (LARC) methods (e.g., IUDs and implant) being available. Resistance to change methods may be impacted by how a woman identifies with being a COC-user.
methodsData were collected via 186 web-based surveys distributed to female students attending a university in the southeastern United States (Mean age = 20.0 ± 1.; range = 18-22). Structural equation modeling (SEM) determined TPB fit in understanding LARC intention.
resultsSEM results received acceptable fit (χ2 (670, N = 186) p < 0.01, Comparative Fit Index (CFI) of 0.84, and Normative Fit Index (NFI) of 0.75). A Root Mean Square Error of Approximation (RMSEA) of 0.09 was produced, with a 90% confidence interval of 0.08 to 0.09. Including self-identity in the model yielded similar fit, with χ2 (866, N = 186) p < 0.01, CFI of 0.83, and NFI of 0.73. Self-identity and attitude pathways were significant (p < 0.01) toward intention, extending the TPB model.
conclusionsThe TPB proved to be acceptable in understanding COC users' intention to obtain LARC. Results provide direction for LARC messaging tailored toward COC users and self-identity.
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