ArticleContraception2020
Pregnancy preferences and contraceptive use among US women.
Article in Contraception, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 4 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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
26 citing papers in PubMed, 4 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
- Contraceptive behaviors and media influence among women in Bangladesh: exploring the effects of age and education.Frontiers in global women's health · 2025Pooled it
- Preconception, Interconception, and reproductive health screening tools: A systematic review.Health services research · 2023Pooled it
- mHealth Interventions for Contraceptive Behavior Change in the United States: A Systematic Review.Journal of health communication · 2022Pooled it
- Comparing Approaches to Measuring Prospective Fertility Desires in the United States: A Population-based Study.Maternal and child health journal · 2026Article
- Association Between Negative Pregnancy Desires and Recent Condomless Sex Among Couples in Vietnam.Journal of sex research · 2026Article
- Pregnancy, Birth, Neonatal, and Mental Health Outcomes Are Minimally Associated with Pregnancy Ambivalence.Studies in family planning · 2026Article
- Mediators of the Relationship between Worst Feelings of Depression and Frequency of Emotional Distress among Arabs in the United States.Journal of racial and ethnic health disparities · 2025Article
- Predictors of Desire to Avoid Pregnancy: The Roles of Marital Satisfaction and Fear of Childbirth.BMC women's health · 2025Article
- Pregnancy Preferences and Incident Pregnancy in the US.JAMA network open · 2025Article
- The State of Person-Centered Measurement for Family Planning Need and Use: A Scoping Review.Studies in family planning · 2025Article
- Psychometric evaluation of the desire to avoid pregnancy scale in India.Contraception · 2025Article
- Associations Among Sociodemographic and Contextual Factors and Youth Pregnancy Preferences.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025Article
- Estradiol protects against pain-facilitated fentanyl use via suppression of opioid-evoked dopamine activity in males.Neuron · 2025Article
- Predictors of Contraceptive Use Associated with Foreign-Born Women in the US During the Preconception Period of Their First Pregnancy.Journal of immigrant and minority health · 2025Article
- "Imagine a pregnancy": perspectives of Latine emerging adults from an agricultural community in California.Frontiers in reproductive health · 2025Article
- Continuation of Reversible Contraception Following Enrollment in the Zika Contraception Access Network (Z-CAN) in Puerto Rico, 2016-2020.Studies in family planning · 2024Article
- Measuring a Critical Component of Contraceptive Decision Making: The Contraceptive Concerns and Beliefs Scale.Maternal and child health journal · 2024Article
- Predictive ability of the Desire to Avoid Pregnancy scale.Reproductive health · 2023Article
- Associations between unfulfilled contraceptive preferences due to cost and low-income patients' access to and experiences of contraceptive care in the United States, 2015-2019.Contraception: X · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectivesAn understanding of the relationship between individuals' pregnancy preferences and contraceptive use is essential for appropriate patient-centered counseling and care. We examined the relationship between women's pregnancy preferences and contraceptive use using a new prospective measure, the Desire to Avoid Pregnancy (DAP) scale. STUDY
designAs part of a study examining women's suspicion and confirmation of new pregnancies, we recruited patients aged 15 - 45 from seven reproductive health and primary health facilities in Arizona, New Jersey, New Mexico, South Carolina, and Texas in 2016-2017. We used multivariable logistic, multinomial logistic, and linear regression models to examine the associations among DAP scores (range: 0 - 4) and contraceptive use outcomes and identify factors associated with discordance between DAP and use of contraception.
resultsParticipants with a greater preference to avoid pregnancy had higher odds of contraceptive use (aOR = 1.63, 95% CI: 1.31, 2.04) and used contraceptives more consistently (aβ = 8.9 percentage points, 95% CI: 5.2, 12.7). Nevertheless, 63% of women with low preference to avoid pregnancy reported using a contraceptive method. Higher preference to avoid pregnancy was not associated with type of contraceptive method used: women with the full range of pregnancy preferences reported using all method types.
conclusionWhen measured using a rigorously developed instrument, pregnancy preferences were associated with contraceptive use and consistency of use. However, our findings challenge assumptions that women with the highest preference against pregnancy use more effective methods and that women who might welcome pregnancy do not use contraception. IMPLICATIONS: Women's preferences about pregnancy contribute significantly to their use of contraception. However, health care providers and researchers should consider that contraceptive features besides effectiveness in preventing pregnancy shape contraceptive decision-making and use.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.