ArticlePloS one2020
The relationship between attitudes towards pregnancy and contraceptive continuation: Results from a longitudinal study of married women in India.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Cofactors of earlier uptake of modern postpartum family planning methods in Kenya.PLOS global public health · 2025Article
- Fertility Desires and Contraceptive Transition.Population and development review · 2024Article
- The Relationship Between Contraceptive Method Use and Return of Fecundity Among Women Attempting Pregnancy in Low- and Middle-Income Countries.Demography · 2023Article
- Unmet need and intention to use as predictors of adoption of contraception in 10 Performance Monitoring for Action geographies.SSM - population health · 2023Article
- Reproductive outcomes following contraceptive discontinuation for method-related reasons: An analysis of 49 Demographic and Health Surveys.PLOS global public health · 2023Article
- Examining the place of the female condom in india's family planning program aqualitative investigation of the attitudes, opinions of key stakeholders in Pune, India.BMC public health · 2022Article
- Supply-Side Versus Demand-Side Unmet Need: Implications for Family Planning Programs.Population and development review · 2022Article
- Article
- How do fertility intentions lead to contraceptive continuation among a cohort of family planning users who received services from the private sector in Nigeria.Gates open research · 2021Article
- A risk scoring tool for predicting Kenyan women at high risk of contraceptive discontinuation.Contraception: X · 2020Article
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Authors and funding
3 authors.
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Abstract
To understand the relationship between pregnancy intentions and contraceptive use, a growing body of research has begun to examine various domains of women's attitudes towards pregnancy, acknowledging that these attitudes may contradict one another, and women may be ambivalent. This study examines pregnancy ambivalence and assesses the relationship between attitudes towards pregnancy and contraceptive continuation after nine months among a sample of women in Odisha and Haryana, India. Data come from a longitudinal study of married women age 15-49 who began using a modern reversible method of contraception at the time of study enrollment. To assess their cognitive attitudes (beliefs/knowledge) towards pregnancy, women were asked "how important is it you to avoid a pregnancy now?" To assess their affective attitudes (feelings/emotions), women were asked about their agreement with the statement: "If I found out I was pregnant in the next several weeks, I would be happy." A joint, 4-category measure combining these cognitive and affective attitudes towards pregnancy was created to measure concordance and ambivalence in attitudes towards pregnancy. Multivariate random-effects logistic regression models were employed to examine the relationship of these two measures with method-specific contraceptive continuation nine months later. Two models were conducted, one with the two attitude variables included independently and the second with the joint, 4-category measure included. Results showed that affective and cognitive attitudes were both significantly associated with continuation, but that there were no significant differences between those that were ambivalent and those whose attitudes were concordantly anti-pregnancy. This study suggests that attitudes towards pregnancy are multifaceted and both cognitive and affective attitudes towards pregnancy may play an important role in contraceptive use in India.
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