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Factors associated with contraceptive choice and inconsistent method use, United States, 2004
Jennifer J Frost1, Jacqueline E Darroch
1Guttmacher Institute, New York, USA. jfrost@guttmacher.org
Perspectives on Sexual and Reproductive Health
|June 26, 2008
Summary
Inconsistent contraceptive use, often due to user factors, leads to unintended pregnancies. Addressing user satisfaction and method choice is key to improving contraceptive effectiveness.
Area of Science:
- Reproductive Health
- Contraception Research
- Public Health
Background:
- Nearly half of unintended pregnancies occur among women using contraceptives, primarily due to inconsistent or incorrect use.
- Understanding factors influencing inconsistent contraceptive behavior is crucial for reducing unintended pregnancies.
Purpose of the Study:
- To examine factors associated with contraceptive method choice.
- To investigate factors linked to inconsistent use of the pill and condoms among women of reproductive age.
Main Methods:
- A nationally representative survey of women aged 18-44 using reversible contraceptive methods was conducted in 2004.
- Bivariate and multivariate analyses were employed to analyze data on contraceptive choice and consistent use.
Main Results:
- Contraceptive choice was influenced by socioeconomic, partnership, pregnancy, method, and provider factors.
- Inconsistent pill or condom use was primarily associated with partnership, experiential, and attitudinal factors.
- Lower educational attainment, lower importance placed on pregnancy avoidance, and dissatisfaction with chosen methods were linked to inconsistent contraceptive use.
Conclusions:
- Enhanced efforts are needed to offer diverse contraceptive options tailored to individual needs and circumstances.
- Identifying and supporting users experiencing dissatisfaction or difficulties with their contraceptive methods is essential.
- Facilitating informed method selection can improve contraceptive adherence and reduce unintended pregnancies.
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