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Adolescent women's contraceptive decision making.

C S Weisman1, S Plichta, C A Nathanson

  • 1School of Hygiene and Public Health, Johns Hopkins University, Baltimore, MD 21205.

Journal of Health and Social Behavior
|June 1, 1991
PubMed
Summary

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Adolescent women

Area of Science:

  • Reproductive Health
  • Behavioral Science
  • Sociology

Background:

  • Adolescent women face unique challenges in consistent oral contraceptive (OC) use.
  • Understanding factors influencing sustained contraceptive behavior is crucial for public health.
  • Existing models may not fully capture social and contextual influences on adolescent contraceptive adherence.

Purpose of the Study:

  • To analyze adolescent women's consistent oral contraceptive (OC) use over six months.
  • To test a modified rational decision model incorporating social influences and salient events.
  • To identify predictors of sustained OC use in a clinical population.

Main Methods:

  • A panel study of 308 adolescent women attending an inner-city family planning clinic.
Keywords:
Abortion HistoryAbortion, InducedAdolescent Pregnancy--prevention and controlAdolescentsAdolescents, FemaleAge FactorsAmericasBehaviorCentral CityClinical ResearchContraceptionContraception ContinuationContraceptive MethodsContraceptive Methods ChosenContraceptive UsageDecision MakingDemographic FactorsDeveloped CountriesEducationFamily PlanningFamily Planning PolicyFamily Planning ProgramsFertilityFertility Control, PostconceptionFollow-up StudiesGeographic FactorsHealth EducationHigh Risk WomenHuman VolunteersMultiple PartnersNorth AmericaNorthern AmericaOral ContraceptivesPolicyPopulationPopulation CharacteristicsPopulation DynamicsPopulation PolicyReproductionReproductive BehaviorResearch MethodologyResearch ReportSex BehaviorSex EducationSexual PartnersSocial PolicySpatial DistributionStudiesUnited StatesUrban Spatial DistributionUrbanizationUtility TheoryYouth

Related Experiment Videos

  • Utilized a modified rational decision model based on subjective expected utility (SEU) theory.
  • Employed multivariate analyses to assess predictors of consistent OC use.

    • Main Results:

    • Subjective expected utility (SEU) significantly predicted actual OC use.
    • Partner influences, pregnancy salience, and positive OC side effects were key predictors.
    • Partner support and positive side effects predicted use, especially when initial SEU was low.

    Conclusions:

    • Modified decision models incorporating social factors improve understanding of adolescent contraceptive behavior.
    • Clinicians should consider partner support and side effect management for sustained OC use.
    • Interventions targeting social influences may enhance adolescent women's contraceptive adherence.