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Contraceptive Behavior in Appalachia: Exploring Use, Nonuse, and Contraceptive Attitudes
Samantha Auerbach1, Kafuli Agbemenu1, Rebecca Lorenz1
1School of Nursing, University at Buffalo, Buffalo, NY 14214, USA.
International Journal of Environmental Research and Public Health
|October 14, 2023
Summary
Contraceptive use is 66.6% in Appalachia, with nonuse often due to side effect fears. Contraception is generally acceptable, influencing behavior.
Area of Science:
- Reproductive Health
- Sociology
- Public Health
Background:
- Limited data exists on contraceptive behaviors in the Appalachian region.
- Understanding contraceptive use, nonuse, and attitudes is crucial for reproductive health in this underserved area.
Purpose of the Study:
- To characterize contraceptive behavior among women in Appalachia.
- To identify reasons for contraceptive use and nonuse.
- To assess attitudes toward contraception and their association with behavior.
Main Methods:
- Secondary analysis of survey data from 332 reproductive-age women (18-49 years) in Appalachia.
- Data collection focused on sexual and reproductive health attitudes, behaviors, and needs.
Main Results:
- Contraceptive use was reported by 66.6% of participants, while 33.1% reported nonuse.
- Frequently used methods included external condoms and natural family planning; intrauterine devices (IUDs) were also used.
- Primary reasons for nonuse included fear of side effects and ambivalence towards pregnancy.
- Contraception was generally found to be acceptable, with attitudes significantly linked to behavior.
Conclusions:
- Significant proportions of Appalachian women use contraception, but nonuse is also prevalent.
- Method choice and reasons for nonuse highlight specific needs within this population.
- Positive attitudes toward contraception are associated with higher usage rates, suggesting potential intervention targets.
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