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Published on: January 12, 2018
Perception of Having Enough Information to Make Contraceptive Decisions: A Novel Metric of Person-Centered
Ariana H Bennett1, Alex Schulte1, Jennet Arcara1
1Sexual Health and Reproductive Equity Program, School of Social Welfare, University of California, Berkeley, Berkeley, California.
Introduction:
Information is a critical component of contraceptive access. This study presents a new person-centered metric of contraceptive access: perception of having sufficient information to choose a contraceptive method.
Methods:
Between January and March 2022, we fielded a nationally representative online survey among 15- to 44-year-olds assigned female sex at birth using NORC's AmeriSpeak panel. We describe whether respondents felt they had enough information for contraceptive decision making and types of information needed. We investigate bivariate associations between perception of having enough information and key respondent characteristics. We use logistic regression to investigate whether past experiences of sexual and reproductive health (SRH) care and contraceptive self-efficacy are associated with feeling one has enough information.
Results:
Of the analytic sample (unweighted n = 3,037), 73.5% felt they had enough information to decide about contraception, 11.8% did not, and 14.7% were unsure. Those who did not feel they had enough information (unweighted n = 687) most commonly needed information about side effects (33.4%). In bivariate analyses, respondents who were younger, were gay/lesbian, had lower educational attainment, and were uninsured were less likely to feel they had adequate information. Regression analyses indicated a positive association between feeling one had enough information and past experiences of high-quality SRH care and contraceptive self-efficacy.
Implications And Conclusions:
Our data indicate inequities in who felt they had enough information to make contraceptive decisions. Perception of having enough information is related to quality of care and perceived future ability to access contraception. This paper supports the importance of recognizing information as a key part of person-centered contraceptive access.
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