3137.0: Monday, November 13, 2000 - 2:45 PM

Abstract #15575

Males partners and use of emergency contraception

Cynthia C. Harper, PhD and Nancy S. Padian, PhD. Dept OB/GYN, Ctr for Reproductive Health Policy & Research, University of California, San Francisco, Box 0744, 3333 California Street, Ste. 335, San Francisco, CA 94143-0744, 415-502-4092, harperc@obgyn.ucsf.edu

Family planning services have recently begun to make targeted efforts to involve male partners in pregnancy and STD-prevention efforts, and research has likewise started to examine various aspects of male involvement, particularly concerning condom use. At present, however, we have little empirical knowledge on the role of male partners in the use of emergency contraception(EC). This study provides initial evidence about the ways in which characteristics of male partners and relationships can affect EC use. The data for this research are based on a prospective study on contraceptive choice conducted among a low-income population in California (1995-1999), with information from interviews and medical records (history and examinations) of women (n=541) and the male sexual partners of a subset of women (n=163). We use logistic regression analysis to predict EC use. Predictors include traits of the male and female partners (socio-demographic, perceived risk for STDs and pregnancy, motivation to use protection, condom attitudes, multiple partners, sexual history) and the relationship (intimacy, decision-making, pressure for sex, contraceptive use, including whether method is male or female-controlled). Preliminary results show that among this sample at high-risk for pregnancy and STDs, EC use depends largely on the women's knowledge of the method, but also varies with male attitudes about contraception, contraceptive method used, as well as consistency of use. Higher use of EC by condom users is moderated by partner/couple traits, including motivation to prevent pregnancy/disease and low risk-taking. Implications for EC provision are that partner factors should be integrated into routine counseling.

Learning Objectives: At the conclusion of the session, the participant in the session will be able to: 1. List five characteristics of the male sexual partner or the couple that might have an impact on the female's use of emergency contraception. 2. Explain how condom attitudes, motivation to prevent pregnancy/disease, and condom use affect use of emergency contraception. 3. Identify the partner or couple factors that would be useful to incorporate into routine counseling on emergency contraception

Keywords: Contraception,

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 128th Annual Meeting of APHA