203366 An unintended pregnancy wouldn't be the worst thing: Using the EPPM to predict women's intentions to use contraceptives

Tuesday, November 10, 2009: 8:55 AM

Shelly Campo, PhD , Community and Behavioral Health, University of Iowa, College of Public Health, Iowa City, IA
Natoshia M. Askelson, MPH, PhD , Department of Community and Behavioral Health, University of Iowa, Iowa City, IA
Erica L. Spies, MS , School of Public Health, Department of Community and Behavioral Health, University of Iowa, Iowa City, IA
Mary E. Losch, PhD , Center for Social & Behavioral Research, University of Northern Iowa, Cedar Falls, IA
This study examined the relative importance of the constructs of the Extended Parallel Process Model and communication about contraceptives in predicting 18-30 year old women's intentions to use contraceptives the next time they have sexual intercourse. A telephone survey of 18-30 year old women (N = 599) was conducted to investigate what factors influenced women's contraceptive behavioral intentions. Hierarchical, multivariate linear regression was used to assess the impact of perceived severity, susceptibility, response efficacy, self-efficacy, fear, and past use, while controlling for age and income. The R2 for the complete model was 0.40. Age and talking with best friend were negatively related to intention. Women who perceived that having an unintended pregnancy would be more severe, were more likely to intend to take action to prevent an unintended pregnancy, although 50% of the women reported being ambivalent about having an unintended pregnancy. Using birth control the last time a woman had sex was the most powerful predictor of future intentions. These finding have implications for interventions designed to prevent unintended pregnancies. Specific programs may need to be targeted at older women, who may be more lax about their contraceptive use. Interventions need to be cautious in encouraging or creating communication between friends without attention to the content since communication might have a negative impact on contraceptive use. It is important to emphasize that unintended pregnancies are serious and have consequences, while highlighting that being ambivalent should equal protecting one's self against unintended pregnancies.

Learning Objectives:
Explain how the Extended Parallel Process Model can be used in formative research to inform intervention design Demonstrate an understanding of the importance of perceived severity of unintended pregnancy in women’s intentions to use contraceptives

Keywords: Contraceptives, Prevention

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am involved in research on unintended pregnancy.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.