259584 Shared responsibility in contraceptive decision-making and choice: Does it matter and how?

Monday, October 29, 2012

Marina J. Chabot, MSc , Institute for Health And Aging/Epidemiology, Assessment & Program Development, University of California, San Francisco/CDPH Maternal Child & Adolescent Health, Sacramento, CA
Diane Swann , Bixby Center for Global Reproductive Health, University of California San Francisco, Sacramento, CA
Philip Darney, MD, MSc , Bixby Center for Global Reproductive Health, University of California, San Francisco, San Francisco, CA
Heike Thiel de Bocanegra, PhD, MPH , Assistant Professor and Director, UCSF Family PACT Evaluation, University of California, San Francisco, Sacramento, CA
Prevention of unintended pregnancy and improvement of pregnancy planning and spacing are important goals of the Healthy People 2020. Involving men in family planning decision-making influences the type and consistency of a couple's contraceptive use, leading to a more favorable outcome in preventing unintended pregnancy. We assessed the importance of a couple's shared responsibility in deciding and using a contraceptive method. Three years of pooled data (2008-09-10) from the California Women's Health Survey including three questions (who initiated discussion about contraception, who chose, and who made sure a method is used) were analyzed. Responses on these questions were “You”, “Partner” or “Shared.” Of current contraceptors aged 18-49 (n=3243), more than half (54%) and nearly half (48%) of women responded “shared” on initiating discussion and making sure a method is used, respectively. More women (“you” 54%) chose the type of contraception themselves. Women reporting shared responsibility in all three questions were more likely to report using vasectomy (19%;p<.001) and condoms (50%,p<.001), which required cooperation from their partner. The preliminary multivariate analyses suggest that shared responsibility in discussing, choosing, and making sure a method is used was significantly associated with use of vasectomy and condom after controlling for women's sociodemographic characteristics. Women who initiated discussion, chose a method and made sure a method is used have higher odds of using oral and other hormonal contraception. Men's involvement means not only encouraging them to adopt condoms or vasectomy, but equally important is providing resources enabling them to appropriately support their partner.

Learning Areas:
Diversity and culture
Planning of health education strategies, interventions, and programs

Learning Objectives:
1. Assess the importance of male involvement in decisions about and use of contraception. 2. Describe the demographic characteristics of women whose partners were involved in decision-making and using a contraceptive method. 3. Identify the contraceptive method choice of reproductive-aged women.

Keywords: Contraception, Survey

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Since 2004, I have been the lead demographer for the Family PACT Program, California’s family planning program for low-income residents. Among my health research and scientific interests have been the study of access to publicly funded family planning services and how it influences birth rates among teens and low-income women as well as examining the role of men in the reproductive health care services.
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.

Back to: 3198.0: PRSH Posters: Contraception