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  • Title: Beliefs concerning contraceptive acquisition and use among low-income women.
    Author: Sable MR, Libbus MK.
    Journal: J Health Care Poor Underserved; 1998 Aug; 9(3):262-75. PubMed ID: 10073208.
    Abstract:
    Despite the availability of a wide variety of safe and effective contraceptives, unintended pregnancy remains a problem of considerable social and public health concern. This qualitative, descriptive investigation was based on Ajzen's Theory of Planned Behavior. The study examined attitudinal and normative beliefs, as well as perceived control factors that may affect a woman's intention to acquire and use specific contraceptive methods. The study sample consisted of 42 low-income women of reproductive potential. In face-to-face, audiotaped interviews, open-ended questions were used to elicit salient beliefs that affected these women's decision making about contraceptive acquisition and use. Respondents named embarrassment as a factor influencing condom acquisition and use; concerns about potential risks and side effects were a major deterrent to use of hormonal contraceptives. Implications for practitioners and public policy are suggested. Despite the availability of a wide range of safe and effective contraceptives, unintended pregnancy remains a considerable social and public health problem in the US. More than half of all pregnancies in the US are unintended, and of those, 1.6 million are aborted and 1.5 million are carried to term. A qualitative, descriptive study was conducted based upon Ajzen's Theory of Planned Behavior, examining the attitudinal and normative beliefs, as well as perceived control factors which may affect a woman's intention to acquire and use specific contraceptive methods. The study sample was comprised of 42 low-income, reproductive-age women of mean age 23.4 years. Study respondents cited embarrassment as a factor influencing condom acquisition and use, while concerns about potential risks and side effects were a major deterrent to the use of hormonal contraceptives. Implications for practitioners and public policy are considered.
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