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Patterns of Contraceptive Consistency among Young Adult Women in Southeastern Michigan: Longitudinal Findings Based on Journal Data

Publication Abstract

Wu, J., Yasamin Kusunoki, Elizabeth Ela, and Jennifer S. Barber. 2016. "Patterns of Contraceptive Consistency among Young Adult Women in Southeastern Michigan: Longitudinal Findings Based on Journal Data." Women's Health Issues, 26(3): 305-312.

This study analyzes patterns of contraceptive consistency among heterosexually active, young adult women who do not desire pregnancy, and identifies factors associated with these patterns. Using longitudinal data from the Relationship Dynamics and Social Life study, we identified associations between contraceptive consistency (dependent outcome) and sociodemographic characteristics and personal factors.

We found that women in a serious relationship had a two times greater odds of being sometimes consistent in their contraception use. Among always-consistent users, 55% used oral contraceptive pills and only 4% used the intrauterine device or implant. Sometimes-consistent and never-consistent users most frequently relied on condoms (35%) and withdrawal (68%). Overall, we found that the majority of young adult women inconsistently used short-acting or coital-specific methods; few used the most effective, long-acting methods.

Our findings suggest that interventions to improve contraceptive consistency among young adult women should include periodic assessments of personal factors (i.e., work, school, relationships) and promotion of long-acting reversible contraceptive methods when appropriate.

DOI:10.1016/j.whi.2016.02.007 (Full Text)

ISBN: 1049-3867

PMCID: PMC5130410. (Pub Med Central)

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