“I did not plan … that is what hurts”
Pregnancy intentions and contraceptive use among pregnant young women in KwaZulu-Natal, South Africa
Bibliographic Data
| ID | 17798816 |
|---|---|
| Authors | Jessica N Coleman (0000-0002-4808-1036, Duke University), Cecilia Milford (0000-0002-0026-7560, University of the Witwatersrand), Nzwakie Mosery (0000-0002-1722-0339, University of the Witwatersrand), Kimburley Wy Choi (0000-0002-3914-2431, Harvard University), Letitia Rambally Greener (0000-0002-2191-2936, University of the Witwatersrand), Lynn T Matthews (0000-0001-6167-6328, University of Alabama at Birmingham), Anna Harrison (0000-0002-1673-8486, Brown University), David R Bangsberg (0000-0002-6352-8908, Portland State University), Steven A Safren (0000-0002-0121-0806, University of Miami), Jp Smit (0000-0002-5337-5995, University of the Witwatersrand), Christina Psaros (0000-0002-0705-2239, Harvard University, corresponding author) |
| Year | 2021 |
| Volume | 20 |
| Issue | 2 |
| Pages | 149-157 |
| Publication date | 2021-04-03 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | African Journal of AIDS Research (JOURNAL) |
| Journal identifiers | ISSN: 1608-5906 • E-ISSN: 1727-9445 |
| Publisher | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.2989/16085906.2021.1914693 |
| PMID | 34003077 |
| OpenAlex | W3161524759 |
| Language | EN |
| Citations received | 3 |
| References cited | 30 |
Unintended pregnancy impacts many young women in South Africa, and rates of consistent contraceptive use among this population are suboptimal. Limited empirical work has investigated reasons for inconsistency between pregnancy intention and contraceptive use behaviour with data collected during pregnancy. We explored pregnancy intentions and discordance between intentions and contraceptive use prior to conception among young pregnant women in KwaZulu-Natal, South Africa. In-depth qualitative interviews were conducted with 35 women during pregnancy (mean age = 19.3; range = 18-21) in 2011 and 2012. Data were analysed using content analysis. All participants reported unintended pregnancies; almost half were not using contraception near conception. Reasons for not intending to become pregnant spanned personal, social, health, and economic domains. Participants living with HIV ( n = 13) expressed specific concerns related to impacts of pregnancy on HIV disease management and fear of transmission of HIV to the infant. Discordance between pregnancy intentions and contraceptive use prior to conception was attributed to personal, social, health and structural domains. Findings indicate a need for interventions that address barriers to contraceptive use in order to minimise unintended pregnancy and support safe, desired pregnancies among young women
Environmental health · Family medicine · Family planning · Fertility · Obstetrics · Population · Pregnancy · Psychological intervention · Qualitative research · Reproductive health · Research methodology · Sociology · Unintended pregnancy · Adolescent Sexual and Reproductive Health · Demography · Global Maternal and Child Health · Medicine · Nursing · Reproductive Health and Contraception
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| Unique citing works | 3 |
|---|---|
| Citations per year | 0,75 |
| Citation span | 2022 - 2024 (3) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 3 |