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The Complexity of Multiple Contraceptive Method Use and the Anxiety That Informs It

Implications for Theory and Practice

Bibliographic Data

ID8359576
AuthorsLori Frohwirth (Guttmacher Institute, corresponding author), Nakeisha Blades (0000-0001-5124-7589, Guttmacher Institute), Alison M Moore (0000-0002-6914-1974, Guttmacher Institute), Ann M Moore, Heather M Wurtz (0000-0002-9364-9882, Columbia University), Heather Wurtz
Year2016
Volume45
Issue8
Pages2123-2135
Publication date2016-11-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueArchives of Sexual Behavior (JOURNAL)
Journal identifiersISSN: 0004-0002 • E-ISSN: 1573-2800
PublisherSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1007/s10508-016-0706-6
PMID26940968
OpenAlexW2291713278
LanguageEN
Citations received8
References cited61

Despite clinical guidelines and national data describing the use of one contraceptive method as the best and most common way to prevent unintended pregnancy, limited evidence indicates a more complex picture of actual contraceptive practice. Face-to-face in-depth interviews were conducted in November of 2013 with a sample of women from two cities in the United States (n = 52). The interviews explored the ways participants used contraception to protect themselves from unintended pregnancy over the past 12 months. Most respondents reported using multiple methods, many of which are considered to be less-effective, within this timeframe. The practice of combining methods in order to increase one's level of protection from pregnancy was prevalent, and was mainly enacted in two ways: by backing up inconsistent method use with other methods and by "buttressing" methods. These practices were found to be more common, and more complex, than previously described in the literature. These behaviors were mainly informed by a deep anxiety about both the efficacy of contraceptive methods, and about respondents' own perceived ability to prevent pregnancy. These findings challenge prevailing assumptions about women's contraceptive method use and have implications for clinical contraceptive counseling practice

Anxiety · Environmental health · Family medicine · Family planning · Population · Pregnancy · Psychiatry · Public health · Research methodology · Unintended pregnancy · Clinical Psychology · Global Maternal and Child Health · Maternal and Perinatal Health Interventions · Medicine · Nursing · Psychology · Reproductive Health and Contraception · Social Psychology

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Unique citing works8
Citations per year1
Citation span2018 - 2026 (9)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 7

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