Factors Associated with Effective Contraceptive Use Among a Sample of Latina Women

Sm, Harvey; Jt, Henderson; Casillas, America

doi:10.1300/j013v43n02_01

Cited by 40 publications

(26 citation statements)

References 28 publications

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“…Evidence on how relationship type influences contraceptive use is also mixed among adults [7,9–12]. Women in erratic relationships may be less likely than others to plan sexual intimacy, leaving them unprepared to protect against pregnancy [13].…”

Section: Introductionmentioning

confidence: 99%

Effects of relationship context on contraceptive use among young women

2016

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Objectives To understand how relationship status influences contraceptive use among young people. Study Design Data were collected as part of a longitudinal study on hormonal contraception among unmarried adolescent and young women who wanted to avoid pregnancy for at least one year, recruited at family planning clinics in the San Francisco Bay area. Follow-up surveys were completed at 3, 6, and 12 months. Longitudinal analysis was used to examine whether relationship characteristics, including type and length of sexual relationship are associated with current use of effective contraception. Results Among women with a partner at baseline, 78%, 70%, and 61% had the same partner at 3, 6, and 12 months follow up, respectively. Women in casual relationships were less likely to use effective contraceptive methods, compared to women in consistent relationships (AOR=0.67, p<0.01). Women in new relationships (0–3 months) were less likely to use effective contraceptive methods (AOR=0.60, p<0.001) compared to women in relationships more than one year in length. Younger women (AOR=0.76, p<0.05), black women (AOR=0.67, p<0.05) and Latina women (AOR=0.73, p<0.05) were also significantly less likely to use effective contraception. These effects remained even after controlling for condom use. Conclusions Relationship type and length are independently significantly associated with current effective contraceptive use among adolescent and young women. Women in casual relationships and new relationships were significantly less likely to use effective contraceptive methods. Implications Family planning providers should discuss women’s relationship context and association with contraceptive use in order to help women think of contraception as a long term personal strategy. Since relationship status affects contraceptive use, providers and programs that aim to reduce unintended pregnancy can consider strategies to create a paradigm shift around contraceptive use that focuses on the woman’s reproductive goals, current life stage, and life goals.

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Section: Introductionmentioning

confidence: 99%

Effects of relationship context on contraceptive use among young women

2016

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“…Here Diego is involved and supportive in discussing contraceptive options with his partner prior to choosing injectable contraception; yet, similar to many of the other interviewed men, he downplayed his involvement to distance himself from domineering expressions of masculinity in contraception, such as forcing a woman to use a method; this is in contrast to prior research showing that when men engage in reproductive coercion it is often to prevent contraceptive use (Harvey, Henderson, and Casillas 2006; Northridge et al 2017; Tschann et al 2002). While acknowledging deference to his girlfriend’s decision-making power reflects his respect for her bodily agency and his effort to work against structural barriers, Diego’s words also convey a feminized responsibility for pregnancy prevention.…”

Section: Men’s Engagement In Contraceptive Managementmentioning

confidence: 81%

“…Dominant cultural ideals for masculinity in the context of young men’s health tend to encourage men’s unhealthy risk-taking (Addis and Mahalik 2003; Connell 2005; de Visser and Smith 2006; de Visser, Smith, and McDonnell 2009) and contraception-avoidant behaviors (Oudshoorn 2004). Prior empirical work has shown that when men do engage in contraceptive management they often work against its use, particularly with condoms (Harvey, Henderson, and Casillas 2006; Tschann et al 2002). This interference typically does not reflect men’s pregnancy intentions but is often to exert dominance over women (Kane and Schippers 1996; Miller, Jordan, et al 2010; Upadhyay et al 2014).…”

mentioning

confidence: 99%

Hybrid Masculinity and Young Men’s Circumscribed Engagement in Contraceptive Management

Fefferman

Upadhyay

2018

Gender & Society

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This research explores how gender shapes contraceptive management through in-depth interviews with 40 men and women of color ages 15 to 24, a life stage when the risk of unintended pregnancy is high in the United States. Although past research focuses on men’s contraception-avoidant behaviors, little sociological work has explored ways men engage in contraception outside of condoms, such as contraceptive pills. Research often highlights how women manage these methods alone. Our research identifies how young men of color do help manage these methods through their engagement in contraceptive decision-making and use. Men accomplish this without limiting their partners’ ability to prevent pregnancy. This is despite structural barriers such as poverty and gang-related violence that disproportionately affect low-income young men of color and often shape their reproductive goals. However, men’s engagement is still circumscribed so that women take on a disproportionate burden of pregnancy prevention, reifying gender boundaries. We identify this as a form of hybrid masculinity, because men’s behaviors are seemingly egalitarian but also sustain women’s individualized risk of unintended pregnancy. This research points to the complexity of how race, class, and gender intersect to create an engaged but limited place for men in contraceptive management among marginalized youth.

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“…The ability to talk about risk reduction and prevention of STIs with a sexual partner has been examined in several studies (e.g., Catania et al, 1992;Catania, Kegeles, & Coates, 1990;Dolcini, Coates, Catania, Kegeles, & Hauck, 1995;Harvey, Henderson, & Casillas, 2006;Sheeran, Abraham, & Orbell, 1999). The intention to engage in conversations with partners about risk and prevention is a prerequisite for negotiating actual use of preventive measures (e.g., STI testing, use of male condom).…”

Section: Discussionmentioning

confidence: 99%