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Reasons for Contraceptive Nonuse at First Sex and Unintended Pregnancy

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Objective: To examine reasons for contraceptive nonuse at first sex and subsequent unintended pregnancy among women attending family planning and prenatal clinics. Methods: Data come from the Determinants of Unintended Pregnancy Risk in New Orleans study. Reasons for nonuse by age, partner's age, and pregnancy status are compared. Results: Concern about parents' finding out about sexual activity was a common reason for nonuse at first sex and first unintended pregnancy. Problems accessing and discontinuation of contraception were reasons given at second or higherorder unintended pregnancy. Conclusions: Reasons for nonuse vary by event and age at event. Providers should consider various reasons when counseling patients on contraceptive options.
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Keywords: adolescent; contraception; first sex; service barriers; unintended pregnancy

Document Type: Research Article

Affiliations: 1: University of Pittsburgh, Graduate School of Public Health, Department of Epidemiology, Pittsburgh, PA. 2: University of North Carolina at Chapel Hill, School of Public Health, Department of Maternal and Child Health, Chapel Hill, NC. 3: Columbia University, Mailman School of Public Health, Department of Population and Family Health, New York, NY. 4: Tulane University School of Public Health and Tropical Medicine, Department of International Health and Development, New Orleans, LA.

Publication date: 2006-01-01

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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