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Sable, Marjorie R.; Libbus, M. Kay

doi:10.1023/a:1009527631043

Cited by 86 publications

(23 citation statements)

References 13 publications

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“…Participants selecting oral EC articulated specific reasons for selecting this method of EC. Our findings support previous research indicating a disconnect between the desire to avoid pregnancy and acceptance of a long-term or consistent contraceptive method [13,14]. …”

Section: Discussionsupporting

confidence: 90%

A qualitative exploration of emergency contraception users' willingness to select the copper IUD

2012

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Background The copper T intrauterine device (IUD) is an effective but underutilized method of emergency contraception (EC). This study investigates the factors influencing a woman's decision around which method of EC to select. Study Design In-depth interviews with 14 IUD and 14 oral EC users aged 18–30 years accessing public health clinics. Results Emergency contraception users associated long-term methods of contraception with long-term sexual relationships. Women were not aware of the possibility of using the copper IUD for EC. Cost was identified as a major barrier to accessing IUDs. Perceived side effects and impact on future pregnancies further influenced the EC method a participant selected. Conclusions Women think about contraception in the context of each separate relationship and not as a long-term individual plan. Most women were unaware of the copper IUD for EC. Furthermore, there is little discussion between women and their health-care providers around EC.

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Section: Discussionsupporting

confidence: 90%

A qualitative exploration of emergency contraception users' willingness to select the copper IUD

2012

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“…10–12 Yet, an alternative explanation is that intentions and feelings are related but distinct concepts: That is, women may be highly motivated to avoid conception and, at the same time, would feel happy about the prospect of a pregnancy. 7,13,14 …”

mentioning

confidence: 99%

Happiness About Unintended Pregnancy And Its Relationship to Contraceptive Desires Among a Predominantly Latina Cohort

Aiken

2015

Perspect Sexual Reproductive

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CONTEXT Women frequently profess happiness about unintended pregnancies; such incongruence is associated with use of less effective contraceptive methods and inconsistent or incorrect method use. Yet, the methods women use may differ from those they desire. METHODS Data on 578 women were drawn from a prospective survey of postpartum women aged 18–44 recruited from three hospitals in Texas between 2012 and 2014. Jonckheere–Terpstra tests were used to compare women’s feelings about a future pregnancy with their childbearing intentions. Fisher-Freeman-Halton tests compared distributions of contraceptive methods currently used and desired by women who professed happiness about a future unintended pregnancy, as well as distributions of desired methods by women’s reported feelings. RESULTS The proportion of women who reported happiness about a future pregnancy was 59% among those intending to wait two or three years for another child, 46% among those intending to wait four or more years, and 36% among those intending to have no more children. Among women who professed happiness, a greater proportion desired to use a highly effective contraceptive method than were currently using one (72% vs. 15% among those intending no more children; 55% vs. 23% among those intending to wait at least four years; and 36% vs. 10% among those intending to wait two or three years). Across intention categories, the types of methods desired did not differ by whether women professed happiness or unhappiness. CONCLUSIONS Women who profess happiness about a future unintended pregnancy may nonetheless desire highly effective contraceptive methods.

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“…Several terms such as intention , happiness , wantedness , planning , and trying have been used interchangeably to describe pregnancy intention (Kavanaugh & Schwarz, 2009; Petersen & Moos, 1997; Rosengard et al, 2004), which creates confusion about what is actually being measured. Intending to become pregnant and wanting to be pregnant are not the same (Petersen & Moos, 1997; Santelli et al, 2003; Trussell, Vaughan, & Stanford, 1999), and there is dissent as to whether happiness and intention are correlated (Sable & Libbus, 2000; Santelli et al, 2003). In population-level research, the concept of pregnancy intention has been applied across the board to all women (Kavanaugh & Schwarz, 2009), regardless of the fact that it may not be relevant for some groups who do not find the idea of intention to be meaningful (Bachrach & Newcomer, 1999; Kavanaugh & Schwarz, 2009; McQuillan, Greil, & Shreffler, 2011; Moos, Petersen, Meadows, Melvin, & Spitz, 1997; Santelli et al, 2003; Trussell et al, 1999).…”

Section: Calloutmentioning

confidence: 99%

“…At an individual level, women are deciding about whether or not to become parents and whether to do so with a particular partner in a particular situation (Luker, 1999). It is possible that for individual-level clinical research, understanding women’s attitudes and emotions about pregnancy in general would provide important information more relevant for clinical care (Sable & Libbus, 2000). This is not to suggest that studying pregnancy intention at the population level should be abandoned; on the contrary, it provides significant information about the health of the nation as a whole.…”

Section: Calloutmentioning

confidence: 99%

“…Examples include asking participants about level of happiness regarding a suspected pregnancy (Sable & Libbus, 2000), how much they would like to be pregnant (Davies et al, 2006), whether or not they are trying to become pregnant and level of commitment to not becoming pregnant (Bartz, Shew, Ofner, & Fortenberry, 2007), and how much they want to be pregnant or how upset they would be about a pregnancy (Clarke et al., 2006). Rosengard et al (2004) asked three questions on being worried, upset, or happy about a potential pregnancy, taking the mean of the three questions to determine the participant’s score.…”

Section: Calloutmentioning

confidence: 99%

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Development and Psychometric Testing of the Attitude Toward Potential Pregnancy Scale

Paterno

Han²

2014

Journal of Obstetric, Gynecologic & Neonatal Nursing

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Objective To develop and test a comprehensive tool for measuring women’s attitudes toward the possibility of becoming pregnant. Design Cross-sectional mixed methods study. Setting Two obstetric/gynecologic (OB/GYN) clinics and one family planning clinic in Baltimore, Maryland. Participants One-hundred thirty (130) non-pregnant, primarily African American women (84%) ages 18 to 29. Methods Participants completed a computer-based survey as part of a larger retrospective mixed methods study. The Attitude Toward Potential Pregnancy Scale (APPS) was assessed using exploratory factor analysis and hypothesis testing. Results Cronbach’s alpha for internal consistency for the APPS was 0.86. Item-total correlations ranged from 0.56 to 0.75. All items loaded on one factor. Support for construct validity was demonstrated using logistic regression, where the odds of being a highly effective contraceptive user decreased by 8% with each one-point increase in score on the APPS (odds ratio=0.92; confidence interval 0.87–0.98). Conclusions This study provides support for reliability and validity of the APPS. The APPS may be a useful tool for understanding pregnancy attitude in future studies and in clinical practice. Further research is needed to assess the usefulness of the scale with other groups of women, its utility in the clinical practice setting, and its potential predictive validity for unintended pregnancy.

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Abstract: Differentiating between pregnancy intention and happiness has practice implications for family planning and prenatal providers. Additional research should further elaborate these distinctions.

Cited by 86 publications

References 13 publications

A qualitative exploration of emergency contraception users' willingness to select the copper IUD

A qualitative exploration of emergency contraception users' willingness to select the copper IUD

Happiness About Unintended Pregnancy And Its Relationship to Contraceptive Desires Among a Predominantly Latina Cohort

Development and Psychometric Testing of the Attitude Toward Potential Pregnancy Scale

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