Reproductive Life Planning: A Cross-Sectional Study of What College Students Know and Believe

Kransdorf, Lisa N.; Raghu, T. S.; Kling, Juliana M.; David, Paru S.; Vegunta, Suneela; Knatz, Jo; Markus, Allan; Frey, Keith A.; Chang, Yu Hui; Mayer, Anita P.; Files, Julia A.

doi:10.1007/s10995-015-1903-y

Cited by 12 publications

(11 citation statements)

References 20 publications

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“…Fertility knowledge has been shown to have a significant influence on family planning for women [11] and lack of fertility knowledge has been found to impede preconception care for men [12]. Furthermore, young adults' fertility knowledge has been reported to be low in general [13], making it necessary to assess fertility knowledge among Korean college students and to determine whether it affects self-efficacy toward pregnancy planning. Pregnancy planning has also been found to be associated with maternal characteristics such as age, income, smoking, alcohol drinking, stress, and depression [14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Gender Differences in Factors Influencing Self-Efficacy Toward Pregnancy Planning among College Students in Korea

Kang

Kim

2020

IJERPH

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The purpose of this study was to examine factors influencing college students’ self-efficacy toward pregnancy planning by gender using the health belief model (HBM). Utilizing a comparative descriptive design, a total of 819 college students were recruited. A survey was administered to gather information on health beliefs related to pregnancy planning, self-efficacy toward pregnancy planning, fertility knowledge, and general characteristics. The main variables were compared by gender. The factors influencing self-efficacy toward pregnancy planning were identified using hierarchical regression analysis. Female students (476) had lower self-efficacy toward pregnancy planning than male students (343). The significant factors influencing self-efficacy toward pregnancy planning in female students were: depression (β = −0.09, p = 0.030), fertility knowledge (β = 0.08, p = 0.025), barriers (β = −0.57, p < 0.001), and cues to action (β = 0.16, p < 0.001), whereas the corresponding factors in male students were benefits (β = 0.12, p = 0.020), barriers (β = −0.44, p < 0.001), and cues to action (β = 0.16, p = 0.001). The present study confirmed the suitability of the HBM as a conceptual framework for identifying factors influencing self-efficacy toward pregnancy planning. Based on the findings of this study, gender-based similarities and differences in factors influencing self-efficacy should be considered when taking steps to promote self-efficacy toward pregnancy planning among college students.

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Section: Introductionmentioning

confidence: 99%

Gender Differences in Factors Influencing Self-Efficacy Toward Pregnancy Planning among College Students in Korea

Kang

Kim

2020

IJERPH

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“…In terms of communication and specific elements of RLP, women have reported that they value the straightforward and organized formatting of RLP interventions, opportunities for self-reflection, 38 and being prompted to ask questions and discuss specific topics of interest with their health providers. 38 39 Callegari et al 40 and Kransdorf et al 41 found that women desired provider-initiated and nonjudgmental counseling that incorporated their preferences, desires, and values.…”

Section: Discussionmentioning

confidence: 99%

Reproductive Life Planning in Adolescents

et al. 2021

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Unplanned pregnancy in adolescents contributes to the burden of disease, mortality, and health and educational disparities experienced by young people during this vulnerable period between childhood and adulthood. Reproductive life planning (RLP) is an approach that has been endorsed and adopted internationally, which prompts individuals and couples to set personal goals regarding if and when to have children based on their own personal priorities. This review discusses RLP tools, their acceptability, effectiveness, and issues in implementation across different contexts, with a specific focus on how RLP has been applied for adolescents. While a range of RLP tools are available and considered acceptable in adult populations, there is minimal evidence of their potential benefits for adolescent populations. Online platforms and information technology are likely to promote reach and implementation of RLP interventions in adolescents. Consideration of the socioecological contexts where adolescent pregnancies are more common should be integral to much needed future work that explores RLP interventions in adolescents.

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“…Unawareness could be related to individual factors such as low health literacy, but could also be affected by factors at provider level. Kransdorf et al for example reported that young women in college did not discuss reproductive life planning or preconception health with their providers, despite expressing interest in doing so [ 29 ]. A qualitative study in Italy found a lack of awareness of preconception health and care, not only among women of childbearing age, but also among midwives, medical doctors and nurses [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

Preconception counselling for low health literate women: an exploration of determinants in the Netherlands

et al. 2018

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BackgroundWomen from lower socioeconomic groups tend to be at greater risk of adverse perinatal outcomes, but are less likely to participate in preconception counselling compared to higher socioeconomic groups. This could be partly because of their limited skills to assess, understand and use health related information in ways that promote and maintain good health (health literacy skills). In this study we explored determinants of participation in preconception counselling among women with low health literacy in The Netherlands.MethodsPotential determinants of participation in preconception counselling were derived from the literature, and mapped onto a theoretical framework, which was tested for perceived relevance and completeness in an expert review (n = 20). The framework was used to prepare face-to-face interviews with women with low health literacy and a wish to conceive (n = 139). In the interviews we explored preconception counselling awareness, knowledge, considerations, subjective norms, self-efficacy, attitude, and intention. Linear regression analyses were used to test associations with intention to participate in preconception counselling.ResultsMost women (75%) were unaware of the concept of preconception counselling and the provision of counselling, even if they lived in areas where written invitations had been disseminated. Common considerations for participation were: preparation for pregnancy; perceived lack of information; and problems in a previous pregnancy. Considerations not to participate were mostly related to perceived sufficient knowledge and perceived low risk of perinatal problems. Respondents generally had a positive attitude towards participation in preconception counselling for themselves, and 41% reported that they would participate in preconception counselling.ConclusionWomen with low health literacy were generally unaware of the concept and provision of preconception counselling, but seemed to be interested in participation. Further research should investigate how to effectively reach and inform this group about preconception counselling. This knowledge is essential for evidence-based development of interventions to increase the accessibility and understanding of preconception counselling.Electronic supplementary materialThe online version of this article (10.1186/s12978-018-0617-1) contains supplementary material, which is available to authorized users.

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Reproductive Life Planning: A Cross-Sectional Study of What College Students Know and Believe

Cited by 12 publications

References 20 publications

Gender Differences in Factors Influencing Self-Efficacy Toward Pregnancy Planning among College Students in Korea

Gender Differences in Factors Influencing Self-Efficacy Toward Pregnancy Planning among College Students in Korea

Reproductive Life Planning in Adolescents

Preconception counselling for low health literate women: an exploration of determinants in the Netherlands

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