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Prebirth Psychosocial Factors as Predictors of Consistency in Contraceptive Use Among
Taiwanese Adolescent Mothers at
6 Months Postpartum
Author(s) -
Wang RueyHsia,
Wang HsiuHung
Publication year - 2005
Publication title -
public health nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.471
H-Index - 55
eISSN - 1525-1446
pISSN - 0737-1209
DOI - 10.1111/j.0737-1209.2005.220402.x
Subject(s) - medicine , postpartum period , psychosocial , family planning , logistic regression , obstetrics , odds ratio , population , odds , pregnancy , condom , demography , family medicine , psychiatry , research methodology , environmental health , human immunodeficiency virus (hiv) , genetics , syphilis , pathology , sociology , biology
Objective: To assess contraceptive behavior and whether pre‐birth psychosocial factors could predict consistency in contraceptive use among adolescent mothers at six‐month postpartum. Design : Prospective study. Sample : 104 Taiwanese adolescent mothers. Measurements : Participants completed a contraception questionnaire in their third trimester and a postpartum contraception questionnaire at six‐month postpartum. Results : Prior to giving birth, the adolescent mothers most commonly answered that condom use (39.8%) was the contraceptive method they planned to use after delivery. It was also more commonly reported in the postpartum to be the method they actually were using (54.3%). Stepwise logistic regression analysis further showed that a more positive contraceptive attitude (odds ratio = 1.104) and a higher self‐efficacy (odds ratio = 1.068) in contraceptive use in the pre‐birth period increased the probability that a participant would report that she always used contraceptives in the postpartum period. Nevertheless, a higher score in the pre‐birth period in the area of subjective contraceptive norms (odds ratio = 0.978) decreased this probability. The final regression model could correctly classify 81.7% of the participants. Conclusions : Health care professionals should provide adolescent mothers with the information they need to improve their attitude and self‐efficacy toward contraception before they enter the postpartum period.