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Knowledge, attitudes and intentions of American women regarding the hormonal implant


, : Knowledge, attitudes and intentions of American women regarding the hormonal implant. Family Planning Perspectives 26(2): 60-65

In the US, almost 50% of the 1669 women, 20-37 years old, who participated in the 1991 National Survey of Women had heard of the hormonal contraceptive implant. White women, educated women, working women, women making more than $15,000/year, and women not on public assistance had higher awareness levels of the implant than their counterparts. An analysis of the 724 women with awareness of the implant was conducted. Most of these women knew that the implant is inserted under the skin (97.1%) and effective at preventing pregnancy (86.3%). A considerable percentage of women did not know its effectiveness (28%), its reversibility (35%), and the speed with which fecundity returns after implant removal (70%). The women who had the highest knowledge were white, educated, and nulliparous or primiparous. Women who wanted children and those from the West and Northeast were also more knowledgeable about the implant than their counterparts. Just 33% of the 724 women would use the implant. Women who were most inclined to use the implant in the future were young (20-24 years, 40.4% vs. about 30.3%; p .05), single (35.9% vs. about 31%; p .05), primiparous (41.8% vs. 28.5-33.4%; p .01), and those who did not want any more children (39% vs. 29.5%; p .05). Among the 1285 women at risk of pregnancy, predictors of intention to use the implant were knowledge (odds ratio [OR] = 1.12; p .001), parity (OR = 1.78 for parity 1 and 1.62 for = or 2; p .001 and .05, respectively), childbearing intentions (OR = 1.42; p .05), and the contraceptive method currently being used (OR = 1.85 for no method and 1.82 coital methods other than condom; p .05 and .01, respectively).

US$19.90

PMID: 8033979

DOI: 10.2307/2136003


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