For example, women who don't plan on getting pregnant, but who nonetheless say it would be fine if it happened, or even that they would be happy about it, may be less likely to use birth control at all, or to use effective methods, than those who aren't planning a pregnancy but say they would be upset if it occurred.
The finding, reported in the Nov. -- Dec. 2018 edition of Women's Health Issues, doesn't seem surprising. Some past research has indicated as much. But the new evidence will help round out counselors' understanding of what drives women's decisions to use or not use contraception. It may also bolster efforts in VA to improve reproductive health services for women veterans.
Dr - Sonya - Borrero - Research - Finding
Dr. Sonya Borrero, who led the research, says the finding offers a window into the complexity of women's behaviors around planning or preventing pregnancies.
"Pregnancy intention and attitudes toward a hypothetical pregnancy are not always aligned," says Borrero, who is with the University of Pittsburgh and VA's Center for Health Equity Research and Promotion. "Counselors need to be aware of the range of thoughts and attitudes that may be shaping a woman's behavior when it comes to using contraception."
Borrero - Intentions - Attitudes - Course - Months
And, Borrero points out, intentions and attitudes may be relatively fluid, changing over the course of a few months based on factors like relationship status, financial situation, or social support. She says routine or frequent assessment is needed to help women make the best reproductive decisions.
Borrero's team conducted phone interviews with 858 women veterans who had recently been VA primary care patients. The work was part of a larger study called Examining Contraceptive Use and Unmet Need among Women Veterans.
Analysis - Women - Veterans - Risk - Pregnancy
The new analysis was limited to women veterans at risk for an unwanted pregnancy. They answered questions about whether they were currently trying to become pregnant...
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