Prebirth psychosocial factors as predictors of consistency in contraceptive use among Taiwanese adolescent mothers at 6 months postpartum.
OBJECTIVE
To assess contraceptive behavior and whether pre-birth psychosocial factors could predict consistency in contraceptive use among adolescent mothers at six-month postpartum.


METHODS
Prospective study.


METHODS
104 Taiwanese adolescent mothers.


METHODS
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.
Wang
Ruey-Hsia
RH
Kaohsiung Medical University, College of Nursing, Kaohsiung City, Taiwan.
Wang
Hsiu-Hung
HH
D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000328:Adult; D001294:Attitude to Health; D003267:Contraception / Q000379:methods / Q000523:psychology / Q000706:statistics & numerical data; D003268:Contraception Behavior / Q000523:psychology* / Q000706:statistics & numerical data; D004522:Educational Status; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006801:Humans; D033182:Intention; D016015:Logistic Models; D017533:Marital Status; D008960:Models, Psychological; D009035:Mothers / Q000193:education / Q000523:psychology* / Q000706:statistics & numerical data; D049590:Postpartum Period / Q000523:psychology*; D011237:Predictive Value of Tests; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000523:psychology* / Q000706:statistics & numerical data; D011446:Prospective Studies; D000297:Psychology, Adolescent; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D013624:Taiwan