title: How do pregnancy intentions affect contraceptive choices when cost is not a factor? A study of privately insured women.
abstract: OBJECTIVE
  The objective was to test the hypothesis that among privately insured women who have contraceptive coverage without cost-sharing, using prescription contraception is predicted primarily by pregnancy intentions.
  
  
  METHODS
  Participants are 987 women ages 18-40 who wish to avoid pregnancy for at least the next 12 months and are enrolled in Highmark Health plans in Pennsylvania. Data are from the baseline survey of MyNewOptions, an ongoing randomized controlled trial testing an intervention to help insured women make optimum contraceptive choices. Primary type of contraception used [categorized as long-acting reversible contraception (LARCs), other prescription methods, nonprescription methods or no method] is modeled using multinomial logistic regression, with predictors representing the timing and strength of pregnancy intentions, pregnancy history, pregnancy risk exposure and sociodemographics.
  
  
  RESULTS
  LARCs were used by 8.4% of the sample; other prescription methods (primarily oral contraceptives), 49.6%; nonprescription methods (primarily condoms), 30.4%; and no method, 11.5%. Pregnancy intentions predicted use of LARCs and other prescription methods compared with no method. The most consistent predictors of using all categories of contraception were pregnancy risk exposure measures (partnership type and frequency of sexual intercourse).
  
  
  CONCLUSIONS
  In the absence of cost-sharing for contraception, women's choice of prescription contraception was a function primarily of pregnancy risk exposure rather than pregnancy intentions.
  
  
  CONCLUSIONS
  This study is among the first to examine privately insured women's contraception choices in the context of contraceptive coverage without cost-sharing; it shows that use of prescription contraception is predicted by pregnancy risk exposure and pregnancy intentions.
authors.affiliation: Department of Public Health Sciences, Penn State College of Medicine, Hershey, PA, USA; Department of Obstetrics and Gynecology, Penn State College of Medicine, Hershey, PA, USA. Electronic address: cweisman@psu.edu.
authors.forename: Carol S
authors.initials: CS
authors.lastname: Weisman
authors.affiliation: Department of Public Health Sciences, Penn State College of Medicine, Hershey, PA, USA.
authors.forename: Erik B
authors.initials: EB
authors.lastname: Lehman
authors.affiliation: Department of Public Health Sciences, Penn State College of Medicine, Hershey, PA, USA; Department of Obstetrics and Gynecology, Penn State College of Medicine, Hershey, PA, USA.
authors.forename: Richard S
authors.initials: RS
authors.lastname: Legro
authors.affiliation: Department of Public Health Sciences, Penn State College of Medicine, Hershey, PA, USA.
authors.forename: Diana L
authors.initials: DL
authors.lastname: Velott
authors.affiliation: Department of Public Health Sciences, Penn State College of Medicine, Hershey, PA, USA; Division of General Internal Medicine, Penn State College of Medicine, Hershey, PA, USA.
authors.forename: Cynthia H
authors.initials: CH
authors.lastname: Chuang
mesh_terms: D000293:Adolescent; D000328:Adult; D002755:Choice Behavior; D017280:Condoms / Q000706:statistics & numerical data; D003267:Contraception / Q000191:economics* / Q000379:methods / Q000523:psychology; D003268:Contraception Behavior / Q000523:psychology* / Q000706:statistics & numerical data; D003276:Contraceptives, Oral / Q000627:therapeutic use; D017047:Cost Sharing; D005191:Family Characteristics; D005260:Female; D006801:Humans; D019458:Insurance Coverage; D007348:Insurance, Health; D016015:Logistic Models; D010414:Pennsylvania; D011247:Pregnancy; D012725:Sexual Behavior / Q000523:psychology; D012747:Sexual Partners / Q000523:psychology; D055815:Young Adult
chemical_list: D003276:Contraceptives, Oral
keywords: Contraception; Health care reform; LARCs; Pregnancy intentions