Psychosocial Factors Associated With Stage of Change for Contraceptive Use Among Women at Increased Risk for HIV and STDs |
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| Authors: | Rebecca J. Cabral Christine Galavotti Michael J. Stark Paul M. Gargiullo Salaam Semaan Janet Adams Brian M. Green |
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| Affiliation: | Centers for Disease Control and Prevention Atlanta, Georgia;Multnomah County Health Department and Oregon Health Division Portland, Oregon;Centers for Disease Control and Prevention Atlanta, Georgia;Family Health Council, Inc. Pittsburgh, Pennsylvania;Family Planning Council Philadelphia, Pennsylvania |
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| Abstract: | This study assessed the psychosocial factors associated with contraceptive use among inner-city women at risk for HIV/STDs by using the transtheoretical model of behavior change. The five-city study group of women aged 15 to 34 years was recruited from neighborhoods, social service agencies and shelters ( n = 998). We measured stages of change for contraceptive use and assessed theoretically proposed factors associated with being at a higher stage. Variables such as perceived advantages of contraceptive use and normative support for use were very important at early stages, but less important in later stages. However, self-efficacy was important in both early (OR =1.5) and later (OR = 1.6) stages, suggesting that women's confidence in their ability to initiate and sustain contraceptive use is crucial. |
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