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Reasons for Contraceptive Nonuse at First Sex and Unintended Pregnancy

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									Reasons for Contraceptive Nonuse at
First Sex and Unintended Pregnancy
A. Danielle Iuliano, MPH; Ilene S. Speizer, PhD, MHS
John Santelli, MD, MPH ; Carl Kendall, PhD


  Objective: To examine reasons           and first unintended pregnancy.
for contraceptive nonuse at first         Problems accessing and discon-
sex and subsequent unintended             tinuation of contraception were
pregnancy among women attend-             reasons given at second or higher-
ing family planning and prenatal          order unintended pregnancy. Con-
clinics. Methods: Data come from          clusions: Reasons for nonuse vary
the Determinants of Unintended            by event and age at event. Provid-
Pregnancy Risk in New Orleans             ers should consider various rea-
study. Reasons for nonuse by age,         sons when counseling patients on
partner’s age, and pregnancy sta-         contraceptive options.
tus are compared. Results: Con-              Key words: contraception, un-
cern about parents’ finding out           intended pregnancy, adolescent,
about sexual activity was a com-          first sex, service barriers
mon reason for nonuse at first sex          Am J Health Behav. 2006;30(1):92-102




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