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Contraceptive Behavior in Appalachia: Exploring Use, Nonuse, and Contraceptive Attitudes

Author

Listed:
  • Samantha Auerbach

    (School of Nursing, University at Buffalo, Buffalo, NY 14214, USA
    Current address: School of Nursing, University of California, San Francisco, CA 94143, USA.)

  • Kafuli Agbemenu

    (School of Nursing, University at Buffalo, Buffalo, NY 14214, USA)

  • Rebecca Lorenz

    (School of Nursing, University at Buffalo, Buffalo, NY 14214, USA)

  • Amy Hequembourg

    (School of Nursing, University at Buffalo, Buffalo, NY 14214, USA)

  • Gretchen E. Ely

    (College of Social Work, University of Tennessee, Knoxville, TN 37996, USA)

Abstract

Very little is known about contraceptive behavior in Appalachia, a large geographic region in the eastern United States where even basic prevalence estimates of contraceptive use/nonuse are lacking. This study characterizes contraceptive behavior among Appalachians, including contraceptive use, reasons for use, and methods used; contraceptive nonuse and reasons for nonuse; and attitudes about contraception, including acceptability. This is a secondary analysis of a subsample of survey data collected on sexual and reproductive health attitudes, behaviors, and needs among reproductive-age women (18–49 years) living in the Appalachian region ( n = 332). Results identify rates of contraceptive use (66.6%) and nonuse (33.1%) among Appalachian residents. Methods used most frequently included those that did not require prescription (i.e., external condoms and natural family planning methods) though many reported the use of intrauterine devices (IUDs). Among nonusers, fear of side effects from contraception and ambivalence towards pregnancy were most commonly selected as the most important reason for not using contraception. Contraception was considered acceptable by this sample overall, and these acceptability attitudes were significantly associated with contraceptive behavior.

Suggested Citation

  • Samantha Auerbach & Kafuli Agbemenu & Rebecca Lorenz & Amy Hequembourg & Gretchen E. Ely, 2023. "Contraceptive Behavior in Appalachia: Exploring Use, Nonuse, and Contraceptive Attitudes," IJERPH, MDPI, vol. 20(19), pages 1-10, September.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:19:p:6862-:d:1250722
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    References listed on IDEAS

    as
    1. Higgins, J.A. & Kramer, R.D. & Ryder, K.M., 2016. "Provider bias in long-Acting reversible contraception (LARC) promotion and removal: Perceptions of young adult women," American Journal of Public Health, American Public Health Association, vol. 106(11), pages 1932-1937.
    2. Laura E. T. Swan & Samantha L. Auerbach & Gretchen E. Ely & Kafuli Agbemenu & Jessica Mencia & Nimah R. Araf, 2020. "Family Planning Practices in Appalachia: Focus Group Perspectives on Service Needs in the Context of Regional Substance Abuse," IJERPH, MDPI, vol. 17(4), pages 1-25, February.
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