Abstract
Study Objective: The intrauterine device (IUD) is underused by young women, who are at high risk for unintended pregnancy. We aimed to assess the impact of a brief educational intervention on the attitudes of young women toward intrauterine contraception and to assess characteristics associated with a change in attitude. Design, Setting, and Participants: This is a planned secondary analysis of a survey of 144 women, aged 14-24 years, which assessed attitudes toward the IUD. Intervention: The analysis was planned to fully examine the impact of a 3-minute educational intervention about the IUD given during administration of the survey, which included risks and benefits of IUD use, costs, side effects, and a demonstration of the IUD insertion and removal process. Main Outcome Measure: Proportions of participants with a positive attitude toward the IUD before and after the intervention were compared using McNemar's chi-square test for paired proportions. Factors associated with a change in attitude toward the IUD were evaluated using multivariable analysis. Results: Before the educational intervention, 14.7% (21/143) had both heard of the IUD and expressed a positive attitude toward it. After the intervention, this proportion increased to 53.8% (77/143) (P < .01). The increase in proportion with a positive attitude was consistent for all subpopulations. In multivariable analysis, the only significant predictor of a positive change in attitude toward the IUD was a history of voluntary sexual activity (adjusted odds ratio 10.3, 95% confidence interval 2.0-53.1). Conclusions: A brief educational intervention significantly improves the attitude of young sexually active women toward the IUD.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 116-120 |
| Number of pages | 5 |
| Journal | Journal of Pediatric and Adolescent Gynecology |
| Volume | 23 |
| Issue number | 2 |
| DOIs | |
| State | Published - Apr 2010 |
| Externally published | Yes |
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Keywords
- Adolescent
- Contraception
- Contraceptive attitude
- Contraceptive knowledge
- Educational intervention
- IUD (intrauterine device)
ASJC Scopus subject areas
- Obstetrics and Gynecology
- Pediatrics, Perinatology, and Child Health
Cite this
Effect of a Brief Educational Intervention on the Attitudes of Young Women Toward the Intrauterine Device. / Whitaker, Amy K.; Terplan, Mishka; Gold, Melanie A.; Johnson, Lisa M.; Creinin, Mitchell D; Harwood, Bryna.
In: Journal of Pediatric and Adolescent Gynecology, Vol. 23, No. 2, 04.2010, p. 116-120.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Effect of a Brief Educational Intervention on the Attitudes of Young Women Toward the Intrauterine Device
AU - Whitaker, Amy K.
AU - Terplan, Mishka
AU - Gold, Melanie A.
AU - Johnson, Lisa M.
AU - Creinin, Mitchell D
AU - Harwood, Bryna
PY - 2010/4
Y1 - 2010/4
N2 - Study Objective: The intrauterine device (IUD) is underused by young women, who are at high risk for unintended pregnancy. We aimed to assess the impact of a brief educational intervention on the attitudes of young women toward intrauterine contraception and to assess characteristics associated with a change in attitude. Design, Setting, and Participants: This is a planned secondary analysis of a survey of 144 women, aged 14-24 years, which assessed attitudes toward the IUD. Intervention: The analysis was planned to fully examine the impact of a 3-minute educational intervention about the IUD given during administration of the survey, which included risks and benefits of IUD use, costs, side effects, and a demonstration of the IUD insertion and removal process. Main Outcome Measure: Proportions of participants with a positive attitude toward the IUD before and after the intervention were compared using McNemar's chi-square test for paired proportions. Factors associated with a change in attitude toward the IUD were evaluated using multivariable analysis. Results: Before the educational intervention, 14.7% (21/143) had both heard of the IUD and expressed a positive attitude toward it. After the intervention, this proportion increased to 53.8% (77/143) (P < .01). The increase in proportion with a positive attitude was consistent for all subpopulations. In multivariable analysis, the only significant predictor of a positive change in attitude toward the IUD was a history of voluntary sexual activity (adjusted odds ratio 10.3, 95% confidence interval 2.0-53.1). Conclusions: A brief educational intervention significantly improves the attitude of young sexually active women toward the IUD.
AB - Study Objective: The intrauterine device (IUD) is underused by young women, who are at high risk for unintended pregnancy. We aimed to assess the impact of a brief educational intervention on the attitudes of young women toward intrauterine contraception and to assess characteristics associated with a change in attitude. Design, Setting, and Participants: This is a planned secondary analysis of a survey of 144 women, aged 14-24 years, which assessed attitudes toward the IUD. Intervention: The analysis was planned to fully examine the impact of a 3-minute educational intervention about the IUD given during administration of the survey, which included risks and benefits of IUD use, costs, side effects, and a demonstration of the IUD insertion and removal process. Main Outcome Measure: Proportions of participants with a positive attitude toward the IUD before and after the intervention were compared using McNemar's chi-square test for paired proportions. Factors associated with a change in attitude toward the IUD were evaluated using multivariable analysis. Results: Before the educational intervention, 14.7% (21/143) had both heard of the IUD and expressed a positive attitude toward it. After the intervention, this proportion increased to 53.8% (77/143) (P < .01). The increase in proportion with a positive attitude was consistent for all subpopulations. In multivariable analysis, the only significant predictor of a positive change in attitude toward the IUD was a history of voluntary sexual activity (adjusted odds ratio 10.3, 95% confidence interval 2.0-53.1). Conclusions: A brief educational intervention significantly improves the attitude of young sexually active women toward the IUD.
KW - Adolescent
KW - Contraception
KW - Contraceptive attitude
KW - Contraceptive knowledge
KW - Educational intervention
KW - IUD (intrauterine device)
UR - http://www.scopus.com/inward/record.url?scp=77949902206&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77949902206&partnerID=8YFLogxK
U2 - 10.1016/j.jpag.2009.09.012
DO - 10.1016/j.jpag.2009.09.012
M3 - Article
C2 - 19896397
AN - SCOPUS:77949902206
VL - 23
SP - 116
EP - 120
JO - Journal of Pediatric and Adolescent Gynecology
JF - Journal of Pediatric and Adolescent Gynecology
SN - 1083-3188
IS - 2
ER -