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“Breaking the cycle of adolescent pregnancy: can mothers influence their daughters' contraceptive behavior?”
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Abstracts / Contraception 86 (2012) 173–186
teens who are sexually active, improved use of appropriate reproductive health services that provide highly effective contraception. A48 REACTIONS TO THE IUD AMONG YOUNG WOMEN: AN ONLINE SURVEY TESTING MARKETING MATERIALS FOR AN IUD EDUCATION CAMPAIGN Won SH National Institute for Reproductive Health, New York, NY, USA Hooton A, Sweeney T Objectives: To explore attitudes related to contraceptive use and the intrauterine device (IUD) and evaluate reactions to creative concepts marketing the IUD to young women for an education campaign. Method: Women ages 16–25 years living in New York City were eligible to participate in this online survey. Participants were recruited using a mix of online and offline methods, including direct mail invitations and outreach via social media tools. The survey asked women about their attitudes toward the IUD and to rate four IUD ad campaigns utilizing different images and messages. Results: The survey reached 446 respondents between June 1 and 8, 2011. The survey sample was reflective of the online population of 16to 25 year-old women citywide. Only half (51%) of young women were familiar enough with the IUD to even rate their impressions; 3 in 10 younger teens had never even heard of the IUD versus 21% of 18–25 year olds. More young women currently dislike (20%) than like (13%) the IUD. However, while only 1% of sexually active 18–25 year olds reported having ever tried the IUD, 58% of all young women and 62% of sexually active women would seriously consider the IUD after reviewing marketing materials and statements about the potential benefits of IUD use. Conclusions: Our findings suggest that targeted messaging around the IUD can substantially increase use among young women. Young women had a much more favorable view and ranked the IUD in their top two choices for potential birth control methods upon viewing positive marketing materials.
A49 “BREAKING THE CYCLE OF ADOLESCENT PREGNANCY: CAN MOTHERS INFLUENCE THEIR DAUGHTERS' CONTRACEPTIVE BEHAVIOR?” Wu J UMDNJ-Robert Wood Johnson Medical School, New Brunswick, NJ, USA DiCicco-Bloom B, Greenberg S, Sahulhameed F Objectives: Daughters of teenage mothers have a 66% higher risk of becoming teen parents themselves, thus perpetuating a cycle of adolescent motherhood. We know little about how mothers may influence intergenerational contraceptive behavior. The primary aim of this qualitative study was to identify potential mechanisms by which mothers may promote or deter adolescent contraceptive use, particularly of long-acting reversible methods (LARC). Method: We conducted face-to-face, in-depth interviews with 24 women aged 18–55 who reported a history of teenage motherhood and/or being raised by a woman who was an adolescent mother. Interviews were conducted until saturation was achieved. We conducted a traditional content-based analysis as described by Borkan. Results: Women recalled little communication with their mothers regarding sexuality and contraception. Any conversations about birth control focused almost exclusively on condom use, with an emphasis on sexually transmitted infection prevention. Oral contraceptive pills were the only nonbarrier method discussed frequently between mothers and daughters. When mothers did discuss LARC, they only promoted use of methods with which they themselves had positive experiences. Misconceptions regarding LARC safety were widespread. Conclusions: Myths regarding the safety of LARC must be dispelled. Mothers are unlikely to discuss the use of LARC with their daughters if they have concerns regarding these methods. Conversely, mothers who have had positive experiences with LARC methods may be more likely to encourage their daughters to use the same methods. Interventions to promote LARC use among adolescents may benefit by also targeting mothers who are still of reproductive age and possible candidates for LARC as well.
Abstracts / Contraception 86 (2012) 173–186
teens who are sexually active, improved use of appropriate reproductive health services that provide highly effective contraception. A48 REACTIONS TO THE IUD AMONG YOUNG WOMEN: AN ONLINE SURVEY TESTING MARKETING MATERIALS FOR AN IUD EDUCATION CAMPAIGN Won SH National Institute for Reproductive Health, New York, NY, USA Hooton A, Sweeney T Objectives: To explore attitudes related to contraceptive use and the intrauterine device (IUD) and evaluate reactions to creative concepts marketing the IUD to young women for an education campaign. Method: Women ages 16–25 years living in New York City were eligible to participate in this online survey. Participants were recruited using a mix of online and offline methods, including direct mail invitations and outreach via social media tools. The survey asked women about their attitudes toward the IUD and to rate four IUD ad campaigns utilizing different images and messages. Results: The survey reached 446 respondents between June 1 and 8, 2011. The survey sample was reflective of the online population of 16to 25 year-old women citywide. Only half (51%) of young women were familiar enough with the IUD to even rate their impressions; 3 in 10 younger teens had never even heard of the IUD versus 21% of 18–25 year olds. More young women currently dislike (20%) than like (13%) the IUD. However, while only 1% of sexually active 18–25 year olds reported having ever tried the IUD, 58% of all young women and 62% of sexually active women would seriously consider the IUD after reviewing marketing materials and statements about the potential benefits of IUD use. Conclusions: Our findings suggest that targeted messaging around the IUD can substantially increase use among young women. Young women had a much more favorable view and ranked the IUD in their top two choices for potential birth control methods upon viewing positive marketing materials.
A49 “BREAKING THE CYCLE OF ADOLESCENT PREGNANCY: CAN MOTHERS INFLUENCE THEIR DAUGHTERS' CONTRACEPTIVE BEHAVIOR?” Wu J UMDNJ-Robert Wood Johnson Medical School, New Brunswick, NJ, USA DiCicco-Bloom B, Greenberg S, Sahulhameed F Objectives: Daughters of teenage mothers have a 66% higher risk of becoming teen parents themselves, thus perpetuating a cycle of adolescent motherhood. We know little about how mothers may influence intergenerational contraceptive behavior. The primary aim of this qualitative study was to identify potential mechanisms by which mothers may promote or deter adolescent contraceptive use, particularly of long-acting reversible methods (LARC). Method: We conducted face-to-face, in-depth interviews with 24 women aged 18–55 who reported a history of teenage motherhood and/or being raised by a woman who was an adolescent mother. Interviews were conducted until saturation was achieved. We conducted a traditional content-based analysis as described by Borkan. Results: Women recalled little communication with their mothers regarding sexuality and contraception. Any conversations about birth control focused almost exclusively on condom use, with an emphasis on sexually transmitted infection prevention. Oral contraceptive pills were the only nonbarrier method discussed frequently between mothers and daughters. When mothers did discuss LARC, they only promoted use of methods with which they themselves had positive experiences. Misconceptions regarding LARC safety were widespread. Conclusions: Myths regarding the safety of LARC must be dispelled. Mothers are unlikely to discuss the use of LARC with their daughters if they have concerns regarding these methods. Conversely, mothers who have had positive experiences with LARC methods may be more likely to encourage their daughters to use the same methods. Interventions to promote LARC use among adolescents may benefit by also targeting mothers who are still of reproductive age and possible candidates for LARC as well.