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"I did not plan ... that is what hurts": Pregnancy intentions and contraceptive use among pregnant young women in KwaZulu-Natal, South Africa.
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- Author(s): Coleman, Jessica N; Milford, Cecilia; Mosery, Nzwakie; Choi, Karmel W; Greener, Letitia Rambally; Matthews, Lynn T; Harrison, Abigail; Bangsberg, David R; Safren, Steven A; Smit, Jennifer A; Psaros, Christina
- Source:
African Journal of AIDS Research (AJAR). Jul2021, Vol. 20 Issue 2, p149-157. 9p. - Source:
- Additional Information
- Subject Terms: HIV infection transmission; CONTRACEPTION; HIV-positive persons; FAMILY planning; HEALTH education; PREGNANT women; INTERVIEWING; UNWANTED pregnancy; FEAR; QUALITATIVE research; SOCIOECONOMIC factors; TEENAGE pregnancy; INTENTION; ATTITUDES toward pregnancy; CONTENT analysis; UNPLANNED pregnancy; CONTRACEPTIVE drugs; REPRODUCTIVE health
- Subject Terms:
- Abstract: Unintended pregnancy impacts many young women in South Africa, and rates of consistent contraceptive use among this population are suboptimal. Limited empirical work has investigated reasons for inconsistency between pregnancy intention and contraceptive use behaviour with data collected during pregnancy. We explored pregnancy intentions and discordance between intentions and contraceptive use prior to conception among young pregnant women in KwaZulu-Natal, South Africa. In-depth qualitative interviews were conducted with 35 women during pregnancy (mean age = 19.3; range = 18–21) in 2011 and 2012. Data were analysed using content analysis. All participants reported unintended pregnancies; almost half were not using contraception near conception. Reasons for not intending to become pregnant spanned personal, social, health, and economic domains. Participants living with HIV (n = 13) expressed specific concerns related to impacts of pregnancy on HIV disease management and fear of transmission of HIV to the infant. Discordance between pregnancy intentions and contraceptive use prior to conception was attributed to personal, social, health and structural domains. Findings indicate a need for interventions that address barriers to contraceptive use in order to minimise unintended pregnancy and support safe, desired pregnancies among young women. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of African Journal of AIDS Research (AJAR) is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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