Is Depression Associated with Contraceptive Motivations, Intentions, and Use Among a Sample of Low-Income Latinas?

Abstract Background Latinas in the United States experience high rates of unintended pregnancy and low rates of contraception use, yet reasons are not completely understood. Depression is common among pregnant and nonpregnant Latinas; its influence on contraceptive motivations, intentions, and use i...

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Bibliographic Details
Published in:Women's health issues 2014-01, Vol.24 (1), p.e105-e113
Main Authors: Carvajal, Diana N., MD, MPH, Ghazarian, Sharon R., PhD, Crowne, Sarah Shea, PhD, Brown, Pamela Bohrer, BA, Pokras, Olivia Carter, PhD, Duggan, Anne K., ScD, Barnet, Beth, MD
Format: Article
Language:English
Subjects:
Adult
Baltimore
Contraception
Contraception - utilization
Contraception Behavior - ethnology
Contraception Behavior - psychology
Contraceptives
Cross-Sectional Studies
Depression
Depression - ethnology
Depression - etiology
Depression - psychology
Female
Health Knowledge, Attitudes, Practice
Health Surveys
Hispanic Americans - psychology
Hispanic Americans - statistics & numerical data
Humans
Intention
Latin American people
Logistic Models
Motivation
Obstetrics and Gynecology
Odds Ratio
Poverty
Pregnancy
Pregnancy, Unplanned
Self Efficacy
Selfefficacy
Urban Population
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Summary:Abstract Background Latinas in the United States experience high rates of unintended pregnancy and low rates of contraception use, yet reasons are not completely understood. Depression is common among pregnant and nonpregnant Latinas; its influence on contraceptive motivations, intentions, and use is understudied. Objectives We sought to 1) describe Latinas' contraceptive motivations, intentions, and use; 2) use structural equation modeling to test associations between depression and contraceptive self-efficacy/motivations/intentions/use; and 3) determine whether associations differ by pregnancy status. Methods This cross-sectional study included Latinas ages 15 to 45 recruited from an urban Federally Qualified Health Center in Baltimore, Maryland. Structured surveys were used to collect data regarding depressive symptoms measured using the PHQ-9. All other constructs were measured with previously validated questions. Constructs included contraceptive self-efficacy, positive and negative contraceptive motivations (perceived advantages and disadvantages of using contraception), contraceptive intentions to begin or continue contraception use, and contraceptive methods currently used. Results Among pregnant Latinas, depression was associated with negative motivations (β = 0.16; p  
ISSN:1049-3867
1878-4321
DOI:10.1016/j.whi.2013.10.003