Self-concept and contraception: Pre-conception decision-making

This paper deals with the extent to which two dimensions of self-concept, perceived competence and attitudes toward the female role, are a factor in pre-conception decision-making on contraceptive usage among women who have unwanted conceptions. The study was done throughout Michigan in 1974–75. The sample was 1746 women with unwanted conceptions, selected by means of a two-stage stratified sampling design. A standardized questionnaire included items on demographics, birth control use, and pregnancy resolution, as well as a feminism scale and a scale to measure perceived competence. Several multiple regression analyses were carried out. A hypothesis that contraceptive usage would be positively associated with perceived competence and negatively associated with traditional attitudes toward the female role was strongly supported. In an analysis of various subgroups, differing in age, race, and marital status, self-concept variables were significant predictors only among unmarried adults, regardless of race. Other important predictors of contraceptive usage among the subgroups were father's educational level, number of children raised by respondent, having a regular physician, and frequency of church attendance. For this sample, self-concept variables generally were better predictors of the pre-conception decision-making than of the post-conception decision.This research was supported by Grant #HD07739, NICHD. The authors are affiliated with Wayne State University.