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Health Education & Behavior
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Anxiety's Relationship to Inconsistent Use of Oral Contraceptives

Katrina M. Walsemann, PhD, MPH

University of Michigan, Population Studies Center, 426 Thompson Street, Room 2102, Ann Arbor, MI 48106-1248; phone: (734) 763-2410; kwalsema{at}umich.edu

Anthony Daniel Perez, MA

Department of Sociology and Ford School of Public Policy, University of Michigan, Ann Arbor

Five percent of typical oral contraceptive users experience an unintended pregnancy every year. Inconsistent use of oral contraception may be a leading contributor to the high rate of unintended pregnancy among oral contraceptive users. Previous medical research also suggests that anxiety may play a role in medication compliance, yet no known studies have examined the relationship between anxiety and oral contraceptive use. To test this relationship, the authors analyze data from the National Survey of Family Growth Cycle V (NSFG-V), restricting their sample to sexually activewomen currently taking oral contraceptives. They find thatwomenwho report multiple episodes of anxiety lasting at least 6 months have a greater probability of inconsistent use. The authors suggest goals for future research and discuss the role of health care professionals in addressing oral contraception compliance in light of their findings.

Key Words: anxiety • medication compliance • oral contraception • unintended pregnancy

Health Education & Behavior, Vol. 33, No. 2, 197-214 (2006)
DOI: 10.1177/1090198105277322
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