OBJECTIVE: To examine reasons for contraceptive nonuse at first sex and subsequent unintended pregnancy among women attending family planning and prenatal clinics. METHODS: Data come from the Determinants of Unintended Pregnancy Risk in New Orleans study. Reasons for nonuse by age, partner's age, and pregnancy status are compared. RESULTS: Concern about parents' finding out about sexual activity was a common reason for nonuse at first sex and first unintended pregnancy. Problems accessing and discontinuation of contraception were reasons given at second or higher-order unintended pregnancy. CONCLUSIONS: Reasons for nonuse vary by event and age at event. Providers should consider various reasons when counseling patients on contraceptive options.
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Iuliano et al. (2006) studied this question.