{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T02:27:18Z","timestamp":1790908038839,"version":"4.1.0"},"reference-count":38,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T00:00:00Z","timestamp":1709856000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100004439","name":"William and Flora Hewlett Foundation","doi-asserted-by":"publisher","award":["2017\u20106247"],"award-info":[{"award-number":["2017\u20106247"]}],"id":[{"id":"10.13039\/100004439","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Services Research"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To identify characteristics associated with unfulfilled contraceptive preferences, document reasons for these unfulfilled preferences, and examine how these unfulfilled preferences vary across specific method users.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Sources and Study Setting<\/jats:title><jats:p>We draw on secondary baseline data from 4660 reproductive\u2010aged contraceptive users in the Arizona, Iowa, New Jersey, and Wisconsin Surveys of Women (SoWs), state\u2010representative surveys fielded between October 2018 and August 2020 across the four states.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>This is an observational cross\u2010sectional study, which examined associations between individuals' reproductive health\u2010related experiences and contraceptive preferences, adjusting for sociodemographic characteristics. Our primary outcome of interest is having an unfulfilled contraceptive preference, and a key independent variable is experience of high\u2010quality contraceptive care. We also examine specific contraceptive method preferences according to current method used, as well as reasons for not using a preferred method.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Collection\/Extraction Methods<\/jats:title><jats:p>Survey respondents who indicated use of any contraceptive method within the last 3\u2009months prior to the survey were eligible for inclusion in this analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Principal Findings<\/jats:title><jats:p>Overall, 23% reported preferring to use a method other than their current method, ranging from 17% in Iowa to 26% in New Jersey. Young age (18\u201324), using methods not requiring provider involvement, and not receiving quality contraceptive care were key attributes associated with unfulfilled contraceptive preferences. Those using emergency contraception and fertility awareness\u2010based methods had some of the highest levels of unfulfilled contraceptive preferences, while pills, condoms, partner vasectomy, and IUDs were identified as the most preferred methods. Reasons for not using preferred contraceptive methods fell largely into one of two buckets: system\u2010level or interpersonal\/individual reasons.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our findings highlight that avenues for decreasing the gap between contraceptive methods used and those preferred to be used may lie with healthcare providers and funding streams that support the delivery of contraceptive care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1475-6773.14297","type":"journal-article","created":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T10:36:52Z","timestamp":1709894212000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Unfulfilled and method\u2010specific contraceptive preferences among reproductive\u2010aged contraceptive users in Arizona, Iowa, New Jersey, and Wisconsin"],"prefix":"10.1111","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9888-4304","authenticated-orcid":false,"given":"Megan L.","family":"Kavanaugh","sequence":"first","affiliation":[{"name":"Research Division Guttmacher Institute  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rubina","family":"Hussain","sequence":"additional","affiliation":[{"name":"Research Division Guttmacher Institute  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley C.","family":"Little","sequence":"additional","affiliation":[{"name":"Research Division Guttmacher Institute  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,3,8]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Contraception and Beyond: The Health Benefits of Services Provided at Family Planning Centers","author":"Kavanaugh 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