{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T22:01:06Z","timestamp":1757628066710,"version":"3.44.0"},"reference-count":44,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T00:00:00Z","timestamp":1750982400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Perspect Sexual Reproductive"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Women experiencing homelessness have higher rates of unintended pregnancies than stably housed women. Given that some of this may be attributed to nonuse or inconsistent use of contraception, we explored the behavioral cognitions for contraceptive use among women experiencing homelessness. The Information\u2010Motivation\u2010Behavioral Skills (IMB) model can examine health behavior cognitions, while acknowledging the macro\u2010level context. Therefore, this study explored the IMB characteristics related to contraception use among women experiencing homelessness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted interviews (<jats:italic>n<\/jats:italic>\u2009=\u200919) among pregnancy\u2010capable women 18\u201345\u2009years old experiencing homelessness. We recruited women between 2019 and 2020 in North Texas. Interviews were thematically analyzed based on the IMB framework.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean age of women in the study sample was 33.4\u2009years (SD\u2009=\u20097.6). In the information construct, most women were aware of different contraceptive methods; however, many desired to learn more about the side effects. For motivation, most women had a positive attitude toward their current contraception, but their motivation to use a type of contraceptive method depended on side effects and comfort with the method. Additionally, their trusted social connections influenced their contraception decisions. When examining behavioral skills, uncertainty of being able to obtain contraception was a barrier, especially with macro\u2010level context related to lack of adequate insurance coverage and transportation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Improving knowledge about side effects of contraceptive methods, addressing misconceptions, and increasing accessibility to contraceptive methods by providing transportation and financial assistance while maintaining reproductive autonomy may be effective strategies to improve equitable access to contraception and reduce unintended pregnancies among this population.<\/jats:p><\/jats:sec>","DOI":"10.1111\/psrh.70024","type":"journal-article","created":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T03:24:32Z","timestamp":1750994672000},"page":"340-349","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cI Don't Even Understand How They Function\u201d: Contraception Information, Motivation, and Behavioral Skills Among Women Experiencing Homelessness"],"prefix":"10.1111","volume":"57","author":[{"given":"Ashvita","family":"Garg","sequence":"first","affiliation":[{"name":"Department of Public Health Sciences Medical University of South Carolina  Charleston South Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annalynn M.","family":"Galvin","sequence":"additional","affiliation":[{"name":"Department of Research Cizik School of Nursing, University of Texas Health Science Center at Houston  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anelise","family":"Diener","sequence":"additional","affiliation":[{"name":"Texas College of Osteopathic Medicine, University of North Texas Health Science Center  Fort Worth Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stacey B.","family":"Griner","sequence":"additional","affiliation":[{"name":"Department of Health Behavior and Health Systems, School of Public Health University of North Texas Health Science Center  Fort Worth Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Idara N.","family":"Akpan","sequence":"additional","affiliation":[{"name":"Department of Health Behavior and Health Systems, School of Public Health University of North Texas Health Science Center  Fort Worth Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erika L.","family":"Thompson","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Epidemiology, School of Public Health University of North Texas Health Science Center  Fort Worth Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,27]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"The US Department of Housing and Urban Development \u201cThe 2022 Annual Homeless Assessment Report (AHAR) to Congress Part 1: Point\u2010In\u2010Time Estimates of Homelessness \u201d(2023) https:\/\/www.huduser.gov\/portal\/sites\/default\/files\/pdf\/2022\u2010AHAR\u2010Part\u20101.pdf."},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2009.180109"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/socpro\/spab009"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000000780"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995\u2010014\u20101633\u20106"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1363\/48e10316"},{"key":"e_1_2_7_8_1","unstructured":"American College of Obstetricians and Gynecologists \u201cHealth Care for Homeless Women. 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