{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T09:09:00Z","timestamp":1788167340048,"version":"build-2803163510"},"reference-count":46,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,5,20]],"date-time":"2021-05-20T00:00:00Z","timestamp":1621468800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000865","name":"Bill and Melinda Gates Foundation","doi-asserted-by":"publisher","award":["OPP1163880"],"award-info":[{"award-number":["OPP1163880"]}],"id":[{"id":"10.13039\/100000865","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Studies in Family Planning"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Norms and beliefs toward contraception, both positive and negative, motivate contraceptive use; however, they have seldom been explored longitudinally in low\u2010 and middle\u2010income countries, limiting our understanding of their influence on contraceptive dynamics. We used PMA2020 Uganda national longitudinal data of reproductive aged women in 2018 (baseline) and 2019 (follow\u2010up) to explore discontinuation and switching among modern contraceptive users at baseline (n = 688) and contraceptive use at follow\u2010up among nonusers at baseline (n = 1,377). Multivariable simple and multinomial logistic regressions assessed the association of individual and community\u2010level contraceptive beliefs with contraceptive uptake, discontinuation and switching. One\u2010quarter of nonusers at baseline were using contraception at follow\u2010up, while 37 percent of users at baseline had discontinued and 28 percent had switched methods at follow\u2010up. The odds of contraceptive uptake were lower among women who strongly agreed that contraception impacted future fertility or caused conflict within a couple, relative to those who strongly disagreed (adjusted odds ratio (aOR): 0.7 and aOR: 0.6, respectively), but higher among women who strongly agreed that contraception preserved beauty (aOR: 1.6). Women who strongly agreed that it was acceptable to use contraception before having children were less likely to discontinue their method than those who strongly disagreed (adjusted relative risk ratio (aRRR): 0.5), though living in a community where more women agreed with this statement was associated with higher discontinuation (aRRR: 6.0). Family planning programs that promote positive beliefs toward family planning could improve contraceptive uptake and continuation. More research is needed to understand how contraceptive beliefs shape contraceptive decisions across the life course.<\/jats:p>","DOI":"10.1111\/sifp.12153","type":"journal-article","created":{"date-parts":[[2021,5,20]],"date-time":"2021-05-20T17:06:36Z","timestamp":1621530396000},"page":"241-258","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":36,"title":["Family Planning Beliefs and Their Association with Contraceptive Use Dynamics: Results from a Longitudinal Study in Uganda"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0118-0889","authenticated-orcid":false,"given":"Linnea A.","family":"Zimmerman","sequence":"first","affiliation":[{"name":"Department of Population, Family and Reproductive Health Johns Hopkins Bloomberg School of Public Health  Baltimore USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3976-4860","authenticated-orcid":false,"given":"Dana O.","family":"Sarnak","sequence":"additional","affiliation":[{"name":"Department of Population, Family and Reproductive Health Johns Hopkins Bloomberg School of Public Health  Baltimore USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4050-7602","authenticated-orcid":false,"given":"Celia","family":"Karp","sequence":"additional","affiliation":[{"name":"Department of Population, Family and Reproductive Health Johns Hopkins Bloomberg School of Public Health  Baltimore USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4389-3526","authenticated-orcid":false,"given":"Shannon N.","family":"Wood","sequence":"additional","affiliation":[{"name":"Department of Population, Family and Reproductive Health Johns Hopkins Bloomberg School of Public Health  Baltimore USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8637-6249","authenticated-orcid":false,"given":"Caroline","family":"Moreau","sequence":"additional","affiliation":[{"name":"Department of Population, Family and Reproductive Health Johns Hopkins Bloomberg School of Public Health  Baltimore USA"},{"name":"\u201cSoins et Sant\u201d primaire CESP Centre for Research in Epidemiology and Population Health  France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7385-423X","authenticated-orcid":false,"given":"Simon P. S","family":"Kibira","sequence":"additional","affiliation":[{"name":"Department of Community Health and Behavioural Sciences School of Public Health Makerere University  Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6460-7325","authenticated-orcid":false,"given":"Fredrick","family":"Makumbi","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics School of Public Health Makerere University  Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,5,20]]},"reference":[{"key":"#cr-split#-e_1_2_9_2_1.1","unstructured":"FP2020. (2016) \"FP2020 Momentum at the Midpoint 2015-2016"},{"key":"#cr-split#-e_1_2_9_2_1.2","unstructured":"FP2020 Momentum at the Midpoint 2015-2016.\" n.d. 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