Table 1. Description of included papers.
Study | Aim | Participant Sample
Size at Baseline and Follow Up(s) |
Study
Location |
Study Design | Follow up
Period |
Quality
Rating |
Effects
Measure Reported in Study |
Results | Calculated
Unadjusted Odds Ratio (CI) |
What
Significance Test is Testing For |
Measure of
intention |
Measure of
contraceptive use |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Curtis &
Westoff 1996 |
To examine the
relationship between stated ITU contraceptives and subsequent use during a three-year period |
908 women married
to same partner at both surveys, non- users at initial survey |
Morocco | Longitudinal
(cohort) |
3 years | High (10) | Odds Ratio | OR: 6.78
***
aOR: 2.6 *** aOR (with interactions): 2.40 |
7.40 (5.51, 9.93) | Whether
contraceptive use significantly increased among those reporting ITU compared to those not reporting |
All ever-married
respondents who weren’t using a contraceptive method were asked: “Do you intend to use a method to delay or avoid pregnancy at any time in the future/in the next 12 months?” |
Not described |
Lori
et al.
2018 |
To examine
the uptake and continuation of family planning following enrolment in group versus individual ANC |
240 pregnant
women at ANC settings at baseline and 164 at endline |
Ghana | Longitudinal
(cohort) |
1 year | High (10) | Odds Ratio | aOR (any method): 1.549
aOR (any modern method):1.085 |
2.17 (1.11, 4.25) | Same as Curtis
and Westhoff, 1996 |
Not described | Self-reported
use |
Sarnak
et al. 2020 |
To assess the
dynamic influence of unmet need on time to contraceptive uptake, as compared with that of contraceptive intentions and their concordance |
747 sexually active,
non-contracepting, fecund, women |
Uganda | Longitudinal
(cohort) |
6,12,18,
24, and 36 months |
High (9) | Hazard Ratio | HR: 1.65
*
aHR: 1.45 * |
3 years
4.48 (3.13, 6.42) 30 months 3.75 (2.62, 5.38) 24 months 3.22 (2.24, 4.62) 18 months 2.59 (1.79, 3.75) 12 months 2.27 (1.55, 3.33) |
Same as Curtis
and Westhoff, 1996 |
Non-
contracepting women were asked whether they would use contraceptives in the future |
Use of modern
contraception |
Tang
et al.
2016 |
To (1) calculate
the incidence of LARC use among postpartum Malawian women, and (2) assess if LARC knowledge and ITU LARC were associated with LARC uptake. |
539 postpartum
women (3 months), 480 (6 months), and 331 (12 months) |
Malawi | Longitudinal
(cohort) |
3, 6, and
12 months after delivery |
High (9) | Hazard Ratio | HR (implant use only): 1.88
**
aHR (implant use only): 1.95 * |
1.05 (.67, 1.64) | Same as Curtis
and Westhoff, 1996 |
Contraceptive
methods she was planning to use in the first year after delivery |
Self-reported
use |
Adelman
et al. 2019 |
To evaluate which
characteristics collected at the point of abortion are associated with contraceptive use over the extended postabortion period for women. |
500 postabortion
patients |
Cambodia | Longitudinal
(cohort) |
4 and 12
months |
Medium
(7) |
Odds Ratio | OR (4 months): 7.89
***
OR (12 months): 3.32 *** aOR (4 months): 4.60 *** aOR (12 months): 2.38 |
4.55 (3.00, 6.92) | Testing whether
those who reported intention to use had different actual use compared to those who were undecided or reported they weren’t going to use a method |
Not described | Self-reported
use |
Adler
et al. 1990 |
To understand
adolescent beliefs about contraception and their intention to use |
325 postpartum,
low-income, breastfeeding contraceptive initiators |
USA | Longitudinal
(cohort) |
1 year | Medium
(7) |
Correlation
coefficient |
Pill (female): 0.42
***
Pill (male): 0.10 Diaphragm (female) 0.27 *** Diaphragm (male): 0.27 * Withdrawal (female): 0.20 ** Withdrawal (male): 0.46 *** |
NA | Testing
correlation of intention to use method with frequency of use in the following year |
7-point scales
responses to the statement "If I do have intercourse in the next year, I am ([very unlikely to very likely]) to ever use [method X] for birth control." |
Self-reported
use |
Borges
et al. 2018 |
To examine the
effect of pregnancy planning status on the relationship between ITU and current use of contraceptives among postpartum women |
474 ANC patients | Brazil | Longitudinal
(cohort) |
6 months
after birth |
Medium
(6) |
Concordance | 28.9% concordance between
contraceptive preference and subsequent contraceptive use. |
1.48 (.54, 4.04) | Only assess
significance by demographic or pregnancy planning group, not overall significance between ITU and contraceptive use |
Women were
asked while pregnant what type of contraceptive they intended to use after childbirth |
Self-reported
use and for those who reported more than one method, the most efficient was used. |
Callahan
& Becker 2014 |
To link women’s
contraceptive uptake and experience of unwanted pregnancy between 2006 and 2009 to their unmet need status and their stated ITU contraceptives in 2006 |
3,933 married
women at baseline and 3,687 at endline |
Bangladesh | Longitudinal
(cohort) |
3 years | Medium
(8) |
Odds Ratio | OR (women with unmet need):
8.29 * OR (women with no unmet need): 7.17 * |
7.25 (5.50, 9.56) | Same as Curtis
and Westhoff, 1996 |
Pregnant and
nonpregnant married women younger than 50 were asked: “Do you think you will use a method to delay or avoid pregnancy at any time in the future?” and were asked which method they intended to use |
Self-reported
use |
Davidson
& Jaccard 1979 |
To examine whether
within versus across-subject procedures are more accurate for predicting behaviour from attitudes |
279 married women
at baseline and 244 at endline |
USA | Longitudinal
(cohort) |
2 years | Medium
(6) |
Behavioural
Intention B correlation |
Correlation (for contraceptive use):
0.68 ** |
NA | Correlation
between intention to use method and use within the next 2 years |
7-point Likert
scale measuring from likely to unlikely response to the statement: “I intend to use contraception within the next 2 years” |
Self-reported
use |
Davidson
& Morrison 1983 |
To understand
factors that moderate the attitude-behaviour relation |
221 married women,
aged 18-38 years |
USA | Longitudinal
(cohort) |
1 year | Medium
(6) |
Phi
coefficients |
Within and across subjects
Condoms (within subjects): 0.86 ** Condoms (across subjects): 0.63 ** Pill (within subjects): 0.83 ** Pill (across subjects): 0.77 ** IUD: (within subjects): 0.94 ** IUD: (across subjects): 0.85 ** Diaphragm (within subjects): 0.92 ** Diaphragm (across subjects): 0.78 ** |
NA | Tests whether
difference between within and across subject Phi-square coefficients is significant |
Respondents
intending to use a birth control method during the next year were asked what method they intended to use. |
Self-reported
use |
Dhont
et al. 2009 |
To investigate
unmet need for LARCs and sterilization among HIV-positive pregnant women, and the impact of increased access to LARCs in the postpartum period on their contraceptive uptake |
219 HIV-positive
pregnant women at ANC settings at baseline and 205 at endline |
Rwanda | Longitudinal
(cohort) |
9 months
after birth |
Medium
(6) |
Percentages | 53% pregnant women reported an
intention to use a LARC or to be sterilised after delivery 72% of women who had intended to start using a LARC actually did so at a site offering LARCs compared to only 4% of women at public FP sites *** |
1.23 (.48, 3.21) | Tests whether
LARC uptake at Site A (public FP services) were different than at Site B (guaranteed implant and IUD services) |
Not described | Not described |
Roy
et al.
2003 |
To investigate
women’s ITU a method as a measure of contraceptive demand |
421 female
participants in the 1992-92 National Family Health Survey |
India | Longitudinal
(cohort) |
6 years | Medium
(7) |
Proportions | Of the 421 women who were
asked the NFHS question on contraceptive intentions, 127 stated that they would use a method in the future. More than half (51%) of the women stating they would use a method in the future, did not do so during the intersurvey period compared to 29% of respondents who had said they would not practice family planning actually did so ** |
2.53 (1.53, 3.60) | Testing whether
those who intended to use contraceptives were significantly more likely to use compared to those who had not planned on using a method |
Not described | Self-reported
use |
Johnson
et al. 2019 |
To understand how
women’s prenatal infant feeding and contraception intentions were related to postpartum choices |
223 postpartum
women at baseline; 214 women postpartum in the hospital and 119 women at postpartum visit at <43 days |
USA | Longitudinal
(cohort) |
Not
specified |
Low (5) | Correlation
coefficient |
Prenatal contraceptive intention
and postpartum in-hospital correlation: 0.41 *** Prenatal contraceptive intention and postpartum visit choice correlation: 0.47 ** |
0.75 (.47, 1.22) | Correlation
between prenatal contraceptive intention and in-hospital and postpartum visit method choice |
Not described | For the
analysis, contraceptive choice was characterized as no contraceptive method versus LARC |
*p<.05, **p<.01, ***p<.001