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Health Education Research Advance Access originally published online on December 1, 2008
Health Education Research 2009 24(4):575-585; doi:10.1093/her/cyn058
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© The Author 2008. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org

Effective contraceptive use: an exploration of theory-based influences

N. Peyman1,* and D. Oakley2

1 Department of Health Education, Mashhad University of Medical Sciences, Mashhad, Islamic Republic of Iran
2 School of Nursing, University of Michigan, Ann Arbor, MI 48109-5482, USA

* Correspondence to: N. Peyman. E-mail: peymanN{at}mums.ac.ir

The purpose of this study was to explore factors that influence oral contraceptive (OC) use among women in Iran using the Theory of Planned Behavior (TPB) and concept of self-efficacy (SE). The study sample consisted of 360 married OC users, aged 18–49 years recruited at public health centers of Mashhad, 900 km east of Tehran. SE had the strongest association with the intent to use after the clinic visit (r = 0.784) and with actual use (r = 0.452). Family planning self-efficacy combined with TPB variables accounted for 65% of the variance for intent and 27% of the variance in behavior. The results provide support for a theory-based approach to improved family planning care that specifically addresses more effective use. Development and evaluation of culturally appropriate public education and changes in clinical efforts designed to enhance the sense of SE are discussed.

Received on January 22, 2008; accepted on October 28, 2008


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