Skip to main content
Top
Published in: Maternal and Child Health Journal 6/2016

01-06-2016

Reproductive Life Planning: A Cross-Sectional Study of What College Students Know and Believe

Authors: Lisa N. Kransdorf, T. S. Raghu, Juliana M. Kling, Paru S. David, Suneela Vegunta, Jo Knatz, Allan Markus, Keith A. Frey, Yu-Hui H. Chang, Anita P. Mayer, Julia A. Files

Published in: Maternal and Child Health Journal | Issue 6/2016

Login to get access

Abstract

Objectives The Centers for Disease Control and Prevention recommends a reproductive life plan (RLP) to promote individual responsibility for preconception health. The objectives of this study were to determine existing awareness of RLPs in a cohort of reproductive-age adults and to evaluate their knowledge level and beliefs about reproductive life planning. Methods We performed a cross-sectional survey study of adults ages 18–40 years old seeking care at the student health center of a large public university. Participation was voluntary. Survey responses were analyzed by age and gender. Results A total of 559 surveys were collected and analyzed. Only 24 % of participants had heard of an RLP although a majority (62.9 %) agreed that it is important to develop an RLP. Most respondents (85.4 %) preferred to receive information about reproductive life planning from a primary care provider or obstetrician-gynecologist, while only 4.2 % of patients surveyed reported ever being actually asked about an RLP by their healthcare provider. Among those who agreed that an RLP was important, knowledge of specific aspects of an RLP was lacking. Conclusions In our cohort of reproductive-age adults, general health literacy regarding RLPs was poor. Most of the young adults who responded to our survey did not know what an RLP was and even fewer had ever discussed one with their health provider.
Literature
1.
go back to reference Frey, K. A., & Files, J. A. (2006). Preconception healthcare: What women know and believe. Maternal and Child Health Journal, 10(S1), 73–77.CrossRefPubMedCentral Frey, K. A., & Files, J. A. (2006). Preconception healthcare: What women know and believe. Maternal and Child Health Journal, 10(S1), 73–77.CrossRefPubMedCentral
2.
go back to reference Johnson, K., Posner, S. F., Biermann, J., Cordero, J. F., Atrash, H. K., & Parker, C. S., et al. (2006). Recommendations to improve preconception health and health care–United States. A report of the CDC/ATSDR Preconception Care Work Group and the Select Panel on Preconception Care. MMWR. Recommendations and Reports: Morbidity and Mortality Weekly Report. Recommendations and Reports/Centers for Disease Control. Johnson, K., Posner, S. F., Biermann, J., Cordero, J. F., Atrash, H. K., & Parker, C. S., et al. (2006). Recommendations to improve preconception health and health care–United States. A report of the CDC/ATSDR Preconception Care Work Group and the Select Panel on Preconception Care. MMWR. Recommendations and Reports: Morbidity and Mortality Weekly Report. Recommendations and Reports/Centers for Disease Control.
3.
go back to reference American College of Obstetricians and Gynecologists. (2005). ACOG Committee Opinion number 313, September 2005 The importance of preconception care in the continuum of women’s health care. Obstetrics and Gynecology, 106(3), 665–666.CrossRef American College of Obstetricians and Gynecologists. (2005). ACOG Committee Opinion number 313, September 2005 The importance of preconception care in the continuum of women’s health care. Obstetrics and Gynecology, 106(3), 665–666.CrossRef
4.
go back to reference American Academy of Pediatrics and American College of Obstetricians and Gynecologists. (2012). Guidelines for perinatal care (7th ed.). Elk Grove: American Academy of Pediatrics. American Academy of Pediatrics and American College of Obstetricians and Gynecologists. (2012). Guidelines for perinatal care (7th ed.). Elk Grove: American Academy of Pediatrics.
5.
go back to reference Lu, M. C. (2007). Recommendations for preconception care. American Family Physician, 76(3), 397–400.PubMed Lu, M. C. (2007). Recommendations for preconception care. American Family Physician, 76(3), 397–400.PubMed
6.
go back to reference Institute of Medicine of the National Academies. (2011). Leading health indicators for healthy people 2020: Letter report. Washington, DC: National Academies Press. Institute of Medicine of the National Academies. (2011). Leading health indicators for healthy people 2020: Letter report. Washington, DC: National Academies Press.
8.
go back to reference Files, J. A., Frey, K. A., David, P. S., Hunt, K. S., Noble, B. N., & Mayer, A. P. (2011). Developing a reproductive life plan. Journal of Midwifery and Women’s Health, 56(5), 468–474.CrossRefPubMed Files, J. A., Frey, K. A., David, P. S., Hunt, K. S., Noble, B. N., & Mayer, A. P. (2011). Developing a reproductive life plan. Journal of Midwifery and Women’s Health, 56(5), 468–474.CrossRefPubMed
9.
go back to reference Stern, J., Larsson, M., Kristiansson, P., & Tyden, T. (2013). Introducing reproductive life plan-based information in contraceptive counseling: An RCT. Human Reproduction, 28(9), 2450–2461.CrossRefPubMedPubMedCentral Stern, J., Larsson, M., Kristiansson, P., & Tyden, T. (2013). Introducing reproductive life plan-based information in contraceptive counseling: An RCT. Human Reproduction, 28(9), 2450–2461.CrossRefPubMedPubMedCentral
10.
go back to reference Coffey, K., & Shorten, A. (2014). The challenge of preconception counseling: Using reproductive life planning in primary care. Journal of the American Association of Nurse Practitioners, 26(5), 255–262.CrossRefPubMed Coffey, K., & Shorten, A. (2014). The challenge of preconception counseling: Using reproductive life planning in primary care. Journal of the American Association of Nurse Practitioners, 26(5), 255–262.CrossRefPubMed
11.
go back to reference Sanders, L. B. (2009). Reproductive life plans: initiating the dialogue with women. MCN. The American Journal of Maternal Child Nursing, 34(6), 342–7–quiz 348–9. Sanders, L. B. (2009). Reproductive life plans: initiating the dialogue with women. MCN. The American Journal of Maternal Child Nursing, 34(6), 342–7–quiz 348–9.
12.
go back to reference Chandranipapongse, W., & Koren, G. (2013). Preconception counseling for preventable risks. Canadian Family Physician, 59(7), 737–739.PubMedPubMedCentral Chandranipapongse, W., & Koren, G. (2013). Preconception counseling for preventable risks. Canadian Family Physician, 59(7), 737–739.PubMedPubMedCentral
13.
go back to reference Farahi, N., & Zolotor, A. (2013). Recommendations for preconception counseling and care. American Family Physician, 88(8), 499–506.PubMed Farahi, N., & Zolotor, A. (2013). Recommendations for preconception counseling and care. American Family Physician, 88(8), 499–506.PubMed
14.
go back to reference Williams, L., Zapata, L. B., D’Angelo, D. V., Harrison, L., & Morrow, B. (2011). Associations between preconception counseling and maternal behaviors before and during pregnancy. Maternal and Child Health Journal, 16(9), 1854–1861.CrossRef Williams, L., Zapata, L. B., D’Angelo, D. V., Harrison, L., & Morrow, B. (2011). Associations between preconception counseling and maternal behaviors before and during pregnancy. Maternal and Child Health Journal, 16(9), 1854–1861.CrossRef
15.
go back to reference Bello, J. K., Adkins, K., Stulberg, D. B., & Rao, G. (2013). Perceptions of a reproductive health self-assessment tool (RH-SAT) in an urban community health center. Patient Education and Counseling, 93(3), 655–663.CrossRefPubMed Bello, J. K., Adkins, K., Stulberg, D. B., & Rao, G. (2013). Perceptions of a reproductive health self-assessment tool (RH-SAT) in an urban community health center. Patient Education and Counseling, 93(3), 655–663.CrossRefPubMed
16.
go back to reference Morgan, M. A., Hawks, D., Zinberg, S., & Schulkin, J. (2006). What Obstetrician-Gynecologists think of preconception care. Maternal and Child Health Journal, 10(S1), 59–65.CrossRefPubMedCentral Morgan, M. A., Hawks, D., Zinberg, S., & Schulkin, J. (2006). What Obstetrician-Gynecologists think of preconception care. Maternal and Child Health Journal, 10(S1), 59–65.CrossRefPubMedCentral
17.
go back to reference Chuang, C. H., Hwang, S. W., McCall-Hosenfeld, J. S., Rosenwasser, L., Hillemeier, M. M., & Weisman, C. S. (2012). Primary care physicians’ perceptions of barriers to preventive reproductive health care in rural communities. Perspectives on Sexual and Reproductive Health, 44(2), 78–83.CrossRefPubMedPubMedCentral Chuang, C. H., Hwang, S. W., McCall-Hosenfeld, J. S., Rosenwasser, L., Hillemeier, M. M., & Weisman, C. S. (2012). Primary care physicians’ perceptions of barriers to preventive reproductive health care in rural communities. Perspectives on Sexual and Reproductive Health, 44(2), 78–83.CrossRefPubMedPubMedCentral
18.
go back to reference Dunlop, A. L., Logue, K. M., Miranda, M. C., & Narayan, D. A. (2010). Integrating reproductive planning with primary health care: An exploration among low-income, minority women and men. Sexual and Reproductive Healthcare, 1(2), 37–43.CrossRefPubMed Dunlop, A. L., Logue, K. M., Miranda, M. C., & Narayan, D. A. (2010). Integrating reproductive planning with primary health care: An exploration among low-income, minority women and men. Sexual and Reproductive Healthcare, 1(2), 37–43.CrossRefPubMed
19.
go back to reference Mittal, P., Dandekar, A., & Hessler, D. (2014). Use of a modified reproductive life plan to improve awareness of preconception health in women with chronic disease. The Permanente Journal, 18(2), 28–32.CrossRefPubMedPubMedCentral Mittal, P., Dandekar, A., & Hessler, D. (2014). Use of a modified reproductive life plan to improve awareness of preconception health in women with chronic disease. The Permanente Journal, 18(2), 28–32.CrossRefPubMedPubMedCentral
20.
go back to reference Wilkie, D. J., Gallo, A. M., Yao, Y., Molokie, R. E., Stahl, C., Hershberger, P. E., et al. (2013). Reproductive health choices for young adults with sickle cell disease or trait. Nursing Research, 62(5), 352–361.CrossRefPubMedPubMedCentral Wilkie, D. J., Gallo, A. M., Yao, Y., Molokie, R. E., Stahl, C., Hershberger, P. E., et al. (2013). Reproductive health choices for young adults with sickle cell disease or trait. Nursing Research, 62(5), 352–361.CrossRefPubMedPubMedCentral
21.
go back to reference Flesch, R. (1948). A new readability yardstick. The Journal of Applied Psychology, 32(3), 221–233.CrossRefPubMed Flesch, R. (1948). A new readability yardstick. The Journal of Applied Psychology, 32(3), 221–233.CrossRefPubMed
22.
go back to reference Coonrod, D. V., Bruce, N. C., Malcolm, T. D., Drachman, D., & Frey, K. A. (2009). Knowledge and attitudes regarding preconception care in a predominantly low-income Mexican American population. American Journal of Obstetrics and Gynecology, 200(6), 686.e1–686.e7.CrossRef Coonrod, D. V., Bruce, N. C., Malcolm, T. D., Drachman, D., & Frey, K. A. (2009). Knowledge and attitudes regarding preconception care in a predominantly low-income Mexican American population. American Journal of Obstetrics and Gynecology, 200(6), 686.e1–686.e7.CrossRef
23.
go back to reference Craig, B. M., Donovan, K. A., Fraenkel, L., Watson, V., Hawley, S., & Quinn, G. P. (2014). A generation of childless women: Lessons from the United States. Women’s Health Issues, 24(1), e21–e27.CrossRefPubMed Craig, B. M., Donovan, K. A., Fraenkel, L., Watson, V., Hawley, S., & Quinn, G. P. (2014). A generation of childless women: Lessons from the United States. Women’s Health Issues, 24(1), e21–e27.CrossRefPubMed
24.
go back to reference Wade, G. H., Herrman, J., & McBeth-Snyder, L. (2012). A preconception care program for women in a college setting. MCN. The American Journal of Maternal Child Nursing, 37(3), 164–70– quiz 170–2. Wade, G. H., Herrman, J., & McBeth-Snyder, L. (2012). A preconception care program for women in a college setting. MCN. The American Journal of Maternal Child Nursing, 37(3), 164–70– quiz 170–2.
25.
go back to reference Malnory, M. E., & Johnson, T. S. (2010). The reproductive life plan as a strategy to decrease poor birth outcomes. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 40(1), 109–121.CrossRef Malnory, M. E., & Johnson, T. S. (2010). The reproductive life plan as a strategy to decrease poor birth outcomes. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 40(1), 109–121.CrossRef
26.
go back to reference Boivin, J., Bunting, L., Collins, J. A., & Nygren, K. G. (2007). International estimates of infertility prevalence and treatment-seeking: potential need and demand for infertility medical care. Human Reproduction, 22(6), 1506–1512.CrossRefPubMed Boivin, J., Bunting, L., Collins, J. A., & Nygren, K. G. (2007). International estimates of infertility prevalence and treatment-seeking: potential need and demand for infertility medical care. Human Reproduction, 22(6), 1506–1512.CrossRefPubMed
Metadata
Title
Reproductive Life Planning: A Cross-Sectional Study of What College Students Know and Believe
Authors
Lisa N. Kransdorf
T. S. Raghu
Juliana M. Kling
Paru S. David
Suneela Vegunta
Jo Knatz
Allan Markus
Keith A. Frey
Yu-Hui H. Chang
Anita P. Mayer
Julia A. Files
Publication date
01-06-2016
Publisher
Springer US
Published in
Maternal and Child Health Journal / Issue 6/2016
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-015-1903-y

Other articles of this Issue 6/2016

Maternal and Child Health Journal 6/2016 Go to the issue