Title

Delay discounting of pregnancy- and condom-protected sex among methadone-maintained women

Authors

Dennis J. Hand, PhD, Thomas Jefferson UniversityFollow
Lindsay Reid, Department of Obstetrics & Gynecology, Thomas Jefferson University, Philadelphia, PAFollow
Diane J. Abatemarco, MSW, PhD, Thomas Jefferson UniversityFollow

Document Type

Poster

Publication Date

12-15-2016

Abstract

Introduction

• Over 80% of pregnancies are unintended among women with opioid use disorder (OUD; Heil et al., 2011).
• Use of effective contraception is uncommon in this population (Terplan et al., 2015).
• Initiating and using effective contraception involves delays: to obtain the method from a provider, to become protected after initiating use.
• Interventions that include delay reductions among other elements have increased contraceptive use (Heil et al., 2016; Secura et al., 2014).
• Women with OUD have reported greater likelihood of engaging in unprotected sex at shorter delays to acquiring protection from sexually-transmitted infection (STI) than women without OUD (Herrmann et al., 2014).
• There is no current method for assessing how delays to pregnancy protection affect sexual decision-making.
• The present study was designed to evaluate a novel tool for measuring how delays to pregnancy protection affect self-reported likelihood to engage in protected vs. unprotected sexual intercourse.

Recommended Citation

Hand, PhD, Dennis J.; Reid, Lindsay; and Abatemarco, MSW, PhD, Diane J., "Delay discounting of pregnancy- and condom-protected sex among methadone-maintained women" (2016). Department of Obstetrics and Gynecology Presentations and Grand Rounds. Paper 7.
https://jdc.jefferson.edu/obgyngrandrounds/7