PIPages
Labs

Krystale Littlejohn

University of Oregon, OR·Social Science·Early-career

About 43% of pregnancies in the United States are undesired, and most result from not using contraception or using it inconsistently. Why do people who do not want a pregnancy still skip or stop contraception?

Fields

Social Science

Public Health & Epidemiology

Psychology

Topics

contraceptive use

contraception

unintended pregnancy

Grants
1 known grant, through Jun 2029

What they work on

  1. Identify how risk tolerance relates to contraceptive use among men and women who do not want a pregnancy, using validated health-psychology risk measures adapted and pretested through cognitive interviewing (asking respondents how they interpret questions).
  2. Quantify how both partners' perceptions of pregnancy risk relate to contraceptive use among couples, using longitudinal data that follow the same couples over time.
  3. Build an interdisciplinary framework that combines demography (the study of fertility and population patterns) with the psychology of risk to explain contraceptive non-use and inconsistent use, laying groundwork for a longitudinal couples study.

More about the research

This project examines two psychological drivers of that choice. Risk perception is how likely a person thinks pregnancy is. Risk tolerance is how much risk they are willing to accept while balancing other goals. The project also gathers data from male partners, who help make contraceptive decisions but are rarely studied.

Why it matters

Undesired pregnancy affects women's well-being, and closing the gap between pregnancy desires and contraceptive use is a public health priority. Better measures of risk perception and tolerance, including data from both partners, could help researchers and family-planning programs understand why couples do not use contraception. This understanding could help people achieve their fertility goals.

Known grants

From NIH and NSF research grants. Labs often have other funding we can't see.

Risk Perception and Tolerance in Contraceptive Use

NIH · Sep 2024 – Jun 2029

Closest labs

Celia Karp

Johns Hopkins University, MD·Public Health & Epidemiology

Develop gender-specific versions of the Desire to Avoid Pregnancy (DAP) scale with construct validity in Uganda, translating items into local languages for use with women and men.

Corinne Rocca

University of California-San Francisco, CA·Public Health & Epidemiology

Identify the changing and stable life factors, such as relationships and financial stability, that shape preconception pregnancy preferences, and test how Desire to Avoid Pregnancy (DAP) scores predict new pregnancies in a cohort of 2,200 women.

Jayme Congdon

University of California-San Francisco, CA·Public Health & Epidemiology·Early-career

Qualitatively assess, through interviews with about 50 postpartum women and healthcare team members, what they prefer in pediatric clinic-based postpartum contraceptive services.

The school

University of Oregon: 14 labs on PI Pages, $175M a year on research, 219 research doctorates a year.

More about University of Oregon

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