Contraceptive Alignment: A Descriptive Study of Concordance between Preferred and Actual Contraceptive…

StudyStudies in family planning· Aug 2026

Contraceptive Alignment: A Descriptive Study of Concordance between Preferred and Actual Contraceptive Method Use.

Stephanie Arteaga, Ariana H Bennett, Anu Manchikanti Gomez

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Family Planning & ContraceptionStudyClinical practiceQ1IF 3.5

Most reproductive-age women's contraceptive use matched their actual preferences.

Contraceptive Alignment: A Descriptive Study of Concordance between Preferred and Actual Contraceptive Method Use.

Stephanie Arteaga … Anu Manchikanti Gomez

Studies in family planning · Aug 2026

Background

Conventional metrics of contraceptive need focus on contraceptive use among those not seeking pregnancy, ignoring individuals' contraceptive preferences beyond pregnancy prevention.

Methods

S. sample of 15-44-year-olds assigned female sex at birth (unweighted n = 3,044).

n = 3,044

Results

most women were using the method they actually preferred

62.2%

Alignment

37.8%

No alignment

More results

We examine contraceptive alignment, a novel metric describing agreement between actual and preferred method use/nonuse, among a 2022 nationally representative U.

“

Conclusion

Contraceptive alignment may more accurately portray individuals' contraceptive needs.

Contraceptive Alignment: A Descriptive Study of Concordance between Preferred and Actual Contraceptive Method Use.

Contraceptive Alignment: A Descriptive Study of Concordance between Preferred and Actual Contraceptive Method Use.

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