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Family planning--changes in attitudes and practices among low income women between 1967 and 1970-71.

Out of 800 low-income Charlotte North Carolina women systematically chosen and interviewed about family planning in 1967 605 (75%) were reinterviewed in 1970-71 to determine changes in knowledge attitude and practice (KAP) and factors associated with these changes. The prevalence of female sterilization increased sharply total use of either pill or IUD was unchanged despite much individual instability condom and diaphragm use decreased and 20% of all women remained at risk and unprotected. Proportions of women having interval pregnancies (31%) and unwanted pregnancies (35.5% of the births) desiring increased family size (17.75%) and using a more effective contraceptive by 1970-71 were assessed by race marital status age group years of education employment status parity desire for more children and contraceptive used in order to analyze the KAP changes. It is suggested that contraceptive services be integrated into broad family health programs for greater effectiveness.