Lack of pregnancy intention or interest in pregnancy prevention now? How best to screen for desire for contraceptive care.

Objectives: To assess the relationship between pregnancy intention and current desire for pregnancy prevention.

Study Design: Using data from two state population-based surveys, we compared One Key Question and current pregnancy prevention desire.

Results: The majority with ambivalence toward pregnancy (54%) and some respondents who wanted to become pregnant in a year (30%) desired pregnancy prevention now.

Conclusions: One Key Question did not capture the current pregnancy prevention desires of a sizeable minority of respondents.

Implications: A pregnancy prevention-focused screening approach may be better suited to identify those in need of contraceptive services compared to pregnancy intention screening.