Friday, February 7

PREDICTING FEMALE CONTRACEPTIVE USE: AN APPLICATION OF LIFE HISTORY THEORY

After some motivation from various researchers on Twitter: why don't we put studies we know won't be published on the internet somewhere..., I decided I would put my thesis up. Until I can re-analyze the new data I collected & actually attempt to have this thing published, of course. In the mean time, feel free to fill your mind and your time. 
If you are lucky enough to have access, the full document can be found here or here

ABSTRACT   


Sexual behavior and activity began to lose its sole purpose as sex for reproduction early in the evolution of the genus Homo (Benagiano et al., 2007). Consequently, humans have tried to utilize contraception ever since they could document their existence. When used correctly, contraceptives are enormously effective at preventing unintentional pregnancy. However, Knowledge about contraceptive methods is a robust predictor of use. For every correct response on a contraceptive knowledge scale, the likelihood of currently using the most effective methods of contraception increased by 17% (Frost, Lindberg, and Finer, 2012).most studies conducted on contraceptive behaviors have not been driven by theory. The purpose of this research was to apply a theory to predict the contraceptive use of females. Since life history theory is concerned predominantly with the timing of reproduction, being that it is the final stage organisms can allocate resources to in their lifetime (Griskevicius et al., 2011), life history theory was applied for the current research. Participants (N = 283) completed surveys regarding their life history strategies and contraception behaviors. Results revealed a two-factor solution that represented r and K strategies. Multiple hierarchical regressions were utilized to determine if the K and r strategy measures independently predict the contraceptive measures as well as relevant life history outcomes. Although lacking significance, results trended in the hypothesized direction. Results did significantly predict a few relevant life history outcomes, including age, delay of sex, sex frequency in the past year, religiosity, and current health. Conclusions regarding future applications of this study’s measurement of contraceptive effectiveness and the two-factor solution for measurement of life history strategies are discussed.

Predicting Female Contraceptive Use: An Application of Life History Theory


Reproductive strategies of humans changed dramatically from that employed by some of our common ancestors, for whom sexual activity was restricted to sex for reproduction (Benagiano, Bastianelli, & Farris, 2007). Conceptive sex still remains as a valid reason for copulation; however, non-conceptive copulations in primates are well documented. Bonobos (Pan paniscus), a species of chimpanzee, engage in two distinct non-conceptive copulations: exchange sex, in which a female acquires non-reproductive resources, and communication sex, sexual activity to develop social relations or to reduce strain and aggression among group members (deWaal, 1987). As illustrated by bonobos, sexual behaviors incorporate another facet of sexuality that is considered typical of sexuality in human beings: sexual behavior becomes something that can be employed for reasons other than reproduction (Benagiano et al., 2007). These findings suggest that sexual behavior and activity began to lose their sole purpose as sex for reproduction early in the evolution of the genus Homo (Benagiano et al., 2007). Once “men and women were able to separate with fairly high accuracy the ‘reproductive’ from the ‘non- conceptive’ aspects of reproduction, a real sexual revolution took place” (Benagiano, Carrara, & Filippi, 2010, p. 97). This sexual revolution occurred long before that of the 1960’s.

Contraception

Humans have tried to utilize contraception ever since they could document their existence. Coitus interruptus, withdrawal with ejaculation afterwards, was performed since ancient times. In the 19th century, individuals started to monitor fluctuations in basal body temperature and changes in cervical mucus consistency to time ovulation; implementation of these combined indicators was used for natural family planning. In ancient Egypt and Rome, a device soaked with different extracts, juices, lactic acid, or honey was placed in the vagina to prevent women from conceiving; these recipes, noted in the Kahun Papyrusm, date as far back as 1850 BC. Three thousand years ago, dung from elephants or crocodiles was used in India and Egypt to be introduced in the vagina prior to intercourse, acting as an unsophisticated barrier and perhaps as spermicide. A physician was purported to have invented the condom between 1660-1685 for King Charles II, who was stricken with a large number of illegitimate offspring. Since the 18th century, condoms made of cloth or animal by-products including skin or intestinal tissue were mass-produced. The 19th century brought rubber condoms while the 20th century brought latex condoms (Li & Lo, 2005).
The notion of placing a foreign object in the uterus was first portrayed in fabled stories about African nomads who put tiny stones into the uterus of their camels to prevent conception during lengthy journeys. After ascertaining the anti-fertility effect of intrauterine copper ions in rabbits, the first copper-T IUD was introduced in 1969. Exchanging the copper with progesterone or levonorgesterol offered surplus non-contraceptive benefits, such as decreasing pelvic infections (Li & Lo, 2005; Szarewski & Guillebaud, 1991).  
It was not until the turn of the 20th century that we gained knowledge of reproductive endocrinology that would eventually lead to applications in modern hormonal contraception. In the 1920s administration of estrogen would render experimental animals infertile; in the 1930s both estrogen and progesterone caused anovulation. Through the hard work of several renowned researchers in steroid chemistry, synthetic progesterone and estrogen were produced (Szarewski & Guillebaud, 1991). The first combined oral contraceptive preparation, called Enovid was available in 1959, but the estrogen dosage was high compared to pills used today (Szarewski & Guillebaud, 1991).  The lower dose ethinyl-estradiol pills were available since 1961 and even lower dose pills were in regular use since 1972 (Li & Lo, 2005).
         Depo-Provera was the first injectable hormone developed and it was approved for contraceptive purpose in the mid-1960s. Norplant was the first contraceptive implant approved in 1984 as a multi-rod subdermal implant. A single-rod implant, Implanon, was launched in 1998. The latest hormone delivery methods, specifically the transdermal patch, Ortho-Evra, and the vaginal ring, NuvaRing, have been recently introduced as different mechanisms of hormonal contraceptive transmission (Li & Lo, 2005).
         Since the earliest times, unusual ploys such as sneezing and vaginal douching with diverse substances such as lemon juice or Coca-Cola have been used for post-coital contraception. The modern hormonal method for emergency contraception (EC) probably started in the 1920s when post-intercourse administration of estrogen in animals prevented pregnancy; the first account of EC use for humans was in the early 1960s, when high-dose diethylstilbestrol was administered (Li & Lo, 2005).  Sterilization for both men and women is also a very effective form of contraception and has replaced the Pill as the most used method for women over thirty (Szarewski & Guillebaud, 1991).

Contraceptive Facts

As of July 2012, 62 million women in the United States are between the ages of 15-44: women who are sexually active and able to bear children (Centers for Disease Control, 2009).  Individuals who did not apply a contraceptive method had an 85% chance of becoming pregnant in the past year, intended or not (Trussell, 2011). One in ten females are at risk for an unintended pregnancy, the highest proportion of women being adolescents, between 15 and 19 year olds. Ninety-two percent of women with at least a bachelor’s degree are currently using a contraceptive method, compared to only 89% of females who do not have a high school diploma (Mosher & Jones, 2010). Only 88% percent of women living below the federal poverty line are using contraceptives, compared to 92% of women living above the poverty line (Mosher & Jones, 2010).
Fifty-four percent of 2.9 million teenage women rely on the pill as their primary method of contraception (Mosher & Jones, 2010). The pill is one of the most effective methods, with an eight percent failure rate with typical use (Trussell, 2011).  When used correctly, contraceptives are enormously effective at preventing unintentional pregnancy. Females who use contraceptives consistently and correctly account for only 5% of unplanned pregnancies (Gold, Sonfield, Richards, & Frost, 2009). Using contraception consistently and correctly is equated to having high contraceptive use skills. If an individual uses contraception consistently and correctly, not only are they more skilled at using the contraception, they are more skilled at preventing pregnancy. Several hormonal methods, such as the pill, patch, vaginal ring, IUD, and implant provide numerous health benefits beyond just preventing pregnancy. Prevention of pregnancy is cited as the most common reason for using oral contraceptives like the pill; however, over half of pill users also mention the additional health benefits, including treatment for excessive menstrual bleeding, pain associated with menstruation, or acne as reasons for use (Jones, 2011).
Less than 10% of women of reproductive age use a dual-method (most often the condom in addition to another method; Eisenberg, Allsworth, Zhao, & Peipert, 2012). Use of emergency contraception is a technique to avoid pregnancy after unprotected intercourse or contraceptive failure (Trussell & Raymond, 2011). Only one percent of women of reproductive age have used emergency contraception. The age group with the highest possibility for accidental pregnancy, females aged 18–29, are more apt than other aged women to have used emergency contraception, which is considered a backup method (Frost, Henshaw, & Sonfield, 2010). Again, emergency contraception is viewed as a method to use in cases where other methods during or prior to intercourse were not employed. 
Knowledge about contraceptive methods is a robust predictor of use. Of unmarried women aged 18–29, for every correct response on a contraceptive knowledge scale, the likelihood of currently using a hormonal or long-acting reversible method (i.e., the most effective methods) increased by 17%, and of using no method decreased by 17% (Frost, Lindberg, & Finer, 2012). If an individual knows more about contraception, specifically the information regarding effectiveness of each method, they are more likely to choose the most effective method as their own method. Interestingly, 19% of women perceive they are infertile, regardless of whether this belief is medically supported (Polis & Zabin, 2012). This could explain the frequency of unplanned pregnancies within this population if proper contraceptive methods are perceived as not needed and thus not utilized.


Correlates of Contraceptive Use

Most studies conducted on contraceptive behaviors have not been driven by theory. Previous studies have examined a multitude of factors correlated with contraceptive behaviors. For example, one-third of women did not use contraception because they believed they could not get pregnant at the time of intercourse (Nettleman, Chung, Brewer, Ayoola, & Reed, 2007). If a woman doesn’t think there was a risk of pregnancy during intercourse, she wouldn’t employ a method. Another study revealed about 50% of coital events would be protected if women expressed that they were committed to not becoming pregnant (Bartz, Shew, Ofner, & Fortenberry, 2007). If a woman was explicitly devoted to preventing pregnancy, she would be committed to protecting herself for at least half of her coital events. Furthermore, if women reported that they communicate with their sexual partners about contraceptive choices and issues infrequently, they would be inconsistent contraceptive users (Davies et al., 2006). Also, increased relationship quality was associated with decreased condom use (Sayegh, Fortenberry, Shew, & Orr, 2006).
In addition, Asian, Latina, African American women and women who were raised with a religion are less likely to use any contraceptive method  (Raine, Minnis, & Padian, 2003; Kost, Singh, Vaughan, Trussell, & Bankole, 2008). Contraceptive failure risk most severely affects the poorest females, women living below the 100% poverty level (Kost et al., 2008). These women might have to rely on more affordable, less effective methods, which are more likely to fail. Cultural beliefs, values, and influences of the individual’s surrounding community can act as barriers for the female to obtain contraceptives (Sable et al., 2000).  Frequent discussions with friends about contraceptives foster positive attitudes towards contraception and increased satisfaction (Forrest & Frost, 1996).
Transportation often affects women’s abilities to obtain contraception; women who had no insurance cite transportation difficulties as a barrier more often than insured females (Sable, Libbus, & Chiu, 2000). If a woman’s community isn’t as accepting of contraceptive behaviors, this might stigmatize women attempting to prevent pregnancy; consequently, they might not be able to obtain their preferred method. Method satisfaction is most likely in women who acknowledge the pill’s non-contraceptive benefits, experienced few to no side effects, and had used the pill previously (Rosenberg, Waugh, & Burnhill, 1998). African Americans report lower use of hormonal contraceptives and increased rates of sexually transmitted infections, while Caucasians are less likely to use condoms for intercourse (Buhi, Marhefka, & Hoban, 2010).
Likewise, African American students show an increased incongruence in using effective methods of contraception compared to Caucasian students (Gaydos, Neubert, Hogue, Kramer, & Yang, 2010). Abused women do not use their preferred method compared to non-abused women (Williams, Larsen, & McCloskey, 2008). Furthermore, research conducted on contraceptive behaviors remains predominately located within the health fields (Skouby, 2010; Frost & Darroch, 2008; Buhi, Marhekfa, & Hoban, 2010; Gaydos et al., 2010; Ersek, Huber, Thompson, & Warren-Findlow, 2011).
It is somewhat apparent that predominately, the studies conducted on contraceptive behaviors are not driven by theory. Upon further examination of the variables correlated with contraceptive behaviors, one theory that is a likely candidate for application in this area of research is life history theory (LHT).

Life History Theory Literature

Charles Darwin proposed the theory of evolution by natural selection over 150 years ago (Darwin, 1859). It has only been in the past 20 years that the psychological, social, and behavior sciences have integrated the principles of evolution already deeply incorporated in biology and ecology. The goal of evolutionary psychology is not only to incorporate evolutionary biology, anthropology, neuroscience, and cognitive psychology to map human nature, but also to rewrite existing literature, reframing previous efforts into an evolutionary perspective (Tooby & Cosmides, 1992). It is worth mentioning that evolutionary psychology is not to be acknowledged as a subset of psychology, like social psychology or cognitive psychology, but rather as “a way of thinking about psychology,” available as a lens for viewing any topic therein (Cosmides & Tooby, 2000, p. 1). One evolutionary approach to the study of individual differences is life history theory (LHT). Initially, biologists and zoologists used life history theory to study species differences in reproductive strategies (Promislow & Harvey, 1990, 1991).
Evolution is the outcome of a process in which organisms compete to acquire resources from the environment to produce offspring (Kaplan & Gangestad, 2004). Individual organisms “‘capture’ energy from the environment (through foraging, hunting, or cultivating) and ‘allocate’ it to reproduction and survival-enhancing activities” (Kaplan & Gangestad, 2004, p.2). Selection will favor individual organisms that efficiently capture resources and effectively allocate these resources to increase fitness within their environment. Resources are not free; in reality, individuals must live within fixed resource budgets, only spending what is available. Allocation of a fixed budget necessitates trade-offs and consequently, decisions must be made about the ways to spend this budget. Essentially, LHT provides a framework addressing how individuals allocate resources to tasks that maximize fitness in the presence of trade-offs. Allocations vary across the lifespan and, consequently, LHT is concerned about the evolutionary forces that shape the scheduling of events involved in growth, maintenance, and reproduction (Kaplan & Gangestad, 2004).
Gadgil and Bossert (1970) established the first modern LHT framework, hypothesizing tradeoffs as fixed resource budgets. Organisms capture resources from the environment, the rate at which they capture resources determines their resource budget, and they can spend their resource budget on three distinctly different behaviors: growth, maintenance, and reproduction. Through growth, individuals can increase their resource capture rates for the future, thus maximizing future fertility; organisms typically have an adolescent stage in which reproduction is not possible and the primary resource allocation is on growth. Through maintenance, individuals repair tissue and allocate resources to increase immune function. Through reproduction, or reproductive effort, individuals replicate their genes into offspring (Gadgil & Bossert, 1970).
Deciding whether to spend resources on current reproduction versus future reproduction is at the heart of the somatic effort versus reproductive effort compromise. Somatic effort is akin to investing in one’s self and reproductive effort is akin to spending those investments that will allow for gene replication. Investment in somatic effort is investing in future reproduction (Griskevicius, Delton, Robertson, & Tybur, 2011). Individuals do not invest in themselves (somatic effort) as an end in itself; rather, they invest for the sake of future reproduction. This is exemplified in the individual that postpones reproduction immediately after puberty, attends a university, acquires a degree, becomes employed where she or he can accrue financial stability, and then finally decides to reproduce; with the increased financial stability and higher education, this individual can invest heavily in her or his offspring. Resources allocated to somatic effort, including the growth and maintenance of body and mind and the accumulation of embodied capital, cannot concurrently be allocated to reproductive effort, including sexual competition, gestation, and birth (Griskevicius et al., 2011).
A second dilemma is the allocation of resources to mating effort or parental effort (Figueredo et al., 2006). The procurement and retaining of mating partners is described as mating effort; that is, the time spent looking for potential mates and the time spent keeping these mates around until reproduction is successful. Enhancement of survival of offspring is described as parental effort; that is, the time spent feeding, nurturing, educating, and protecting offspring until they reach maturity. However, a trade-off also exists between these two efforts. For example, effort spent parenting cannot be spent acquiring new mates.
Within parental effort lies yet another trade-off: offspring quality versus quantity. This fundamental trade off assumes that resources are limited so as investment in one offspring increases, investment in each other individual offspring decreases; increased investment in offspring enhances the offspring’s reproductive success; and maternal fitness is calculated by the quantity of offspring that reach maturity and their ensuing lifetime reproductive success (Gillespie, Russell, & Lumma, 2008). Therein lies an evolved trade off for females between offspring quality versus quantity (Lack, 1947). Although, in comparison to other species, humans tend to favor quality over quantity in offspring, there are still individual differences in this reproductive decision. Increased maternal embodied capital increases child survival (Lawson et al., 2012). Birth, difficult and painful in humans, is risky for both the fetus and the mother (Mace, 2000). Although risks for maternal mortality are high and vary by region, risks to the baby are still greater. The earlier a child is weaned, the greater the risk of infant mortality (Mace, 2000); cessation of weaning is most likely due to impending pregnancy. Again, the quality of offspring is threatened when quantity of offspring increases. Offspring competition for resources is also a source of risk and mortality; larger quantities of siblings competing for food leads to decreased height in adolescence, further diminishing their future reproductive success (Lawson et al., 2012).
Life History strategies. How and when an individual decides to reconcile these resource allocation trade-offs comprises that individual’s LH strategy (Griskevicius et al., 2011; Gadgil & Bossert, 1970). Several environmental features influence LH strategies; factors include harshness (e.g., the age and sex-specific rates of mortality), unpredictability (e.g., the uniformity of harshness from one time to another), and resource scarcity (e.g., the obtainability of resources and level of competition for resources; Ellis et al., 2009). Species that evolved in harsh, unpredictable, resource scarce environments are inclined to implement distinctive LH strategies (Griskevicius et al., 2011). For example, a species that evolved in a harsh and unpredictable environment will invest less in somatic effort, reach sexual maturity quickly, and start reproducing at a high rate; this fast strategy or r strategy is adaptive for members of such species since reproducing quickly mitigates the risk of death without leaving behind any offspring. These individuals invest in reproductive effort at the cost of somatic effort. In contrast, investment in somatic effort heightens an individual’s capacity to compete for mates and invest in offspring; a species that evolved in a predictable environment follows a slower strategy or K strategy, investing more in somatic effort and delaying reproduction (Griskevicius et al., 2011). These individuals invest in somatic effort at the cost of investment in current reproduction effort, opting for future reproductive effort.
LHT can be exemplified by comparing the strategies displayed by r-selected species, the fast individuals, which invest heavily in reproduction with short life spans, with K-selected species, the slow individuals, which invest heavily in their own development and that of their offspring. Fast, r-selected species evolved in unstable, harsh, and unpredictable environmental conditions, leading to a strategy focused on producing high offspring quantity. Rabbits demonstrate quick sexual development, low parental investment, short life expectancy, and high competition for resources because they evolved in environments where short-term strategies increased fitness.  Conversely, K-selected species evolved under stable and predictable conditions, leading to a strategy focused on survival of high offspring quality. Elephants demonstrate slow sexual development, high parental investment, long life expectancy, and low competition for resources because they evolved in stable environments where long-term strategies increased fitness (Figueredo, Vasquez, Brumbach, & Schneider, 2004).
Humans are characteristically defined by the substantial investments they make in somatic development at the cost of early reproduction. Compared with chimpanzees, humans reach physical maturity much later and reproduce at an even later age (Kaplan, Hill, Lancaster, & Hurtado, 2000). Originally, comparative biologists concentrated on describing LH strategies typical of a certain species, and then comparing the strategy of that species with the strategy of another (Lack, 1950); accumulated evidence, however, indicated adaptive within-species variation in LH strategies exist in many taxa (Daan & Tinbergen, 1997; Tinbergen & Both, 1999). Organisms appear to implicitly monitor current and expected states of their environments, regulating the LH strategies they engage (Ellis et al., 2009). Instead of exhibiting a fixed strategy for life, LH strategies show environmental exigency in reply to precise cues during childhood and adulthood. According to LHT, the environmental factors linked to different LH strategies in modern human environments are cues such as the local mortality rate and the availability of resources in the local environment (Kaplan & Gangestad, 2005; Quinlan, 2007; Worthman & Kuzara, 2005).
LHT suggests that since an individual’s resources are limited, the individual must choose between r and K strategies; the individual must choose to invest in their offspring or not, put off mating or not, and have few or many offspring (Kruger & Nesse, 2004, 2006). According to LHT, a continuum for humans exists from a slower course, high K, to a faster course, low K (Bielby et al., 2007; Ellis et al., 2009). An unpredictable and harsh environment, low investment from mother and father when growing up, father absence, stepfather presence, low social support, and high mortality risk are factors that contribute to the manifestation of a low K strategy, similar to the r strategy of other species (Figuredo et al., 2006). A predictable environment, high mother and father nurturing while growing up, high social support, and low mortality risk are factors that could contribute to the manifestation of a high K strategy (Figueredo et al., 2006). These choices in strategy manifest in behaviors existing within two clusters; mating strategies form a continuum, with most individuals falling somewhere along this range (Figueredo et al., 2004). The high K strategy involves clusters of behaviors such as delayed puberty, slow sexual maturation, selective mating, sexual restraint, extensive parental investment, consideration of risks, long lifespan, increased inclusive fitness, extensive somatic investment, high cooperation, high altruistic behaviors, monogamy, long term thinking, and intensive offspring investment. The low K strategy involves clusters of behaviors such as preference for sexual variety, sexual promiscuity, unrestrained sexuality, risk taking, aggression, early puberty, quick sexual maturation, impulsivity, low romantic attachment, low cooperation, rare altruistic behaviors, disregard of social rules, manipulative, exploitative, short term thinking, and increased fecundity (Figueredo et al., 2006).
            The assumption, however, that an individual’s resources are limited, forcing them to choose between traditional r and traditional K strategies has been challenged. Rowe, Vazsonyi, and Figueredo (1997) state: “…it may be possible for an unusually resource rich male to pursue a mixed strategy combining certain elements of both” (p.106). It is reasonable to think that individuals with limited resources are forced to choose between r and K strategies, but individuals that have plentiful resources might be able to exhibit traditional r and traditional K strategies.  An individual with increased health, energy, and wealth might be able to exhibit both traditional r and K strategy specific behaviors simultaneously.
It is proposed that the traditional view of the K strategy be maintained with respect to future time perspective, long-term mating strategy, and environmental input. Concurrently, sexual drive, sexual desire, sexual flexibility, and lack of sexual restraint (Figueredo et al., 2006) should be removed from K and placed on a separate factor; this second factor could be described as r. Figueredo and others (2006) include sexual restraint as dimension of the K Factor: high K individuals are more likely to delay sexual activity and engage in less risky sexual behaviors. Indicators of sexual restrictedness include increased religiosity, endorsing value and health reasons for abstaining from sex, perceived abilities to refuse sex, sexual decision making skills, positive endorsement of teenage abstinence, acceptance of norms prohibiting sex before marriage, intentions to abstain, and pro-social behaviors (Figueredo et al., 2006; Brumbach, Walsh, & Figueredo, 2007). According to this traditional view, high K individuals will experience sexual feelings and attractions later than low K individuals; concurrently, low K individuals will be more impulsive, sociable, risk-taking, and emotional in sexual relationships compared to their high K counterparts (Figueredo et al., 2006). However, this traditional view does not account for individuals that exhibit high K strategies in non-sexual clusters of behavior while exhibiting traditional low K strategies in sexual clusters of behavior. Individuals that show low “sexual restraint,” such as engaging in intercourse at a younger age and more frequently, can simultaneously engage in high K behaviors, such as attending a university with long term career goals.
Life history theory is concerned predominantly with the timing of reproduction, since that is the final stage organisms can allocate resources to in their lifetime (Griskevicius et al., 2011). The question of how individuals time their reproduction can be answered: they use contraception. For example, many insist prior to the sexual revolution of the 1960’s that the female’s only way of preventing pregnancy was by acting as a gatekeeper: to say no to any unworthy mate; this however does not seem to make sense (see also Ryan & Jethá, 2010; Pillard, 2007; Hayes & Carpenter, 2010; Wiederman, 2005; Schick, Zucker, & Bay-Cheng, 2008). Humans have known the benefits of non-conceptive sex since the beginning of the genus Homo (Benagiano et al., 2007; 2010). Our animal kingdom relatives have also found ways to employ contraception in order to prevent pregnancy, seen in wooly spider monkeys (Glander, 1994; Strier, 1993; Strier & Ziegler, 1994), red colobus monkeys (Wasserman et al., 2012), and even elephants (Shuker, 2001).  Furthermore, the history of contraception, contraceptive practices, and the extensive amount of information collected on how to prevent pregnancy supports the notion that women did not have to serve as gatekeepers (Meena & Rao, 2010; Li & Lo, 2005). 
If women wanted to time their reproduction they would go to great lengths to prevent pregnancy. Also, it does not seem logical for an early human female to insert one of many of the previously mentioned substances into her vagina (Li & Lo, 2005), a rather dangerous and sometimes deadly task, just to keep her mate happy; her drive for sex must have been just as strong. As previous literature has indicated, a traditionally high K woman that wished to maintain her desires for future reproduction would have the only option of abstinence (Buss & Schmitt, 1993). Humans however, are highly sexual; this is even more apparent when researching all the methods of contraception that have ever been invented and utilized.
In this light, a low sexually restrained woman isn’t forced to life the life of a low K female: she can engage in high-K nonsexual clusters of behavior and “low K” sexual clusters of behavior simultaneously. To that end, a second factor must be examined. This new factor, r, is sexual clusters of behavior. Humans have non-sexual clusters of behavior and sexual clusters of behavior. Those sexual clusters of behavior are sex drive, attitudes towards sex, sexual excitability, and sexual sensation seeking; those behaviors also lie on a continuum. Individuals can be low in sexual restraint (r) or high, just as much as they can be high or low on the K spectrum. With contraception, individuals that engage in high r behaviors, such as engaging in intercourse at a younger age and more frequently, can simultaneously engage in high K behaviors, such as attending a university with long term career goals because intercourse does not lead to reproduction.
 Concluding, to measure life history strategy on one continuum, with sexual and non-sexual clusters of behavior within the single continuum, does not reveal the whole picture of human life. Specifically, high K, high r individuals are being missed. It is through the use of contraceptives females can pursue a mixed strategy of combining both r and K strategies. Although women have been practicing contraception since they could keep written records, it was only recently that highly effective hormonal methods allowed women to almost perfect their contracepting behaviors (Szarewski & Guillebaud, 1991). Since sex with contraception lowers the risk of pregnancy, women can combine r and K strategies. High K specific strategies such as high personal investment (attending a university, pursuing a career, etc.), delay of reproduction, and increased investment in offspring quality with birth spacing can be achieved by utilizing an effective form of contraception. However, these women can also engage in a high frequency of intercourse both inside and outside the context of relationships, a strategy often displayed by high r individuals. On the contrary, individuals that are seen as traditionally high K, possessing high sexual restraint, would thus exhibit low r clusters of behavior: sex only for reproduction and selective, restricted long-term mating (see Table 1).

Table 1

Hypothesized results for contraceptive effectiveness
Strategy
High K
Low K


Low r
Sex only for reproduction, high sexual restraint, committed and not active. Selective, restricted long term mating.



Method: very effective birth control and highly skilled use (Purposeful Abstinence).
Non-normal population, not interested in sex, high sexual restraint, and potential floor effect. Varied, unrestricted short term mating.



Method: no contraceptive method used since not engaging in sexual intercourse (Indifferent Abstinence).


High r
Frequent sex for non-reproduction, low sexual restraint, committed and very active. Selective, restricted long term mating.




Method: very effective birth control and highly skilled use (pill, IUD, implant, shot, etc.)
Frequent sex for non-reproduction, low sexual restraint, promiscuous and very active. Varied, unrestricted short term mating.




Method: no method, least effective method and low skilled use (withdrawal, fertility awareness, etc.)

Contraception makes it possible for an individual to begin sexual activity at an early age while investing in self-development (e.g., pursuing a college degree), to have sex with multiple partners without conception, choose one long-term partner (with or without non-conception extra pair copulation), and invest heavily in a limited number of children (due to contraception’s child spacing and limiting benefits).  Through contraception, females can pursue promiscuous or committed sex; females can have as much sex without conception as desired; and consequently, enjoy sex proximately without the ultimate consequence of pregnancy.

Hypotheses

            The purpose of this research is to investigate the relationships between r and K strategies and the use of contraception.  Specifically, the following hypotheses will be tested:
1.     An interaction between r and K strategies will be found to predict method effectiveness, such that high r and high K women will utilize the most effective methods.
2.     An interaction between r and K strategies will be found to predict contraceptive knowledge, such that high r and high K women will be most knowledgeable about contraception.  
3.     An interaction between r and K strategies will be found to predict general attitudes towards contraceptives, such that high r, high K women will have the most positive attitudes.
4.     An interaction between r and K strategies will be found to predict morality attitudes towards contraceptives, such that high r, high K women will be the most morally accepting of contraceptives.
5.     An interaction between r and K strategies will be found to predict contraceptive self-efficacy, such that high r, high K women will have the highest contraceptive self-efficacy

Method


Participants

      Two hundred and eighty-three women participated in the study. Participants were either recruited using the SONA system within the Western Illinois University (WIU) Psychology Department or through convenience sampling, using the software survey data collection tool SurveyMonkey (SurveyMonkey, Inc.).
The mean age of total participants was 23.75 (SD = 7.35), and 82.7% of the sample was Caucasian, 8.8% African American/African, 1.8% Asian American/Asian, 2.8% Hispanic, and 2.8% Multiple Ethnicity/Mixed. Of the participants, 42.8% were single and dating exclusively, 17.3% were single and not dating, 13.4% were married, 12.0% were single and dating casually, 8.1% were engaged to be married, and 5.3% were single and cohabiting. The majority of participants identified as heterosexual (90.1%), 6.4% identified as bisexual, and 1.4% identified as homosexual. Of the participants, 26.9% identified as Catholic, 26.9% identified as Christian, 19.1% identified as having no religious affiliation, 9.2% identified as Atheist, and 3.5% identified as Agnostic. The majority of participants were insured by their parents (54.1%), 15.2% of the participants were insured by their employers, 9.5% of the participants were insured by their university, 5.3% of the participants were insured by the government, and 5.3% of the participants were uninsured. Lastly, 84.1% of participants identified their most recent sex partner as being male and 2.5% identified their most recent sex partner as female. For the highest education level of participants, 17% were Freshman, 22.1% were Sophomore, 18% were Junior, 7% were Senior, 12% were Graduate Student, 14% graduated college, 6% held a professional degree, 4% completed graduate school, 5% received a high school education or less.
Contraceptive method. Two hundred and seventy-six participants reported a primary method, or their primary method was determined by their responses on Current Contraceptive Method and Recent Contraceptive Method questions of the CMQ. The majority of participants reported the pill as their primary contraceptive method (35. 8%), 23% reported using no method, 21.2% reported using the condom as their primary method, 6.9% reported using the IUD as their primary method, and 3.3% reported using the vaginal ring as their primary method.
            Participants could denote any methods they use, including more than one method. For both Current and Recent Methods reported on the CMQ, 11.4% of participants indicated they used no method, 27.3% of participants indicated they used the pill, 28.9% indicated they used the condom, 14.0% indicated they used withdrawal, .05% indicated they used fertility awareness, .04% indicated they used the IUD, .03% indicated they used the ring, .02% indicated they used the shot, .01% indicated they used the patch, .01% indicated they use the implant, .008% indicated they use male partner sterilization, .006% indicated they use the female condom, .004% indicated they used spermicide, and .002% indicated they used female sterilization.
            Participants could also denote if they were dual method users (e.g., pill and condom, vaginal ring and condom, etc.); participants must have reported using the condom in addition to another method. Dual method use was inferred from their responses on the Current or Recent Methods portion of the Contraceptive Methods Questionnaire as well as their responses on the two dual method intention items on the General Errors in Contraceptive Use Scale. The majority of participants were single method users (N = 208), while 68 participants reported being dual method users. Interestingly, many participants reported using the withdrawal method in addition to other methods listed in the Current or Recent Methods on the CMQ. While majority of participants did not denote using the withdrawal method in addition to another method, 68 participants reported using withdrawal in conjunction with other methods.
Analysis participants. Participants recruited outside of the WIU Department of Psychology’s Human Subject Pool only made up 12.6% of participants used in analysis. The mean age for participants in analysis was 21.56 (SD = 5.13). Of analysis participants, 70.5% were Caucasian, 22.1% were African American/African, 3.2% were Hispanic, and 4.2% were Multiple Ethnicity/Mixed. Of analysis participants, 28.4% were college freshman, 20.0% were college sophomores, 17.9% were college juniors, 17.9% were college seniors, 6.3% were graduate students, 3.2% completed graduate school, 1.1% graduated from college, and 2.1% held a professional degree. Of analysis participants, 21.1% were not dating, 11.6% were dating casually, 50.5% were dating exclusively, 8.4% were engaged, and 8.4% were married. Of analysis participants, 94.7% were heterosexual, 1.1% were homosexual, and 4.2% were bisexual. Of analysis participants, 13.7% reported no religious affiliation, 2.1% identified as Atheist, 1.1% identified as Agnostic, 27.4% identified as Catholic, and 37.9% identified as Christian. The Institutional Review Board of WIU reviewed and approved this study before administration.


Procedure

Participants read an Informed Consent before any data was collected; further participation signified informed consent. Time of completion ranged between 45 minutes to one hour. The measures administered through the SONA system and through SurveyMonkey were identical, with the exception that SurveyMonkey allowed a skip question formation for ease of survey completion. In addition, titles of measures were not included as to avoid any priming effects of the scale title. Participants were given a debriefing form that reminded them of the continued privacy of their responses and described the purpose of the study. Eligible WIU participants were awarded PURE credit, a requirement for the completion of General Education Psychology courses, upon completion of the study.  

Measures

Demographics. A demographic questionnaire was created to gather demographic information from the participant. Items include age, year in school, ethnicity, religion, religiosity, current relationship status, present sexual orientation, current living arrangements, health insurance provider, current health, sexual status, intercourse frequency in the past year, age at first intercourse, number of children, frequency of miscarriages, frequency of abortions, gender of the most recent sexual partner, sterilization, and infertility (see Appendix A).
Contraceptive Methods Questionnaire. The Contraceptive Methods Questionnaire consists of a checklist for known methods of contraception (see Appendix B). The questionnaire addresses contraceptive methods (i.e., birth control pills, condoms, vaginal ring, etc.) participants are currently using and used during their most recent intercourse. The questionnaire includes a list of possible known methods of contraception as well as the informal terms, often a brand name (e.g., The Pill, Depo-Provera, NuvaRing, etc.).
Contraceptive Use Questionnaire. The Contraceptive Use Questionnaire (CUQ) consists of six subscales: General Knowledge of Contraception Scale; General Errors in Contraceptive Use Scale; Intention, Consistency, and Perfection of Contraceptive Use Scale; and Method Specific Errors in Contraceptive Use Scale. The CUQ was created through modification of the Contraceptive Utilities, Intentions, and Knowledge Scale (CUIKS; Condelli, 1984).  The CUIKS addresses the contraceptive behaviors of the participants, including how “well” they use their method. The scale was modified for the current study’s specific needs.
General Knowledge of Contraception Scale. The General Knowledge of Contraception portion was modified from the CUIKS for brevity and to include more relevant forms of contraception used today (see Appendix C). Cronbach’s alpha revealed satisfactory reliability (α = .86). The section consists of 21 multiple-choice questions assessing general knowledge regarding contraception. A sample knowledge item is: “The pill: (a) prevents ovulation, (b) keeps cervical mucous very thin, (c) changes the lining of the uterus to make implantation unlikely, (d) both A & C, (e) all of the above;” the correct answer being A. The General Knowledge of Contraception Scale has a total score of 21 points, with each correct answer earning the participant one point and each incorrect/no response earning the participant zero points. Higher scores on the General Knowledge Scale indicate greater knowledge of contraception. Two hundred and forty seven participants completed the General Knowledge of Contraception Scale; the mean score was 12.40 (SD = 2.66).
General Errors in Contraceptive Use Scale. Participants completed the General Errors in Contraceptive Use Scale that assessed their contraceptive use behaviors (see Appendix D). A sample item is: “I have engaged in unprotected sex because the event was unplanned or undesired;” participants responded to seven items on a five-point Likert scale from 1 (definitely not true of me) to 5 (definitely true of me). Total scores were calculated by reversing four items then summing over items; higher scores indicate greater general contraceptive use skill. Cronbach’s alpha was low for this scale (α = .68), which could be attributed to two of the items specifically assessing dual use behaviors, while four specifically assessed their engagement in unprotected intercourse. Two hundred and thirty-seven participants completed the General Skills in Contraceptive Use Scale; the mean score was 23.06 (SD = 5.13).
Intention, Consistency, and Perfection of Contraceptive Use Scale. The Intention, Consistency, and Perfection of Contraceptive Use Scale (ICPCUS) consists of items specific to different forms of contraception that measure intention to use, consistency in use, and perfection in use for the pill, the condom, the IUD, the vaginal ring, or other methods (see Appendix E). For each method, two items measured intention, two items measured consistency, and two items measured perfection.  For example, for the Pill, an intention item is: “I will use the pill during my next sexual intercourse.”  A consistency item is: “I would describe my pill contraceptive behavior in the past 3 months as consistent (administering the pill daily at the same time, etc.).”  A perfection item is: “I would describe my pill contraceptive behavior in the past 3 months as perfect (administering the pill daily at the same time, etc.).” Responses were made on a five-point scale from 1 (definitely not true of me) to 5 (definitely true of me); participants were marked N/A (not applicable) for methods they were not employing. For participants’ primary method, the scores were summed for each area and higher scores indicate greater intention, consistency of use, and perfection of use by the participant, comprising their Primary Method General Use Skills score. Two hundred and seventy-five participants completed the Intention, Consistency, and Perfection of Contraceptive Use Scale; the mean score was 17.88 (SD = 11.95). 
Method Specific Errors in Contraceptive Use Scale. Participants completed a Method Specific Errors in Contraceptive Use Scale that assessed method specific contraceptive use behaviors (see Appendix F). Eleven items measured method-specific errors; participants answered questions specific to the pill (2 items), the condom (6 items), the IUD (1 item), the vaginal ring (2 items), and answered not applicable (N/A) for methods they were not using. A sample item is: “During the past year, I took my pill at the same time every day;” participants responded to the 11 items using a five-point Likert scale from 1 (definitely not true of me) to 5 (definitely true of me), and participants not using that specific method reported not applicable. For the participants’ primary method, after reverse scoring, scores were averaged; higher scores indicate greater method specific use skill, comprising their Primary Method Specific Use Skill score. Two hundred and seventy-four participants completed the Method Specific Errors in Contraceptive Use Scale; the mean was 4.93 (SD = 6.60).  
Sociosexual Orientation Scale. The Sociosexual Orientation Scale (SOI; Simpson & Gangestad, 1991) measured differences in willingness for or endorsement of casual, promiscuous sex (see Appendix G). The seven-item scale has two past behavioral items and one future behavioral item; one item assesses fantasies with participants responding on an eight-point Likert from 1 (never) to 8  (at least once a day). Three items assess attitudes, with participants responding on a nine-point Likert scale from 1 (strongly disagree) to 9 (strongly agree). The weighted total was computed using scoring from Simpson and Gangestad (1991); of the 139 participants that completed the SOI, the mean was 43.97 (SD = 30.52). Higher scores represent an unrestricted sociosexual orientation. Cronbach’s alpha (.77) demonstrated the internal consistency of the scale.
Brief Sexual Attitudes Scale. The Brief Sexual Attitudes Scale (BSAS; Hendrick, Hendrick, & Reich, 2006) assessed sexual attitudes (see Appendix H). The overall Cronbach’s alpha for the BSAS was .83, (N = 140). The BSAS has four subscales consisting of Permissiveness (10 items; α = .90) with a mean of 2.16 (SD = .90), Birth Control (3 items; α = .86) with a mean of 4.56 (SD = .73), Communion (5 items; α = .80) with a mean of 3.87 (SD = .85), and Instrumentality (5 items; α = .75) with a mean of 3.01 (SD = .84). A sample item from the Instrumentality subscale is: “The main purpose of sex is to enjoy yourself;” 140 participants responded on a five-point Likert scale from 1 (strongly disagree with the statement) to 5 (strongly agree with the statement).
Sexual Desire Inventory. The Sexual Desire Inventory (SDI; Spector, Carey, & Steinberg, 1996) assessed sexual desire (see Appendix I). The SDI is a 14-item scale that includes two subscales: Dyadic Sexual Desire (8 items; α = .90), which measures the desire to engage in sexual behaviors with another individual, and Solitary Sexual Desire (6 items; α = .91), which measures the desire to engage in sexual behaviors in solitary. A sample Solitary Sexual Desire item is: “Compared to other people of your age and sex, how would you rate your desire to behave sexually with a partner?” and 139 participants responded on a 9-point Likert scale from 0 (much less desire) to 8 (much more desire). Higher scores are indicative of higher sexual desire; the mean for SDI Dyadic Sexual Desire was 4.75 (SD = 1.67) and the mean for SDI Solitary Sexual Desire was 2.37 (SD  = 2.04).
Sexual Sensation Seeking Scale. The Sexual Sensation Seeking Scale (Kalichman et al., 1994) assessed the need for varied, novel, and complex sexual experience and risk-taking behaviors to enhance the sexual experience (see Appendix J). The ten-item scale has a Cronbach’s alpha of .83. A sample item is: “I enjoy watching ‘X-rated’ videos;” 138 participants responded on a four point Likert scale from 1 (not at all like me) to 4 (very much like me). Higher scores were indicative of higher sexual sensation seeking; the mean was 2.13 (SD = .58).
High-K Strategy Scale. The High-K Strategy Scale assessed the life history strategy of individuals (Giosan, 2006; see Appendix K). The 26-item scale tapped into health, attractiveness, social capital, and upward mobility; the scale is scored in the slow strategy direction. The scale had a high internal consistency reliability, α = .96. A sample item is: “I live in a community to which I am well suited;” participants responded on a five point Likert scale from 1 (strongly disagree) to 5 (strongly agree). Of the 222 participants that completed the scale, the mean score was 5.03 (SD = 1.08).
Mini-K. In the context of life history theory, Figueredo and associates developed the Mini-K in 2006 (see Appendix L). The Mini-K is a 20-item scale that measured the extent to which participants endorse slow life history strategies. The Cronbach’s alpha of the scale was moderate,  α = 83. A sample item is: “I am often in social contact with my blood relatives.” One hundred and thirty nine participants responded to the items on a seven point Likert scale from 1 (disagree strongly) to 7 (agree strongly). The mean for the Mini-K was 5.41 (SD = .67).
Contraceptive Attitudes Scale.  The Contraceptive Attitudes Scale measured attitudes towards the use of contraceptives in general (Black & Pollack, 1987; see Appendix M). The scale consists of 17 positive items and 15 negative items; sample items from the scale include: “It is no trouble to use contraceptives” and “I believe it is wrong to use contraceptives.” Two hundred and twenty two participants responded on a five-point Likert scale from 1 (strongly disagree) to 5 (strongly agree).  Higher scores indicate more positive attitudes towards using contraceptives after reverse scoring; the mean was 3.27 (SD = 1.54). The scale’s internal consistency reliability was high (α = .93).
Contraceptive Immorality Scale. The questions pertaining to contraceptive immorality were adapted from A Scale to Assess University Women’s Attitudes About Contraceptives (Fisher et al., 1998; see Appendix N). Only five items are utilized from this measure to ensure brevity. A sample item is: “Using contraception is immoral;” 169 participants responded on a five-point Likert scale from 1 (strongly disagree) to 5 (strongly agree). All 5 items were reverse scored; higher scores indicated higher belief that contraception is moral. Internal consistency reliability was high α =.88, (M = 4.67, SD = .61).
Contraceptive Self-Efficacy Scale. The Contraceptive Self-Efficacy Scale (CSE) assessed motivational barriers to contraceptive use among sexually active adolescent women (see Appendix O). Levinson (1986) created the scale to measure the ability of a female adolescent to control sexual and contraceptive situations. Cronbach’s alpha for this measure was adequate, (α =.64). A sample item is: “When I have sex, I can enjoy it as something that I really wanted to do;” 214 participants responded on a five-point Likert scale from 1 (not at all true of me) to 5 (completely true of me). The mean for the CSE was 3.96 (SD = .55).
Hurlbert Index of Sexual Excitability.  The Hurlbert Index of Sexual Excitability (HISE; Apt & Hurlbert, 1993) assessed a female’s ability to become sexually excited (see Appendix P). The scale consists of 25 items and participants responded on a five-point Likert scale from 0 (never) to 4 (all of the time). A sample item is: “I find sex with my partner to be exciting.” Higher scores indicate higher sexual excitability (M = 3.90, SD  = .63). Two hundred and ten participants completed the HISE and Cronbach’s alpha for this measure was high, (α =.90).  
Consideration of Future Consequences Scale. The Consideration of Future Consequences Scale (Strathman, Gleicher, Boninger, & Edwards, 1994) assessed an individual’s consideration of distant outcomes of current behaviors and the extent of the influence of these outcomes (see Appendix Q). Only the Future Orientation subscale was used for the purpose of this study. The Future Orientation subscale has a mediocre Cronbach’s alpha of .64. The subscale has five items; a sample item from the Future Orientation subscale is: “I consider how things might be in the future and try to influence those things with my day-to-day behavior.” One hundred and thirty-nine participants responded on a five-point Likert scale from 1 (extremely uncharacteristic) to 5 (extremely characteristic). Higher scores on the subscale indicate greater consideration of future consequences (M = 3.79, SD = .57).

Data Screening

            The data were checked for univariate outliers by examining box plots. Two participants were noted as being outliers on three or more scales and removed from analysis; likewise, individuals that self-reported as being abstinent were removed from analysis (N = 10). The minimum amount of data needed for subsequent factor analyses were marginally satisfied, with a final sample size of 96 (using listwise deletion). The skewness and kurtosis for each scale were within the tolerable range for assuming a normal distribution and examination of the histograms and stem-and-leaf plots revealed the distributions to look normal.

Life History Strategies Factor Analysis

            First, the Brief Sexual Attitudes Scale was divided into the four subscales (Permissiveness, Communion, Birth Control, and Instrumentality), the Sexual Desire Inventory was divided into the two subscales (Solitary and Dyadic), and only the Future Orientation subscale was used from the Consideration of Future Consequences. The HKSS, Mini-K, Sexual Sensation Seeking Scale, Hurlbert Scale of Sexual Excitability, and Sociosexuality Inventory, and the aforementioned subscales were utilized in the factor analysis. See Table 2 for summary of scales used in the Life History strategies factor analysis. Second, the factorability of the 12 scales was examined. The factorability of the 12 scales was assessed using the Kaiser-Meyer-Olkin measure of sampling adequacy, which was above the recommended value of .6 (.62), and Bartlett’s test of sphericity was significant, χ2 (66) = 231.98, p < .01. The diagonals of the anti-image correlation matrix were all over .5 (with the exception of Brief Sexual Attitudes Birth Control, at .42), supporting the inclusion of each item in the following factor analysis. Brief Sexual Attitudes Birth Control and Brief Sexual Attitudes Instrumentality had initial communalities below .2 (see Table 3). Sexual Desire Inventory Dyadic, Brief Sexual Attitudes Communion, and Future Orientation had initial communalities below .3 (see Table 3). HKSS, Mini K, Brief Sexual Attitudes Permissiveness, Sexual Desire Inventory Soloitary, Sexual Sensation Seeking, Hurlbert Scale of Sexual Excitability, and Sociosexuality had initial communalities above .3 (see Table 3).


Table 2

Descriptive Statistics Summary for Life History Strategies Scales
Scale
N
# of
Items
Mean
SD
      α
Sociosexuality Inventory
139
7
43.97
30.52
   .77
Brief Sexual Attitudes Permissiveness
140
10
2.16
.90
.90
Brief Sexual Attitudes Birth Control
140
3
4.56
.73
.86
Brief Sexual Attitudes Communion
140
5
3.87
.85
.80
Brief Sexual Attitudes Instrumentality
140
5
3.01
.84
.75
Dyadic Sexual Desire
139
8
4.75
1.67
.90
Solitary Sexual Desire
139
6
2.37
2.04
.91
Sexual Sensation Seeking Scale
138
10
2.13
.58
.83
Hurlbert Inventory of Sexual Excitability
139
25
3.90
.63
.90
High K Strategy Scale
222
23
5.03
1.08
.96
Mini K
139
20
5.41
.67
.83
Future Orientation Subscale
139
5
3.79
.57
.64




Table 3

Life History Strategies Factor Analysis Initial Communalities

Initial Communalities
High K Strategy
.40
Mini K
.31
Future Orientation Factor of CFC
.24
Brief Sexual Attitudes Permissiveness
.50
Brief Sexual Attitudes Birth Control
.15
Brief Sexual Attitudes Communion
.27
Brief Sexual Attitudes Instrumentality
.15
Sociosexuality
.51
Sexual Sensation Seeking
.34
Hurlbert Scale of Sexual Excitability
.33
Sexual Desire Inventory Solitary
.30
Sexual Desire Inventory Dyadic
.29

            A Principal Axis Factoring method of extraction with an Oblimin rotation was utilized. The initial eigenvalues, 2.70 and 1.98 respectively, showed a clear two-factor solution, with the first factor explaining 22.58% of the variance and the second factor explaining 16.52% of the variance. Two other factors explained 11.92 and 9.35 percent of the variance, with 1.43 and 1.12 eigenvalues respectively. Due to apparent “leveling off” as examined in the scree plot and theoretical considerations, only the first two factors were analyzed further. Both factors explained a total of 39.35% of the variance. There was little difference between an Oblimin and Varimax rotation; the two factors correlated at -.11.
            The results of the factor analysis confirmed the two-factor hypothesis; the factor-loading matrix is presented in Table 4. The scales assessing sexual behaviors loaded strongly on the first factor (e.g., .69 and .57) and subsequently loaded weakly (e.g., .27) or negatively (e.g., -.03) on the second factor, with scales assessing non-sexual behaviors; illustrating the distinct nature of these two factors. Likewise, the scales assessing non-sexual behaviors loaded strongly on the second factor (e.g., .57) and loaded negatively (e.g., -.15) on the first factor; this reiterates the distinct and separate nature of these two factors. Contrary to hypotheses, the Hurlbert Scale of Sexual Excitability loaded moderately on the second factor, .46, and weakly on the first factor, .23, where it was hypothesized to load strongest. Also, Brief Sexual Attitudes Instrumentality loaded moderately on the first factor as predicted, .22, but also loaded moderately and negatively on the second factor, -.33, not as predicted. Brief Sexual Attitudes Birth Control loaded weakly on both factors, .05 for the first and .28 for the second. Brief Sexual Attitudes Permissiveness cross-loaded, but in the hypothesized direction: positively on the first factor, .56 and negatively on the second factor, -.40. Brief Sexual Attitudes Communion loaded weakly on the first and second factor, .17 and .01 respectively.

Table 4

Life History Strategies Factor Matrix

Factor 1
Factor 2
High K Strategy
-.02
.52
Mini K
-.26
.57
Future Orientation Factor of CFC
-.15
.46
Brief Sexual Attitudes Permissiveness
.60
-.40
Brief Sexual Attitudes Birth Control
.05
.28
Brief Sexual Attitudes Communion
.17
.01
Brief Sexual Attitudes Instrumentality
.22
-.33
Sociosexuality
.51
-.38
Sexual Sensation Seeking
.69
.27
Hurlbert Scale of Sexual Excitability
.23
.46
Sexual Desire Inventory Solitary
.57
-.03
Sexual Desire Inventory Dyadic
.48
-.14


            The factor labels suited the hypothesized predictions; Factor 1 was labeled the “r Factor” and Factor 2 being labeled the “K factor.” However, when factor scores were computed to use in subsequent hierarchical regression analyses, the scales that did not follow in line with the theoretical framework were eliminated. The Hurlbert Scale of Sexual Excitability, Brief Sexual Attitudes Birth Control, Brief Sexual Attitudes Communion, and Brief Sexual Attitudes Instrumentality scales were dropped from the subsequent factor analyses, due to the lack of theoretical support and the presence of weak or cross loadings.
            K and r Factor scores. To compute factor scores, Principal Axis Factoring method of extraction with a Varimax rotation with Kaiser Normalization was utilized. HKSS, Mini K, Brief Sexual Attitudes Permissiveness, Sexual Desire Inventory Solitary, Sexual Desire Inventory Dyadic, Sexual Sensation Seeking, Sociosexuality, and Future Orientation were inputted into the analysis. The factorability of the eight scales was examined using the Kaiser-Meyer-Olkin measure of sampling adequacy, which was above the recommended value of .6 (.65), and Bartlett’s test of sphericity was significant, χ2 (28) = 172.80, p < .01. Examination of the anti-image correlation matrix revealed correlations above .5, with the exception of the HKSS (.49), supporting their inclusion in the analysis. With the exception of Future Orientation, HKSS, Sexual Desire Inventory Solitary, Mini K, and Sexual Sensation Seeking, the initial communalities were above .3. Variance is accounted for by the two-factor solution was 52.78%. The rotated factor matrix is presented in Table 5. Factor scores were created for each of the two factors, based on the mean of the items, which had their primary loadings on each factor. Higher scores on the r Factor indicated greater endorsement of sexual behaviors and higher scores on the K Factor indicated greater endorsement of non-sexual behaviors. Descriptive statistics are presented in Table 6. The skewness and kurtosis were within the tolerable range for assuming a normal distribution and examination of the histograms revealed the distributions to look normal.     


Table 5

Life History Strategies Factor Scores Factor Matrix

r Factor
K Factor
High K Strategy

.62
Mini K

.60
Future Orientation Factor of CFC

.52
Brief Sexual Attitudes Permissiveness
.72

Sociosexuality
.66

Sexual Sensation Seeking
.58

Sexual Desire Inventory Solitary
.49

Sexual Desire Inventory Dyadic
.51

Note: Factor loadings < .40 are suppressed

Table 6

Descriptive Statistics for r Factor and K Factor Scores (N = 99)

M (SD)
Skewness
Kurtosis
r Factor
.00053 (.87718)
.34
.44
K Factor
.00146 (.81292)
.44
-.40

Effectiveness Score Factor Analysis

            In order to test hypothesis one, a factor analysis was ran to compute the participants’ contraceptive method effectiveness score.  First, Primary Method Specific Errors, Primary Method General Errors, General Errors in Contraceptive Use, and General Knowledge of Contraception was factor analyzed and one factor was extracted using Principal Components Analysis. Examination of initial communalities and the anti-image correlation matrix revealed General Knowledge of Contraception did not correlate with the other three scales, and was consequently dropped from analysis. The factorability of the three scales was examined using the Kaiser-Meyer-Olkin measure of sampling adequacy, which was satisfactory (.53). Also, Bartlett’s test of sphericity was significant, χ2 (3) = 16.83, p < .01. A Principal Components Analysis was utilized to extract one factor from the three scales, and 44.72% of the variance was explained by this single factor. The component matrix is presented in Table 7. Component scores were created from the single factor solution; higher scores indicated higher general and method specific use skills. In the next step, participant’s scores on the General Knowledge of Contraception Scale were converted into z scores and subsequently averaged with the contraceptive use skills factor scores. This represented a composite effectiveness score of their contraceptive use skill and contraceptive knowledge. Lastly, participants’ specific method was taken into account by multiplying their composite score of use skills and knowledge by a percentage. This percentage was derived from known contraceptive efficacy (see Trussell, 2007): with typical use, eight women (of 100) experience an unintended pregnancy within the first year of use of the pill or ring, therefore participants using either the pill or ring received 92% of their composite effectiveness score. To calculate what percentage of their score they received, pill and vaginal ring users’ composite scores were multiplied by .92, condom users’ composite scores were multiplied by .85, and IUD users’ composite scores were multiplied by .992. The resulting score was known as their overall contraceptive effectiveness score. Descriptive statistics are presented in Table 8 and 9, separated by single method users and dual method users. 

Table 7

Contraceptive Use Skill Factor Analysis Factor Loadings for Effectiveness Score

Factor Loadings
General Contraception Use Skill
.72
Primary Method General Use Skill
.78
Primary Method Specific Use Skill
.47



Table 8

Descriptive Statistics for Contraceptive Effectiveness Score, Single Users
M(SD)
Skewness
Kurtosis
Effectiveness Score                   (skill)
-.24(.96)
-.67
.02
Effectiveness Score                     (skill & knowledge)
-.09(.80)
-.12
-.59
Effectiveness Score                   (skill, knowledge, & method)
-.09(.66)
-.28
-.42



Table 9

Descriptive Statistics for Contraceptive Effectiveness Score, Dual Users
M(SD)
Skewness
Kurtosis
Effectiveness Score                   (skill)
.49(.91)
-.85
.74
Effectiveness Score                     (skill & knowledge)
.22(.72)
-.60
1.48
Effectiveness Score                   (skill, knowledge, & method)
.26(.58)
.09
-.58



Results


Contraceptive Effectiveness

It was hypothesized that an interaction between r and K strategies would be found to predict contraceptive method effectiveness, such that high r and high K women would utilize the most effective methods. Results did not support my first hypothesis, N = 71. To examine the contribution of the r Factor, the K Factor, and their interaction to explain contraceptive effectiveness (skill only), a hierarchical multiple regression analysis was performed. The r Factor was entered in the first step, the K Factor was entered in the second step, and step three included the Interaction variable (r Factor X K Factor). Before analysis was performed, the independent variables were examined for collinearity. Results of the variance inflation factor (VIF) were all less than 2.0, and collinearity tolerance were greater than .80, suggesting the estimated βs were well established in the model. The results were not significant, p > .05.
Results from analysis on contraceptive effectiveness (skill and knowledge) did not support my first hypothesis, N = 99. To examine the contribution of the r Factor, the K Factor, and their interaction to explain contraceptive effectiveness (skill and knowledge), a hierarchical multiple regression analysis was performed. The r Factor was entered in the first step, the K Factor was entered in the second step, and step three included the Interaction variable (r Factor X K Factor). Before analysis was performed, the independent variables were examined for collinearity. Results of the variance inflation factor (VIF) were all less than 2.0, and collinearity tolerance were greater than .92, suggesting the estimated βs were well established in the model. The results were not significant, p > .05.
Results from analysis on contraceptive effectiveness (skill, knowledge, and method) did not support my first hypothesis, N = 76. To examine the contribution of the r Factor, the K Factor, and their interaction to explain contraceptive effectiveness (skill, knowledge, and method), a hierarchical multiple regression analysis was performed. The r Factor was entered in the first step, the K Factor was entered in the second step, and step three included the Interaction variable (r Factor X K Factor). Before analysis was performed, the independent variables were examined for collinearity. Results of the variance inflation factor (VIF) were all less than 2.0, and collinearity tolerance were greater than .80, suggesting the estimated βs were well established in the model. The results of step three were not significant, p > .05. The unstandardized regression coefficients (b) and the intercept, and the standardized regression coefficients (β) are reported in Table 10. A graph illustrating the interaction of the two factors is presented in Figure 23. 

Table 10

Summary of Hierarchical Regression Analysis for Contraceptive Effectiveness, N = 76
Step
Variable
ΔR2
β 
b
1
r Factor
.00
.10
.10
2
K Factor
.01
.10
.09
3
Interaction
.01
.10
.13

Intercept


-.09
Note: Standardized (β) and unstandardized (b) coefficients are from the final model (i.e., after Step 3). ΔR2 values are provided for each predictor as they were entered in consecutive steps. The overall model was not significant, R2 = .02, F(3,72) = .49, p > .05.



Contraceptive Knowledge

It was hypothesized that an interaction between r and K strategies would be found to predict contraceptive knowledge, such that high r and high K women would be most knowledgeable about contraception. Results did not support my second hypothesis, N = 100. To examine the contribution of the r Factor, the K Factor, and their interaction to explain contraceptive knowledge, a hierarchical multiple regression analysis was performed. The r Factor was entered in the first step, the K Factor was entered in the second step, and step three included the Interaction variable (r Factor X K Factor).  The results were not significant, p > .05. The unstandardized regression coefficients (b) and the intercept, and the standardized regression coefficients (β) are reported in Table 11. A graph illustrating the interaction of the two factors is presented in Figure 24.

Table 11

Summary of Hierarchical Regression Analysis for Contraceptive Knowledge, N = 99
Step
Variable
ΔR2
β 
b
1
r Factor
.02
.12
.41
2
K Factor
.00
-.04
-.12
3
Interaction
.01
.08
.34

Intercept


11.62
Note: Standardized (β) and unstandardized (b) coefficients are from the final model (i.e., after Step 3). ΔR2 values are provided for each predictor as they were entered in consecutive steps. The overall model was not significant, R2 = .03, F(3,95) = .93, p > .05.


General Contraceptive Attitudes

It was hypothesized that an interaction between r and K strategies would be found to predict general attitudes towards contraceptives, such that high r, high K women would have the most positive attitudes. Results did not exactly support my third hypothesis, N = 100. To examine the contribution of the r Factor, the K Factor, and their interaction to explain general attitudes towards contraception, a hierarchical multiple regression analysis was performed. The r Factor was entered in the first step, the K Factor was entered in the second step, and step three included the Interaction variable (r Factor X K Factor). The results of step three indicated that the variance accounted for (R2) by the three variables equaled .05 (adjusted R2  = .02), which was not significantly different from zero, F (3, 96) = 1.72, p >.05. The unstandardized regression coefficients (b) and the intercept, and the standardized regression coefficients (β) are reported in Table 12. A graph illustrating the interaction of the two factors is presented in Figure 25.

Table 12

Summary of Hierarchical Regression Analysis for Contraceptive Attitudes, N = 100
Step
Variable
ΔR2
β 
b
1
r Factor
.01
.02
.02
2
K Factor
.04*
-.20
-.20
3
Interaction
.00
.07
.08

Intercept


4.09
Note: Standardized (β) and unstandardized (b) coefficients are from the final model (i.e., after Step 3). ΔR2 values are provided for each predictor as they were entered in consecutive steps. The FΔ for Model 2 was significant, R2 = .05, FΔ (1,97) = 4.02, p < .05. * p < .05; p = .06


Contraceptive Morality Attitudes

It was hypothesized that an interaction between r and K strategies would be found to predict morality attitudes towards contraceptives, such that high r, high K women would be the most morally accepting of contraceptives. Results did not fully support my fourth hypothesis, N = 100. To examine the contribution of the r Factor, the K Factor, and their interaction to explain morality attitudes towards contraception, a hierarchical multiple regression analysis was performed. The r Factor was entered in the first step, the K Factor was entered in the second step, and step three included the Interaction variable (r Factor X K Factor). The results of step three indicated that the variance accounted for (R2) with the three variables equaled .07 (adjusted R2  = .04), which was nearly significantly different from zero, F (1, 98) = 2.32, p = .080. The unstandardized regression coefficients (b) and the intercept, and the standardized regression coefficients (β) are reported in Table 13. A graph illustrating the interaction of the two factors is presented in Figure 26.

Table 13

 Summary of Hierarchical Regression Analysis for Contraceptive Morality Attitudes, N = 100
Step
Variable
ΔR2
β 
b
1
r Factor
.04
.21
.17*
2
K Factor
.02
.14
.12
3
Interaction
.02
.13
.14

Intercept


4.57
Note: Standardized (β) and unstandardized (b) coefficients are from the final model (i.e., after Step 3). ΔR2 values are provided for each predictor as they were entered in consecutive steps.The overall model was not significant, R2 = .07, F(3, 96) = 2.32, p = .08. * p < .05; p = .06


Contraceptive Self-Efficacy

It was hypothesized that an interaction between r and K strategies would be found to predict contraceptive self-efficacy, such that high r, high K women would have the highest contraceptive self-efficacy. Results from single method users did not fully support my fifth hypothesis, (N = 71). To examine the contribution of the r Factor, the K Factor, and their interaction to explain contraceptive self-efficacy, a hierarchical multiple regression analysis was performed. For single method users (N = 71), the r Factor was entered in the first step, the K Factor was entered in the second step, and step three included the Interaction variable (r Factor X K Factor). The results of step three indicated that the variance accounted for (R2) with variables entered equaled .08 (adjusted R2  = .04), which was not significantly different from zero, F (3, 67) = 1.96, p >.05. The unstandardized regression coefficients (b) and the intercept, and the standardized regression coefficients (β) are reported in Table 14. A graph illustrating the interaction of the two factors is presented in Figure 27.

Table 14

Summary of Hierarchical Regression Analysis for Contraceptive Self-Efficacy from Single Method Users, N = 71
Step
Variable
ΔR2
β 
b
1
r Factor
.00
.04
.03
2
K Factor
.05
.26
.17*
3
Interaction
.03
.19
.16

Intercept


3.91
Note: Standardized (β) and unstandardized (b) coefficients are from the final model (i.e., after Step 3). ΔR2 values are provided for each predictor as they were entered in consecutive steps. The overall model was not significant, R2 = .08, F(3, 67) = 1.97, p = .06. * p < .05; p = .06



Additional Analyses

Age. To examine the contribution of the r Factor, the K Factor, and their interaction to explain age, a hierarchical multiple regression analysis was performed. For all participants (N = 100), the r Factor was entered in the first step, the K Factor was entered in the second step, and step three included the Interaction variable (r Factor X K Factor). The results of step three indicated that the variance accounted for (R2) with the three variables entered equaled .33 (adjusted R2  = .31), which was significantly different from zero, F (3, 96) = 15.77, p < .01. Thirty-three percent of the variance in age can be accounted for by the two factors and their interaction. The unstandardized regression coefficients (b) and the intercept, and the standardized regression coefficients (β) are reported in Table 15. A graph illustrating the interaction can be found in Figure 28.

Table 15

Summary of Hierarchical Regression Analysis for Age, N = 100
Step
Variable
ΔR2
β 
b
1
r Factor
.08**
.38
2.22***
2
K Factor
.19***
.48
3.02***
3
Interaction
.06***
.25
1.92**

Intercept


21.93
Note: Standardized (β) and unstandardized (b) coefficients are from the final model (i.e., after Step 3). ΔR2 values are provided for each predictor as they were entered in consecutive steps.The overall model was significant, R2 = .33, F(3, 96) = 15.77, p < .001. ** p < .01; ***p <.001



Delay of sexual intercourse. To examine the contribution of the r Factor, the K Factor, and their interaction to explain the time lapsed from age at first sexual intercourse and age at first menstruation, a hierarchical multiple regression analysis was performed. Delay of Sex was computed by subtracting Age at First Menstruation from Age at First Sexual Intercourse, M = 4.22, SD = 2.49. For sexually active participants (N = 92), the r Factor was entered in the first step, the K Factor was entered in the second step, and step three included the Interaction variable (r Factor X K Factor). The results of step three indicated that the variance accounted for (R2) with the variables entered equaled .05 (adjusted R2  = .02), which was not significantly different from zero, F (3, 88) = 1.67, p > .05. The unstandardized regression coefficients (b) and the intercept, and the standardized regression coefficients (β) are reported in Table 16. A graph illustrating the interaction of the two factors is presented in Figure 29.

Table 16

Summary of Hierarchical Regression Analysis for Delay of Sex, Not Sexually Active Participants Removed, N = 92
Step
Variable
ΔR2
β 
b
1
r Factor
.01
-.05
-.16
2
K Factor
.04
.20
.60
3
Interaction
.00
-.07
-.27

Intercept


4.18
Note: Standardized (β) and unstandardized (b) coefficients are from the final model (i.e., after Step 3). ΔR2 values are provided for each predictor as they were entered in consecutive steps. The overall model was not significant, R2 = .05, F(3, 88) = 1.67, p < .05. p = .07



Religiosity. To examine the contribution of the r Factor, the K Factor, and their interaction to explain religiosity, a hierarchical multiple regression analysis was performed. For all participants (N = 100), the r Factor was entered in the first step, the K Factor was entered in the second step, and step three included the Interaction variable (r Factor X K Factor). The results of step three indicated that the variance accounted for (R2) with the three variables entered equaled .24 (adjusted R2  = .22), which was significantly different from zero, F (3,96) = 10.41, p < .01. The unstandardized regression coefficients (b) and the intercept, and the standardized regression coefficients (β) are reported in Table 17. A graph illustrating the interaction of the two factors is presented in Figure 30.

Table 17

 Summary of Hierarchical Regression Analysis for Religiosity, N = 100
Step
Variable
ΔR2
β 
b
1
r Factor
.10**
-.21
-.36*
2
K Factor
.12***
.35
.65***
3
Interaction
.02
-.15
-.33

Intercept


2.18
Note: Standardized (β) and unstandardized (b) coefficients are from the final model (i.e., after Step 3). ΔR2 values are provided for each predictor as they were entered in consecutive steps. The overall model was significant, R2 = .24, F(3, 96) = 10.41, p < .001. ** p < .01; * p < .05; p = .10



Possibility of being infertile. To examine the contribution of the r Factor, the K Factor, and their interaction to explain the possibility of being infertile, a hierarchical multiple regression analysis was performed. For all participants (N = 100), the r Factor was entered in the first step, the K Factor was entered in the second step, and step three included the Interaction variable (r Factor X K Factor). The results of step three indicated that the variance accounted for (R2) with the variables entered equaled .06 (adjusted R2  = .04), which was nearly significantly different from zero, F (3, 96) = 2.22, p = .09. The unstandardized regression coefficients (b) and the intercept, and the standardized regression coefficients (β) are reported in Table 18. A graph illustrating the interaction of the two factors is presented in Figure 31.

Table 18

 Summary of Hierarchical Regression Analysis for Possibility of Being Infertile, N = 100
Step
Variable
ΔR2
β 
b
1
r Factor
.03
.10
.13
2
K Factor
.04*
-.20
-.28*
3
Interaction
.00
.01
.01

Intercept


2.08
Note: Standardized (β) and unstandardized (b) coefficients are from the final model (i.e., after Step 3). ΔR2 values are provided for each predictor as they were entered in consecutive steps. The second overall model was significant, R2 = .07, F(2,97) = 3.36, p < .05. * p < .05; p = .10



Sex frequency in the past year. To examine the contribution of the r Factor, the K Factor, and their interaction to explain frequency of sex in the past year, a hierarchical multiple regression analysis was performed. For sexually active participants (N = 86), the r Factor was entered in the first step, the K Factor was entered in the second step, and step three included the Interaction variable (r Factor X K Factor). The results of step three indicated that the variance accounted for (R2) with the variables entered equaled .10 (adjusted R2  = .06), which was significantly different from zero, F (3, 82) = 2.96, p = .04. The unstandardized regression coefficients (b) and the intercept, and the standardized regression coefficients (β) are reported in Table 19. A graph illustrating the interaction of the two factors is presented in Figure 32.

Table 19

Summary of Hierarchical Regression Analysis for Sex Frequency in the Past Year, Not Active Participants Removed, N = 86
Step
Variable
ΔR2
β 
b
1
r Factor
.07**
.29
18.96**
2
K Factor
.01
.07
4.99
3
Interaction
.02
.14
12.585

Intercept


53.49
Note: Standardized (β) and unstandardized (b) coefficients are from the final model (i.e., after Step 3). ΔR2 values are provided for each predictor as they were entered in consecutive steps. The overall model was significant, R2 = .10, F(3,82) = 2.96, p < .05. ** p < .01; ; p = .18



For sexually active dual method users (N = 25), the r Factor was entered in the first step, the K Factor was entered in the second step, and step three included the Interaction variable (r Factor X K Factor). The results of step three indicated that the variance accounted for (R2) with the r Factor, the K Factor, and their interaction entered equaled .40 (adjusted R2  = .32), which was significantly different from zero, F (3, 21) = 4.68, p < .01. The unstandardized regression coefficients (b) and the intercept, and the standardized regression coefficients (β) are reported in Table 20. A graph illustrating the interaction of the two Factors is presented in Figure 33.

Table 20

Summary of Hierarchical Regression Analysis for Sex Frequency in the Past Year from Dual Method Users, N = 28
Step
Variable
ΔR2
β 
b
1
r Factor
.20*
.63
20.77***
2
K Factor
.15*
.38
14.98*
3
Interaction
.10
.29
11.45

Intercept


37.59
Note: Standardized (β) and unstandardized (b) coefficients are from the final model (i.e., after Step 3). ΔR2 values are provided for each predictor as they were entered in consecutive steps. The overall model was significant, R2 = .12, F(3,96) = 4.17, p < .01.
*** p < .001; *p < .05; p = .08




Current health. To examine the contribution of the r Factor, the K Factor, and their interaction to explain reported current health, a hierarchical multiple regression analysis was performed. For all participants (N = 100), the r Factor was entered in the first step, the K Factor was entered in the second step, and step three included the Interaction variable (r Factor X K Factor). The results of step three indicated that the variance accounted for (R2) with the r Factor and K Factor entered equaled .09 (adjusted R2  = .06), which was significantly different from zero, F (3, 96) = 3.16, p = .03. The unstandardized regression coefficients (b) and the intercept, and the standardized regression coefficients (β) are reported in Table 21. A graph illustrating the interaction of the two factors is presented in Figure 34.


Table 21

Summary of Hierarchical Regression Analysis for Current Health, N = 100
Step
Variable
ΔR2
β 
b
1
r Factor
.04*
-.14
-.14
2
K Factor
.04*
.22
.22*
3
Interaction
.00
-.04
-.05

Intercept


3.98
Note: Standardized (β) and unstandardized (b) coefficients are from the final model (i.e., after Step 3). ΔR2 values are provided for each predictor as they were entered in consecutive steps. The overall model was significant, R2 = .09, F(3,96) = 3.16, p < .05. *p < .05



Age at first sexual intercourse. To examine the contribution of the r Factor, the K Factor, and their interaction to explain age at first sexual intercourse, a hierarchical multiple regression analysis was performed. For sexually active participants (N = 92), the r Factor was entered in the first step, the K Factor was entered in the second step, and step three included the Interaction variable (r Factor X K Factor). The results of step three indicated that the variance accounted for (R2) with the variables entered equaled .10 (adjusted R2  = .07), which was significantly different from zero, F (3, 88) = 3.40, p = .02. The unstandardized regression coefficients (b) and the intercept, and the standardized regression coefficients (β) are reported in Table 22. A graph illustrating the interaction of the two factors is presented in Figure 35.

Table 22

Summary of Hierarchical Regression Analysis for Age at First Sexual Intercourse, Not Active Participants Removed, N = 92
Step
Variable
ΔR2
β 
b
1
r Factor
.01
-.02
-.04
2
K Factor
.10**
.31
.79**
3
Interaction
.00
-.04
-.12

Intercept


16.72
Note: Standardized (β) and unstandardized (b) coefficients are from the final model (i.e., after Step 3). ΔR2 values are provided for each predictor as they were entered in consecutive steps. The overall model was significant, R2 = .10, F(3,88) = 3.40, p < .05. ** p < .01


Discussion


Life History Strategies

LHT suggests that since an individual’s resources are limited, the individual must choose between r and K strategies; the individual must choose to invest in their offspring or not, put off mating or not, and have few or many offspring (Kruger & Nesse, 2004, 2006). According to LHT, a continuum for humans exists from a slower course, high K, to a faster course, low K (Bielby et al., 2007; Ellis et al., 2009). These choices in strategy manifest in behaviors existing within two clusters; mating strategies form a continuum, with most individuals falling somewhere along this range (Figueredo et al., 2004). The assumption, however, that an individual’s resources are limited, forcing them to choose between traditional r and traditional K strategies has been challenged. It is reasonable to think that individuals with limited resources are forced to choose between r and K strategies, but individuals that have plentiful resources might be able to exhibit traditional r and traditional K strategies.
It was proposed that the traditional view of the K strategy be maintained with respect to future time perspective, and long-term mating strategy. Concurrently, sexual drive, sexual desire, sexual flexibility, and lack of sexual restraint (Figueredo et al., 2006) should be removed from K and placed on a separate factor; this second factor could be described as r. It was predicted that sexual clusters of behavior are sex drive, attitudes towards sex, sexual excitability, and sexual sensation seeking; those behaviors also lie on a continuum. Individuals can be low in sexual restraint (r) or high, just as much as they can be high or low on the K spectrum. These sexual clusters of behavior should load on one factor.
Results of a two-factor solution on life history strategies scales supported this hypothesis. As observed in the factor-loading matrix presented in Tables Four and Five, the scales assessing sexual behaviors (r) loaded strongly on the first factor (Sociosexuality, Brief Sexual Attitudes Permissiveness, Sexual Sensation Seeking, Sexual Desire Inventory Solitary, and Sexual Desire Inventory Dyadic) and subsequently loaded weakly or negatively on the second factor, which is comprised of scales assessing non-sexual behaviors (K; Mini-K, HKSS, and Future Orientation). Likewise, the scales assessing non-sexual behaviors (K) loaded strongly on the second factor and also loaded weakly or negatively on the first factor; this pattern of loadings illustrates the distinct and separate nature of these two factors. In addition, results from the factor correlation matrix also revealed these two factors are distinct, r  = -.18.
This two-factor solution does account for individuals that exhibit high K strategies in non-sexual clusters of behavior while exhibiting traditional r (low K) strategies in sexual clusters of behavior. To measure life history strategy on one continuum, as done previously, with sexual and non-sexual clusters of behavior within the single continuum does not reveal the whole picture of human life. First, to evaluate a two-factor solution of life history strategies, I attempted to predict contraceptive behaviors.

Effectiveness Score

Dual method users and single method users. Results did reveal that participants reporting the use of more than one method (dual users) had higher effectiveness scores, on all three variations of measurement, than participants reporting the use of only one method (see Tables 8 and 9). As a check of validity, it appears that dual users have increased contraceptive skills, contraceptive knowledge, and use more effective methods overall. Participants could also denote if they were dual method users (e.g., pill and condom, vaginal ring and condom, etc.).
The majority of participants were single method users (N = 208), while 68 participants reported being dual method users. Fascinatingly, many participants reported using the withdrawal method in addition to other methods listed in the Current or Recent Methods on the CMQ (N = 68). Future research might look to explore this result, since 25 percent of participants were reporting this variation of “dual” methods. Future research might also look to explore the particular cognitions behind this pattern of behavior: are individuals withdrawing because they do not trust their primary method? Do they not understand how their method works? Or are they a method they believe to be reliable and effective? Furthermore, future research might tease apart individuals who self-identify as dual method users, when in fact, they are using the withdrawal method instead of the traditionally accepted condom method in conjunction with another method.

Contraceptive Effectiveness

It was hypothesized that an interaction between r and K strategies will be found to predict contraceptive method effectiveness, such that high r and high K women utilized the most effective methods. The results revealed a trend in the hypothesized direction (see Table 1); although underpowered, high r and high K women utilized the most effective methods (see Figure 1). With continued collection of data, this interaction between r and K will be supported. The methodology used in the current study was brand new; no previous literature has examined a composite of individuals’ contraceptive use skills, contraceptive knowledge, and their contraceptive method as an index of their contraceptive effectiveness. Prior research has examined various demographic variables to explain why women won’t use contraception (Nettleman et al., 2007), their level of commitment to preventing pregnancy (Bartz et al., 2007), or inconsistent use of contraception (Davies et al., 2006); however, no previous research has examined the weight of three variables that might help explain an individual’s contraceptive behaviors. The results, although in the hypothesized direction, lacked significance. This could be due to a myriad of issues caused by lack of power and the new measurement procedure. Future research will hopefully include a more comprehensive review of each user and their contraceptive behaviors. Hopefully future research will aid in progressing this avenue of measurement forward, specifically in addressing a contracepting individual wholly: by examining their use skills, knowledge, and choice of method in order to fully understand their contraceptive behaviors. More comprehensive information in this manner might lend to contraceptive education reform and expand what we know about contraception overall.

Contraceptive Knowledge

      It was hypothesized that an interaction between r and K strategies would be found to predict contraceptive knowledge, such that high r and high K women would be most knowledgeable about contraception. The results revealed a trend in the hypothesized direction; although lacking significance due to being underpowered, high K, high r participants were the most knowledgeable of contraception.
However, participants in this sample did not score well on the 21-point multiple-choice examination assessing contraceptive knowledge; the mean score was 12.40 (SD = 2.66). This lack of statistical support could also be due to the nature of these questions; the presence of a multiple choice test embedded within self-report measures might be responsible for error, since this method of measurement was in contrast with what individuals expect when participating in survey research. However, this result does highlight the necessity for more comprehensive sex education.
This is not to say that individuals’ contraceptive knowledge should not be taken into account when assessing their contraceptive behaviors. Questions on the General Knowledge of Contraception Scale included items that were general in nature: “a woman can get pregnant” with the options: “(a) a few minutes after sexual intercourse; (b) a few hours after sexual intercourse; (c) a few days after sexual intercourse, (d) all of the above.” These questions are not specific to any method, but to the consequences of sexual intercourse in general; thus, irrespective of the participant’s method, they should be able to answer these questions to the best of their knowledge. In addition, the Contraceptive Knowledge Measure included items for each of the four main methods (pill, IUD, ring, and condom); those individuals using these specific methods might more easily answer these questions. In conclusion, this specific population might not have the contraceptive knowledge to replicate previous findings (e.g., Frost et al., 2012).

General Contraceptive Attitudes

            It was hypothesized that an interaction between r and K strategies would be found to predict general attitudes towards contraceptives, such that high r, high K women would have the most positive attitudes. Results did not fully support my third hypothesis. Instead, only the K factor was a statistically significant predictor, inversely, of general attitudes towards contraception. Participants high on the K factor did not have nearly as favorable general attitudes towards contraception than their low K counterparts. However, of high K participants, high r individuals were more favorable towards contraception. Hopefully more participants might reveal a clearer picture regarding general attitudes towards contraception.

Contraceptive Morality Attitudes

            It was hypothesized that an interaction between r and K strategies would be found to predict morality attitudes towards contraceptives, such that high r, high K women would be the most morally accepting of contraceptives. The results revealed a trend in the hypothesized direction; although underpowered, high r and high K women were the most morally approving of contraception. Contraceptives are methods that prevent pregnancy, consequences of the behavior high r, high K individuals engage in more freely than their counterparts.

Contraceptive Self-Efficacy

            It was hypothesized that an interaction between r and K strategies would be found to predict contraceptive self-efficacy, such that high r, high K women would have the highest contraceptive self-efficacy. Results from single users did not fully support my fifth hypothesis, but were trending in the hypothesized direction. High r, high K participants had the highest contraceptive self-efficacy. Along with more data to reveal the relationship of the two factors with contraceptive self-efficacy, it might be more pertinent to examine the individual’s reported behaviors (as seen the CUQ) as an index of their contraceptive self-efficacy, rather than the measure at hand. With that, future research might also look to examine if participants’ contraceptive effectiveness scores can predict their contraceptive self-efficacy, or vice versa.

Life History Outcomes

In order to examine the notion and efficacy of a two-factor solution of life history strategies, I also attempted to predict relevant life history outcomes.
Age. For age, a significant interaction was found between the r Factor and the K Factor. There was a greater gap in age between high r individuals than low r individuals; furthermore, high r, high K individuals were the oldest in the sample. Furthermore, it seems in this sample, high K females endorsed sexual clusters of behavior more as they mature.
It is also interesting to examine that individuals low on the K Factor were the youngest; perhaps the K strategy is indicative of overall maturity. Individuals low on the K Factor can be aggressive, rarely cooperate, rarely engage in altruistic behaviors, disregard of social rules, manipulative, exploitative, short term oriented; all of which can be viewed as individuals lacking maturity.
Religiosity. Results of a nearly significant interaction revealed low K, high r participants were the least religious, while high K, low r participants were the most religious. Figueredo and others (2006), as traditionally measured, high K individuals are more likely to be high on religiosity, and these results confirm that notion. Interestingly, Figueredo and others (2006) also note that indicators of sexual restrictedness include increased religiosity; the negative direction of the r Factor in predicting religiosity supports this notion directly, the more a participant endorses sexual unrestrictedness, the lower they report their religiosity. Although the interaction was not nearly significant, these results highlight the interplay between the two-factor solution to help explain relevant life history outcomes such that high r, high K participants were less religious than low r, low K participants.
Sex frequency in past year.
Single method users. Results, although almost significant, were trending in the hypothesized direction; high r, high K participants had the highest sex frequency in the past year. This result acts as a validity check for using the two-factor solution in measuring life history strategies. It is apparent that individuals endorsing sexual clusters behaviors would also engage in sexual intercourse more frequently. Interestingly, for all participants and single users, the K factor was not a significant predictor in sexual intercourse frequency in the past year. This lack of predictive ability with respect to a pivotal and relevant life history outcome highlights the need for two-factor solution measuring life history strategies. Simply being low on K factor does not reveal an individual engages in sexual variety, sexual promiscuity, and unrestrained sexuality (as viewed in the traditional model of measurement); instead, their scores on the r Factor significantly predicted this relevant life history outcome.
            Dual method users. Results from sexually active dual users revealed stronger support for a two-factor solution compared to that of single method users, in spite of the fact that this group had a low sample size (n = 25). A nearly significant interaction revealed high r, high K participants had the most sex in the past year. These results still support the two-factor solution for measuring life history strategies. Furthermore, sexual frequency was highest for high r, high K dual method users, suggesting that the combination of high sex drive from the r Factor and safer sex from the K Factor makes for a high frequency of sex!
Age at first sexual intercourse. Results from sexually active participants, lacking significance, were in the predicted direction, such that high r participants were younger at age of first sex. However, it might be more pertinent to examine the time elapsed between menstruation and age at first sexual intercourse as a more relevant life history outcome, rather than these two events in isolation.
Delay of sexual intercourse. Delay of Sex was computed by subtracting age at first menstruation from age at first sexual intercourse. Age at first menstruation did not yield significant results upon analysis, but delay of sexual intercourse did show support for the two-factor solution. Results from sexually active participants, although not significant, revealed participants higher on the r Factor did not delay sex long after first menstruation; however, individuals lower on the K Factor delayed sex longer than their high K counterparts.  These results are fascinating in that they support the notion of utilizing a two-factor solution to measure relevant life history outcomes; with more data, the interaction between the two factors should become clearer.
Possibility of being infertile. Results revealed a main effect for the K factor. Individuals high on the K factor were less likely to hold the belief that they were infertile. This is an interesting result in that it highlights the nature of the K factor. The K factor is concerned with extensive parental investment and intensive offspring investment, both of which are indicative of an individual being able to successfully bear children. This is not to say that they are engaging in the proximate act of sexual intercourse, but they hold the belief that they are not likely to have issues with conception. Interestingly, as measured traditionally, individuals low on K are seen to have increased fecundity; this might be true in reality, however, the results of the current study report that individuals high on K perceive themselves as having higher fecundity than their low K counterparts.
Current health. Results revealed a main effect for the K factor. Individuals high on the K factor reported being more healthy than their low K counterparts. This result supports the traditional view of measuring life history strategies. The K strategy involves clusters of behavior that are indicative of increased health: extensive parental investment, consideration of risks, long lifespan, increased inclusive fitness, extensive somatic investment, and long-term thinking.

Limitations

            In the current study, the lack of power was attributed to the response rate, which was well below 50%; this also contributed to the ever-fluctuating sample sizes for each of the scales utilized. Due to using both convenience sampling, in which participants were not rewarded for their participation, and a human subjects pool, in which participants were rewarded for participation, the attrition from participants not receiving compensation was high. Furthermore, the sheer number of items required of the participants also led to a higher attrition rate for individuals participating without compensation. Furthermore, oversight in measurement construction lead to condom users responding to five questions about their method specific use skills, pill and ring users responding to two questions, IUD users responding to one, and individuals not utilizing these methods answered none.


Future Directions

            More data will be collected to not only flesh out the interaction between the r Factor and K Factor for the hypothesized contraceptive results that were not significant, but also to reveal their relationship with the relevant LH outcomes explored as well. The next step in improving the overall experimental design at hand is to modify, shorten, and clarify the scales used to assess the participant’s life history strategy and contraceptive behaviors. However, this study lays foundational groundwork on what dimensions comprise an individuals sexual clusters of behavior (r Factor) and non-sexual clusters of behavior (K Factor); future psychometric work can improve and streamline the measurement of these two-factors solution for life history strategies. Factor analyses and reliability analyses should be ran item level to determine what items are the best indicators of each strategy; these items could be used to create a short form for assessing these two strategies. Furthermore, refinement of measurement of contraceptive effectiveness can be made, due to the initial work of the current study. Future studies will hopefully fine-tune the assessment of an individual’s actual contraceptive behavior, either by utilizing an observational method (e.g., Lindemann & Brigham, 2003) or more detailed self-reports specific to their contraceptive method, either in Likert-scale or free-response fashion. Likewise, questions should be constructed for methods outside the primary four, as utilized in the current study.

Conclusion


 Seventy seven percent of participants in this sample reported using a contraceptive method, while only 23 percent reported no method. These results shed initial light on how individuals can pursue both an r and K strategy. The resource that allows individuals to pursue both traditional r and traditional K strategies is contraception. Life history theory, in its purest form, is concerned predominantly with the timing of reproduction, since that is the final stage organisms can allocate resources to in their lifetime (Griskevicius et al., 2011). The question of how individuals time their reproduction is raised: they use contraception.
Current measures of life history strategies are not comprehensive and problematic: to ask someone if they endorse long-term mating (e.g., the Mini-K, Figueredo et al., 2006) doesn’t provide a representative summary of the clusters of behaviors indicative of their life history strategy, specifically strategies signifying the timing of their reproduction. Instead, it would be much more pertinent to ask individuals more specifically about their sexual restraint, or lack thereof, and their contraceptive behaviors. These two facets might reveal a more realistic index of what life history strategy they are employing. Because life history, biologically and psychologically, really is about reproductive timing (Griskevicius et al., 2011): it takes sex to reproduce and it takes contraception to prevent it.  The questions individuals should be asked are more along the lines of: do you want to reproduce, and when? Do you want to prevent pregnancy, and what length do you go to prevent pregnancy? How well do you prevent reproduction, and how often do you engage in intercourse (the act of reproduction)? These behaviors are indicative of a life history strategy, as it relates to the theory it was originally distilled from (Promislow & Harvey, 1990, 1991).
It is through the use of contraception females can pursue a mixed strategy of combining both r and K strategies. Although women have been practicing contraception since they could keep written records, it was only recently that highly effective hormonal methods allowed women to virtually perfect their contracepting behaviors (Szarewski & Guillebaud, 1991). Since sex with contraception lowers the risk of pregnancy, women can combine r and K strategies. High K specific strategies such as high personal investment (attending a university, pursuing a career, etc.), delay of reproduction, and increased investment in offspring quality with birth spacing can be achieved by utilizing an effective form of contraception. However, these women can also engage in a high frequency of intercourse both inside and outside the context of relationships, a strategy often displayed by high r individuals.
Contraception makes it possible for an individual to begin sexual activity at an early age while investing in self-development (e.g., pursuing a college degree), to have sex with multiple partners without conception, choose one long-term partner (with or without non-conception extra pair copulation), and invest heavily in a limited number of children (due to contraception’s child spacing and limiting benefits).  Through contraception, females can pursue promiscuous or committed sex; females can have as much sex without conception as desired; and consequently, enjoy sex proximately without the ultimate consequence of pregnancy. The results of the study support this notion. Specifically, the majority of participants were employing a contraceptive method (80%), the majority of participants are sexually active and the average age at first sex was 15.54, 43.2 percent of participants in the current study were dating exclusively, and no participants (in analysis) were pregnant. Furthermore, 96.8% of participants in analysis did not have children and 96.8% have not had an abortion; the combining of the r and K strategies seems to be successful in terms of reproductive consequences.
To conceptualize life history strategies in this manner before might have been difficult. Similarly, we know knowledge is a predictor of contraceptive use; so if individuals could gain more knowledge about contraception, they could effectively change their strategy under this theory and might actually be successful (Frost et al., 2012). However, according to Kaplan and Lancaster (2003), “anthropological research among small-scale societies reveals that with increasing resources and increasing investment in embodied capital, people choose to have fewer children, and they choose to have them later.” The resources could not only indicate shifting from low K to high K, but those resources could be access to and implementation of safe and effective contraception. Through contraception, these individuals can be successful in having fewer children and having them later in life, other indicators of high K strategies. This is not to say that one strategy is better than others, even while some say one is more “socially desirable” (Figureredo et al., 2006). Nonetheless, when it comes to global overpopulation and carrying capacity (Ehrlich & Ehrlich, 2013), maternal mortality (Esscher, Högberg, Haglund, & Essën, 2013; Storeng, Drabo, Filippi, 2013), AIDS/HIV (Kanki, 2013), limited access to contraception (Dennis et al., 2012), threats to access (Horga, Gerdts, & Potts, 2013), in terms of reproductive timing: the right combination of each strategy is better.


References

Alexander, R. D. (1987). The biology of moral systems. Hawthorne, NY: Aldine de Gruyter.
Apt, C. & Hurlbert, D. F. (1992). Motherhood and female sexuality beyond one year postpartum: A study of military wives. Journal of Sex Education and Therapy, 18,104-1
Arneklev, B.J., Cochran, J.K., & Gainey, R.R. (1998). Testing Gottfredson and Hirschi’s ‘low self-control’ stability hypothesis: An exploratory study. American Journal of Criminal Justice, 23, 107-127.
Arneklev, B.J., Grasmick, H.G., Tittle, C.R., & Bursik, R.J. (1993). Low self–control and imprudent behavior.  Journal of Quantitative Criminology, 9, 225-247.
Bartz, D., Shew, M., Ofner, S., & Fortenberry, J.D. (2007). Pregnancy intentions and contraceptive behaviors among adolescent women: A coital event level analysis. Journal of Adolescent Health, 41(3), 271-276.
Benagiano, G., Bastianelli, C., & Farris, M. (2007). Contraception: A social revolution. The European Journal of Contraception and Reproductive Health Care, 12(1), 3-12.
Benagiano, G., Carrara, S., & Filippi, V. (2010). Sex and reproduction: An evolving relationship. Human Reproduction Update, 16(1), 96-107. doi: 10.1093.humupd/dmp028
Bielby, J., Mace, G. M., Bininda-Emonds, O. R. P., Cardillo, M., Gittleman, J. L., Jones, K. E.,…Purvis, A. (2007). The fast–slow continuum in mammalian life history: An empirical reevaluation. The American Naturalist, 169, 748–757. doi:10.1086/516847
Black, K.J., & Pollack, R.H. (1987, April). The development of a contraceptive attitude scale. Paper presented at the Annual Meeting of the Southern Society for Philosophy and Psychology, Atlanta.
Brumbach, B.H., Walsh, M., & Figueredo, A.J. (2007). Sexual restrictedness in adolescence: A life history perspective. Acta Psychologica Sinica39(3), 481-488.
Buhi, E.R., Marhefka, S.L., & Hoban, M.T. (2010). The state of the union: Sexual health disparities in a national sample of US college students. Journal of American College Health, 58(4), 337-346.
Carver, C. S., & White, T. L. (1994). Behavioral inhibition, behavioral activation, and affective responses to impending reward and punishment: The BIS/BAS scales. Journal of Personality and Social Psychology, 67, 319-333.  
Centers for Disease Control and Prevention. (2009). Bridged-race population estimates, no date, http://wonder.cdc.gov/bridged-race-v2009.html, accessed September17, 2012.
Condelli, L. (1984). A unified social psychological model of contraceptive behavior. Unpublished doctoral dissertation, University of California, Santa Cruz.
Condelli, L. (1986). Social and attitudinal determinants of contraceptive choice: Using the health model. The Journal of Sex Research, 22, 478-491
Cosmides, L. & Tooby, J. (2000). Evolutionary psychology and the emotions. In Lewis, M. & Haviland-Jones, J.M. (Eds.). Handbook of Emotions, 2nd Edition (91-115). New York, NY: Guilford.
Daan, S., & Tinbergen, J. (1997). Adaptation of life histories. In J. R. Krebs & N. B. Davies (Eds.), Behavioural Ecology: An evolutionary approach (4th ed., pp. 311–333). Oxford, England: Blackwell.
Davies, S.L., DiClemente, R.J., Wingood, G.M., Person, S.D., Dix, E.S., Harrington, K., Crosby, R.A., & Oh, K. (2006). Predictors of inconsistent contraceptive use among adolescent girls: Findings from a prospective study. Journal of Adolescent Health, 39(1), 43-49.
Darwin, C. (1859). On the Origin of Species by Means of Natural Selection, or the Preservation of Favoured Races in the Struggle for Life, 1st Ed. London: John Murray.
de Waal, F. B. M. (1987). Tension regulation and non-reproductive functions of sex in captive  bonobos (Pan paniscus). National Geographic Research Reports, 3, 318-335.
Dennis, A., Clark, J., Cordova, D., McIntosh, J., Edlund, K., Wahlin, B., Tsikitas, L., & Blanchard, K. (2012). Access to contraception after health care reform in Massachusetts: A mixed-methods study investigating benefits and barriers. Contraception, 85(2), 166-172. doi: http://dx.doi.org/10.1016/j.contraception.2011.06.003
Eisenberg, D.L., Allsworth, J.E., Zhao, Q., & Peipert, J.F. (2010). Correlates of dual-method contraceptive use: an analysis of the National Survey of Family Growth (2006–2008), Infectious Diseases in Obstetrics and Gynecology, 2012, 1-6. doi:10.1155/2012/717163.
Ellis, B. J., Figueredo, A. J., Brumbach, B. H., & Schlomer, G. L. (2009). Fundamental dimensions of environmental risk: The impact of harsh versus unpredictable environments on the evolution and development of life history strategies. Human Nature, 20, 204–268. doi:10.1007/ s12110-009-9063-7
Ehrlich, P.R. & Ehrlich, A.H. (2013) Can a collapse of global civilization be avoided? Proc. R. Soc. B., 280(1754), doi:10.1098/rspb.2012.2845
Ersek, J.L., Brunner Huber, L.R., Thompson, M.E., & Warren-Findlow, J. (2011). Satisfaction and discontinuation of contraception by contraceptive method among university students. Maternity and Child Health Journal, 15, 497-506.
Esscher, A., Högberg, U., Haglund, B., & Essën, B. (2013). Maternal mortality in Sweden 1988-2007: More deaths than officially reported. Acta Obstet Gynecol Scand, 92. 40-46. doi: 10.1111/aogs.12037
Figueredo, A.J., Vásquez, G., Brumbach, B.H., & Schneider, S.M.R. (2004). The heritability of life history strategy: The K-factor, covitality, and personality. Social Biology51, 121-143.
Figueredo, A. J., Vásquez, G., Brumbach, B. H., Schneider, S., Sefcek, J. A., Tal, I. R., Hill, D., Wenner, C.J., & Jacobs, W.J. (2006).Consilience and life history theory: From genes to brain to reproductive strategy. Developmental Review, 26, 243–275.
Finer, L.B., & Henshaw, S.K. (2006). Disparities in rates of unintended pregnancy in the United States, 1994 and 2001. Perspectives on Sexual and Reproductive Health, 38(2), 90-96.
Fisher, W.A., Byrne, D., Edmunds, M., Miller, C.T., Kelley, K., & White, L.A. (1979). Psychological and situation-specific correlates of contraceptive behavior among university women. The Journal of Sex Research, 15, 38-55.
Forrest, J.D., & Frost, J.J. (1996). The family planning attitudes and experiences of low-income women. Family Planning Perspectives, 28(6), 246–255 & 277.
Frost, J.J., & Darroch, J.E. (2008). Factors associated with contraceptive choice and inconsistent method use, United States, 2004. Perspectives on Sexual and Reproductive Heath, 40(2), 94-104.
Frost, J.J., Henshaw, S.K., & Sonfield, A. (2010) Contraceptive needs and services: National and state data, 2008 Update. New York: Guttmacher Institute. Retrieved from http://www.guttmacher.org/pubs/win/contraceptive-needs-2008.pdf
Frost, J.J., Lindberg, L.D., & Finer, L.B. (2012). Young adults' contraceptive knowledge, norms and attitudes: associations with risk of unintended pregnancy. Perspectives on Sexual and Reproductive Health, 44(2), 107–116.
Gadgil, M. & Bossert, W. H. (1970). Life historical consequences of natural selection. American Naturalist, 104, 1-24.
Gaydos, L.M., Neubert, B.D., Hogue, C.J., Kramer, M.R., & Yang, Z. (2010). Racial disparities in contraceptive use between student and nonstudent populations. Journal of Women’s Health, 19(3), 589-595.
Gillespie, D.O.S., Russell, A.F. & Lummaa, V. (2008). When fecundity does not equal fitness: Evidence of an offspring quantity versus quality trade-off in pre-industrial humans. Proceedings of the Royal Society B: Biological Sciences, 275, 713–22. doi:10.1098/rspb.2007.1000
Giosan, C. (2006). High-K strategy scale: A measure of the high-K independent criterion of fitness. Evolutionary Psychology, 4, 394-405.
Glander, K.E. (1994). Nonhuman primate self-medication with wild plant foods. In Etkin, N.L. (ed.), Eating on the Wild Side (227-239). Tucson, AZ: The University of Arizona Press.
Gold, R.B., Sonfield, A., Richards, C.L., & Frost, J.J. (2009). Next steps for America’s family planning program: Leveraging the potential of Medicaid and Title X in an evolving health care system. New York: Guttmacher Institute. Retrieved from http://www.guttmacher.org/pubs/NextSteps.pdf
Griskevicius, V., Delton, A.W., Robertson, T.E., & Tybur, J.M. (2011). Environmental contingency in life history strategies: The influence of mortality and socioeconomic status on reproductive timing. Journal of Personality and Social Psychology, 100(2), 241-254. DOI: 10.1037/a0021082
Harvey, S.M., Beckman, L.J., & Wright, C. (1997). Perceptions and use of the male condom among African American university students. International Quarterly of Community Health Education, 16(2), 139–153.
Hayes, S.L. & Carpenter, B.L. (2010) Absence of malice: Constructing the female sex offender. In Moral Panics in the Contemporary World. London, UK: Brunel University. (Unpublished)
Hendrick, C., Hendrick, S.S., & Reich, D.A. (2006). The brief sexual attitudes scale. The Journal of Sex Research, 43(1), 76-86
Hill, K. (1993). Life history theory and evolutionary anthropology. Evolutionary Anthropology, 2, 78–88. doi: 10.1002/evan.1360020303
Horga, M., Gerdts, C., & Potts, M. (2013). The remarkable story of Romanian women’s struggle to manage their fertility. Journal of Family Planning and Reproductive Health Care, 39(1), 2-4. doi: doi: 10.1136/jfprhc-2012-100498.
Jones, R.K. (2011). Beyond Birth Control: The Overlooked Benefits of Oral Contraceptive Pills. New York: Guttmacher Institute. Retrieved from http://www.guttmacher.org/pubs/Beyond-Birth-Control.pdf
Juhasz, A.M., & Kavanagh, J.A. (1978). The chain of sexual decision-making. The Family Coordinatior, 24, 43-49.
Kalichman, S.C., Adair, V., Rompa, D., Multhauf, K., Johnson, J., & Kelly, J. (1994). Sexual sensation-seeking: Scale development and predicting AIDS-risk behavior among homosexually active men. Journal of Personality Assessment, 62, 385-397.
Kalichman, S. C, & Rompa, D. (1995). Sexual sensation seeking and sexual compulsivity scales: Reliability, validity, and predicting HIV risk behaviors. Journal of Personality Assessment, 65, 586-602.
Kanki, P.J. (2013) HIV/AIDS global epidemic. In Kanki, P. & Grimes, D.J. (eds.), Infectious Diseases (27-62). New York, NY: Springer. 
Kaplan, H.S., & Gangestad, S.W. (2005). Life history theory and evolutionary psychology. In D.M. Buss (Eds.), Evolutionary Psychology Handbook. New York: Wiley.
Kaplan, H. S., & Lancaster, J. B. (2003). An evolutionary and ecological analysis of human fertility, mating patterns, and parental investment. In K. W. Wachter & R. A. Bulatao (Eds.), Offspring: Human fertility behavior in biodemographic perspective (pp. 170 –223). Washington, DC: National Academies Press.
Kaplan, H. S., Hill, K., Lancaster, J. L., & Hurtado, A. M. (2000). A theory of human life history evolution: Diet, intelligence, and longevity. Evolutionary Anthropology, 9,         156 –185. doi:10.1002/1520-6505 (2000)9:4156::AID-EVAN53.0.CO;2-7
Kost, K., Singh, S., Vaughan, B., Trussell, J., & Bankole, A. (2008). Estimates of contraceptive failure from the 2002 National Survey of Family Growth. Contraception, 77(1), 10–21.
Kowaleski-Jones, L., & Mott, F.L. (1998). Sex, contraception and childbearing among high-risk youth: Do different factors influence males and females? Family Planning Perspectives, 30(4),163-169.
Kruger, D. J., and Nesse, R. M. (2004). Sexual selection and the male : female mortality ratio. Evolutionary Psychology, 2, 66-85.
Kruger, D. J., and Nesse, R. M. (2006). An evolutionary life-history framework for understanding sex differences in human mortality rates. Human Nature, 17, 74- 97.
Lack, D. (1947) The significance of clutch-size. Ibis, 89, 302–352.
Lack, D. (1950). The breeding seasons of European birds. Ibis, 92, 288– 316. doi:10.1111/j.1474-919X.1950.tb01753.x
Lawson, D.W., Alvergne, A., &  Gibson, M.A. (2012). The life history trade-off between fertility and child survival. Proceedings of the Royal Society B: Biological Sciences, 00, 1-10. doi:10.1098/rspb.2012.1635
Levinson, R. A. (1986). Contraceptive self-efficacy: A perspective on teenage girls’ contraceptive behavior. Journal of Sex Research, 22, 347-369.
Li, R.H.W., & Lo, S.S.T. (2005). Evolutionary voyage of modern birth control methods. Hong Kong Journal of Gynecological Obstetrics and Midwifery, 5(1), 40-45.
Lindemann, D. F. & Brigham, T. A. (2003). The Measure of Observed Condom Use Skills (MOCUS). AIDS and Behavior, 7, 23-27.
Mace, R. (2000). Evolutionary ecology of human life history. Animal Behavior, 59, 1-10.
Meena, A. K., & Rao, M. M. (2010). Folk herbal medicines used by the Meena community in Rajasthan. Asian Journal of Traditional Medicines, 5(1), 19-31.
Mosher, W.D., & Jones, J. (2010). Use of contraception in the United States: 1982–2008, Vital and Health Statistics, 23(29), 1-45.
Nettleman, M.D., Chung, H., Brewer, J., Ayoola, A., & Reed, P.L. (2007). Reasons for unprotected intercourse: Analysis of PRAMS survey. Contraception, 76(5), 361-366.
Pillard, C.T. (2007). Our other reproductive choices: Equality in sex education, contraceptive access, and work-family policy. Emory L.J., 56, 941-991.
Polis, C.B., & Zabin, L.S. (2012). Missed conceptions or misconceptions: Perceived infertility among unmarried young adults in the United States. Perspectives on Sexual and Reproductive Health, 44(1), 30-38. doi: 10.1363/4403012
Promislow, D. E. L., and Harvey, P. H. (1990). Living fast and dying young: A comparative analysis of life-history variation among mammals. Journal of Zoology, 220, 417-437.  
Promislow, D. E. L., and Harvey, P. H. (1991). Mortality rates and the evolution of mammal life histories. Acta Oecologica,12, 119-137. 
Quinlan, R. J. (2007). Human parental effort and environmental risk. Proceedings of the Royal Society B: Biological Sciences, 274, 121–125. doi:10.1098/rspb.2006.3690
Raine, T., Minnis, A.M., & Padian, N.S. (2003). Determinants of contraceptive method among young women at risk for unintended pregnancy and sexually transmitted infections. Contraception, 68(1), 19–25.
Rosenberg, M.J., Waugh, M.S., & Burnhill, M.S. (1998). Compliance, counseling and satisfaction with oral contraceptives: A prospective evaluation. Family Planning Perspectives, 30(2), 89–92,104.
Rowe, D. C., Vazsonyi, A.T., & Figueredo, A. J. (1997). Mating effort in adolescence: Conditional or alternative strategy? Personality and Individual Differences, 23(1), 105-115.
Ryan, C., & Jethá, C. (2010) Sex at dawn. New York: NY: HarperCollins Publishers.
Sable, M.R., Libbus, M.K., & Chiu, J.E. (2000). Factors affecting contraceptive use in women seeking pregnancy tests: Missouri. Family Planning Perspectives, 32(3), 124–131.
Sayegh, M.A., Fortenberry, J.D., Shew, M., & Orr, D.P. (2006). The developmental association of relationship quality, hormonal contraceptive choice and condom non-use among adolescent women. Journal of Adolescent Health, 39(3), 388-395.
Schick, V.R., Zucker, A.N., & Bay-Cheng, L.Y. (2008). Safer, better sex through feminism: The role of the feminist ideology in women’s sexual well-being. Psychology of Women Quarterly, 32, 225-232. doi: 10.1111/j.1471-6402.2008.00431.x
Shuker, K.P.N. (2001). The hidden powers of animals: Uncovering the secrets of nature. London, UK: Marshall Editions.
Simpson, J.A. & Gangestad, S. (1991). Individual differences in sociosexuality: Evidence for convergent and discriminant validity. Journal of Personality and Social Psychology, 60, 870-883.
Skouby, S.O. (2010). Contraceptive use and behavior in the 21st century: A comprehensive study across five European countries. The European Journal of Contraception and Reproductive Health Care, 15(S2), S42-S53.
Strathman, A., Gleicher, F., Boninger, D.S., & Edwards, C.S. (1994). The consideration of future consequences: Weighing immediate and distant outcomes of behavior. Journal of Personality and Social Psychology, 66, 742-752.
Storeng, K.T., Drabo, S., & Filippi, V. (2013). Too poor to live? A case study of vulnerability and maternal mortality in Burkina Faso. Global Health Promotion, 20(1), 33-38. doi: 10.1177/1757975912462420
Strier, K.B. (1993). Menu for a monkey. Natural History, 102, 34-43.
Strier, K.B. & Ziegler, T.E. (1994). Insights into ovarian function in wild muriqui monkeys (Brachyteles arachnoides). American Journal of Primatology, 32, 31-40.
Spector, I.P., Carey, M.P., & Steinberg, L. (1996). The sexual desire inventory: Development, factor structure, and evidence of reliability. Journal of Sex and Marital Therapy, 22, 175-190.
Szarewski, A., & Guillebaud, J. (1991). Contraception. BMJ, 302, 1224-1226.
Tinbergen, J. M., & Both, C. (1999). Is clutch size individually optimized? Behavioral Ecology, 10, 504–509. doi:10.1093/beheco/10.5.504
Tooby, J., & Cosmides, L. (1992). The psychological foundations of culture. In J. Barkow, L. Cosmides, & J. Tooby (Eds.), The Adapted Mind (pp. 19-136). New York, NY: Oxford University Press.
Trussell, J. (2011). Contraceptive failure in the United States, Contraception, 83(5), 397–404.
Trussell, J., & Raymond, E.G. (2011). Emergency contraception: a last chance to prevent unintended pregnancy, Princeton: Princeton University. Retrieved from http://ec.princeton.edu/questions/ec-review.pdf
Wasserman, M.D., Chapman, C.A., Milton, K., Gogarten. J.F., Wittwer, D.J., & Ziegler, T.E. (2012). Estrogenic plant consumption predicts red colobus monkey (Procolobus rufomitratus) hormonal state and behavior. Hormones and Behavior, 62(5), 553-562. doi: 10.1016/j.yhbeh.2012.09.005
Wiederman, M.W. (2005). The gendered nature of sexual scripts. The Family Journal, 13(4), 496-502. doi: 10.1177/1066480705278729
Williams, C.M., Larsen, U., McCloskey, L.A. (2008). Intimate partner violence and women’s contraceptive use. Violence Against Women, 14(12), 1382-1396.
Worthman, C. M., & Kuzara, J. (2005). Life history and the early origins of health differentials. American Journal of Human Biology, 17, 95–112. doi:10.1002/ajhb.20096