R ESEARCH Proceedings of the 2012 AWHONN Convention Women’s Health Contraceptive Patterns Among Women With a History of Interpersonal Violence Heidi Collins Fantasia, PhD, RN, WHNP-BC, University of Massachusetts, Lowell, MA Melissa Sutherland, PhD, RN, FNP-BC, Boston College, Chestnut Hill, MA Holly B. Fontenot, RN, WHNP-BC, Boston College, Chestnut Hill, MA Keywords interpersonal violence contraception Paper Presentation Objective I ntimate partner violence is a significant public health issue, with approximately 25% of women reporting lifetime violence. Intimate partner vio- lence has been associated with unintended preg- nancy, possibly due to partner coercion or interfer- ence with contraceptive. The specific aim of this study was to describe the association between intimate partner violence and contraceptive pat- terns, contraceptive interruptions, and choice of contraceptive method among women seeking re- productive health services. Design Retrospective chart review of existing medical record data. Setting Four reproductive health clinics in the northeast United States. Patients/Participants The final sample size was 2,000. The majority of the participants were between the ages of 15 and 26. Methods Data were extracted from a sample of 2,000 med- ical charts. Inclusion criteria were female, repro- ductive age (menarche through menopause), and seeking reproductive health services. Institutional Review Board approval was granted for the study. Results Data analysis was performed using Statistical Package for the Social Sciences version 19. The overall rate of lifetime violence for this sam- ple was approximately 28%. The majority of the participants were between the ages of 15 and 26 (79.1%). Regression analysis indicated that a history of lifetime violence was predictive of an increased number of contraceptive method changes in the previous year (B = .283; p < .000). Additionally, a recent history of violence (past 12 months) predicted the use of a “hidden” method of contraception (injectables, implants, intrauterine devices, and sterilization) that is less vulnerable to partner interference or tampering (B = .059; p < .000). A history of lifetime violence was also pre- dictive of not using a contraceptive method since last menses (B = .763; p < .000) and increased use of emergency contraception (B = .796; p < .000). Conclusion/Implications for Nursing Practice There is a high rate of intimate partner vio- lence among young women seeking reproduc- tive health services. Intimate partner violence af- fects patterns of contraception use and may place women who experience intimate partner violence at greater risk for unintended pregnancy due to increased method changes and lack of contra- ception. Nondaily contraceptive methods may be one alternative to increasing adequate contracep- tion. Nurses who work with childbearing women need to assess for intimate partner violence when providing contraceptive counseling and discuss a wide range of contraceptive options that may increase the woman’s control of use. Self-Reported Explanations of Recurrent Chlamydia Infections and Urban Females Melva Craft-Blacksheare, DNP, CNM, University of Michigan - Flint, Detroit, MI Keywords chlamydia reinfection urban teens Women’s Health Paper Presentation Objective T o explore the essential elements of the lived experiences of urban adolescents diagnosed with recurrent chlamydia infection and to describe the meanings made of this phenomenon by the people experiencing it. Design A qualitative phenomenologic research study de- sign was used, and open-ended interview ques- tions were developed based upon the reviewed literature and the conceptual framework of the Health Belief Model. Setting Outpatient urban health clinics in Detroit, Michi- gan. Patients/Participants Ten urban Detroit adolescents, ages 15 to 19, who self-reported recurrent chlamydia infections within the previous 12 months. JOGNN http://jognn.awhonn.org C  2012 AWHONN, the Association of Women’s Health, Obstetric and Neonatal Nurses S119