Testing the disclosure decision-making model: disclosing birth control status among college women

Reproductive health communication can greatly benefit college women by providing informational and emotional support for their reproductive sexual health. However, communication about birth control with friends and sexual partners can be difficult especially if there is stigma around the topic. Applying the Disclosure Decision-Making Model, this study employs a survey of 104 college women regarding their disclosure of birth control status to a peer (Model 1) and a sexual partner (Model 2) to understand the mechanisms of decision-making (i.e., stigma, relational quality, anticipated response, disclosure efficacy) on the depth of disclosing reproductive health information. Results suggest that for both models, relational quality and anticipated response were the predictors of disclosure depth. Although all the significant paths were equivalent in the two models, relational quality predicted anticipated response more strongly in partner model. Theoretical and practical implications of the findings are discussed.