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Contraception use and attitudes : women’s concerns regarding hormonal contraception and copper intrauterine devices

Svahn, Susanna ; Niemeyer Hultstrand, Jenny ; Tydén, Tanja and Ekstrand Ragnar, Maria LU (2021) In European Journal of Contraception & Reproductive Health Care 26(6). p.473-478
Abstract

Objective: To estimate the prevalence of contraceptive method use among women, assess concerns about hormonal contraception (HC) and copper intrauterine device (Cu-IUD) and determine characteristics associated with concerns of HC and Cu-IUD. Method: Cross-sectional study. Swedish speaking women (n = 212) aged 16–50 attending midwives at four outpatient clinics in two of Sweden’s larger cities answered a waiting room questionnaire. Content analysis was used to categorise open-ended questions with free text answers. Results: Long-acting reversible contraceptives (LARC) was used by 30.4%, short acting reversible contraceptives (SARC) by 28.0%, and 16.4% did not use any contraception during most recent intercourse. Four out of ten (41.2%)... (More)

Objective: To estimate the prevalence of contraceptive method use among women, assess concerns about hormonal contraception (HC) and copper intrauterine device (Cu-IUD) and determine characteristics associated with concerns of HC and Cu-IUD. Method: Cross-sectional study. Swedish speaking women (n = 212) aged 16–50 attending midwives at four outpatient clinics in two of Sweden’s larger cities answered a waiting room questionnaire. Content analysis was used to categorise open-ended questions with free text answers. Results: Long-acting reversible contraceptives (LARC) was used by 30.4%, short acting reversible contraceptives (SARC) by 28.0%, and 16.4% did not use any contraception during most recent intercourse. Four out of ten (41.2%) had concerns about using HC and 52.3% about using Cu-IUD. The most common reason for having concerns regarding HC was unspecified side effects, fear of hormones and adverse mood symptoms; regarding Cu-IUD, concerns related to increased bleeding and menstrual pain. Among those expressing concerns, experience of induced abortion was twice as common. Women who did not have concerns about HC were using combined oral contraception (COC) to a higher extent. Conclusion: Concerns about using HC and Cu-IUD are common. This needs to be considered during contraceptive counselling.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
abortion, attitudes, concern, Contraception, discontinuation, side-effects
in
European Journal of Contraception & Reproductive Health Care
volume
26
issue
6
pages
473 - 478
publisher
Parthenon Publishing
external identifiers
  • scopus:85116125874
  • pmid:34590968
ISSN
1362-5187
DOI
10.1080/13625187.2021.1975267
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2021 The European Society of Contraception and Reproductive Health.
id
508bd5a8-7e32-4f7d-b128-c8d779791be4
date added to LUP
2021-10-22 14:20:55
date last changed
2024-06-15 18:49:17
@article{508bd5a8-7e32-4f7d-b128-c8d779791be4,
  abstract     = {{<p>Objective: To estimate the prevalence of contraceptive method use among women, assess concerns about hormonal contraception (HC) and copper intrauterine device (Cu-IUD) and determine characteristics associated with concerns of HC and Cu-IUD. Method: Cross-sectional study. Swedish speaking women (n = 212) aged 16–50 attending midwives at four outpatient clinics in two of Sweden’s larger cities answered a waiting room questionnaire. Content analysis was used to categorise open-ended questions with free text answers. Results: Long-acting reversible contraceptives (LARC) was used by 30.4%, short acting reversible contraceptives (SARC) by 28.0%, and 16.4% did not use any contraception during most recent intercourse. Four out of ten (41.2%) had concerns about using HC and 52.3% about using Cu-IUD. The most common reason for having concerns regarding HC was unspecified side effects, fear of hormones and adverse mood symptoms; regarding Cu-IUD, concerns related to increased bleeding and menstrual pain. Among those expressing concerns, experience of induced abortion was twice as common. Women who did not have concerns about HC were using combined oral contraception (COC) to a higher extent. Conclusion: Concerns about using HC and Cu-IUD are common. This needs to be considered during contraceptive counselling.</p>}},
  author       = {{Svahn, Susanna and Niemeyer Hultstrand, Jenny and Tydén, Tanja and Ekstrand Ragnar, Maria}},
  issn         = {{1362-5187}},
  keywords     = {{abortion; attitudes; concern; Contraception; discontinuation; side-effects}},
  language     = {{eng}},
  number       = {{6}},
  pages        = {{473--478}},
  publisher    = {{Parthenon Publishing}},
  series       = {{European Journal of Contraception & Reproductive Health Care}},
  title        = {{Contraception use and attitudes : women’s concerns regarding hormonal contraception and copper intrauterine devices}},
  url          = {{http://dx.doi.org/10.1080/13625187.2021.1975267}},
  doi          = {{10.1080/13625187.2021.1975267}},
  volume       = {{26}},
  year         = {{2021}},
}