International survey to assess women's attitudes regarding choice of daily versus nondaily female hormonal contraception.

International survey to assess women's attitudes regarding choice of daily versus nondaily female hormonal contraception.
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DOI:
10.2147/ijwh.s59059
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发表时间:
2014
期刊:
International journal of women's health
影响因子:
--
通讯作者:
Mansour D
Mansour D
中科院分区:
其他
文献类型:
--
作者:
Mansour D

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提供适合妇女需要和生活方式的可靠避孕措施是解决意外怀孕及其造成的巨大人力和财政成本的重要步骤。在过去的50年里,每日联合口服避孕药一直是短效激素避孕药的首选。然而,对于一些女性来说,这可能既不合适也不理想。在此,我们报告了在巴西、法国、德国、意大利和美国进行的一项大型在线问卷研究的结果。该研究旨在通过匿名在线调查评估女性对当前激素避孕选择的态度、信念和未满足的需求。符合避孕条件的妇女被要求用二分制(是/否)或七分制(1,完全不同意;7,完全同意)回答问题。妇女还被问及其他相关问题,如生活方式、对月经和怀孕的看法、教育程度以及与保健专业人员的关系。总共有12094名女性接受了调查,其中68%的人需要避孕。总体而言,28%的女性表示对新型避孕产品感兴趣,49%的女性表示她们更喜欢非日常避孕方法。尽管许多妇女对避孕药表示满意,但每天的摄入量被认为是负担,导致不规律和无效的使用。然而,由于缺乏对其他选择的考虑和教育,许多妇女继续选择避孕药。大约一半的女性希望在不久的将来怀孕。调查结果表明,近一半的受访者更喜欢非日常避孕方式。此外,大约一半的受访者希望在不久的将来怀孕,这表明他们不太可能喜欢长期的选择。关于避孕选择的有效教育可帮助妇女找到最适合其需要的方法,从而提高避孕依从性。
The availability of reliable contraception tailored to suit women’s needs and lifestyles is an essential step in addressing unintended pregnancy and its substantial human and financial costs. The daily combined oral contraceptive pill has been the short-acting hormonal contraceptive of choice for the last 50 years. However, for some women, this may be neither suitable nor optimal. Here we report the findings of a large, online, questionnaire-based study conducted in Brazil, France, Germany, Italy, and the USA. The study was designed to assess women’s attitudes, beliefs, and unmet needs regarding current hormonal contraceptive options via an anonymous online survey. Women eligible for contraception were required to respond to questions using either a binary (yes/no) or seven-point scale (1, complete disagreement; 7, complete agreement). Women were also asked about other relevant issues, such as lifestyle, perception of menstruation and pregnancy, level of education, and relationship with their health care professional. In total, 12,094 women were questioned, of whom 68% required contraception. Overall, 28% of women expressed an interest in novel contraceptive products, and 49% stated that they would prefer a nondaily method. Although many women expressed satisfaction with the pill, daily intake was thought to be burdensome, resulting in irregular and ineffective usage. However, many women continued to choose the pill due to lack of consideration of and education about other options. Approximately half of the women wished to conceive in the near future. The findings indicate that nearly half of respondents would prefer a nondaily form of contraception. Furthermore, approximately half of respondents wished to conceive in the near future, suggesting that they are unlikely to favor long-acting options. Effective education on contraceptive choices may help women to find the method that best suits their needs, thus improving contraceptive compliance.