Women's knowledge about intrauterine contraception

Area of Science:

• Reproductive Health
• Contraception Research
• Public Health Surveys

Background:

• Intrauterine contraception (IUC) is a highly effective reversible method.
• Understanding of IUC's benefits and risks among reproductive-aged women is crucial for informed decision-making.
• Previous studies indicate potential gaps in public knowledge regarding various contraceptive methods.

Purpose of the Study:

• To assess the knowledge and attitudes of reproductive-aged women in the St. Louis area regarding intrauterine contraception.
• To identify factors associated with IUC use and perceptions.
• To inform the development of targeted educational interventions.

Main Methods:

• A written survey was mailed to 12,500 randomly selected households in the St. Louis area.
• The survey targeted English-literate, reproductive-aged women, collecting data on obstetric and contraceptive history, and perceptions of IUC.
• Analysis included descriptive statistics and polynomial logistic regression on 1,665 returned surveys (13.3% response rate).

Main Results:

• Only 8% of respondents currently used or had previously used IUC; discussion with healthcare providers increased use (aOR 13.4).
• 61% underestimated IUC effectiveness, and many respondents lacked knowledge about IUC safety and risks.
• Concerns about complications like infection, infertility, and cancer were reported by 11%-36% of respondents.

Conclusions:

• Reproductive-aged women demonstrate limited specific knowledge regarding the benefits and risks of intrauterine contraception.
• Current and past IUC users exhibited greater knowledge about the method's effectiveness and safety.
• Enhanced educational interventions are necessary to improve women's understanding of IUC effectiveness and benefits.