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Contraceptive health risks--women's perceptions

S Sihvo1, E Hemminki, E Kosunen

  • 1STAKES (National Research and Development Centre for Welfare and Health), Helsinki, Finland.

Journal of Psychosomatic Obstetrics and Gynaecology
|December 9, 1998
PubMed
Summary
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Women

Area of Science:

  • Reproductive Health
  • Medical Sociology

Background:

  • Contraceptive use is widespread among women of reproductive age.
  • Concerns about health risks associated with hormonal and non-hormonal contraceptives can influence method choice.
  • Understanding these concerns is crucial for effective family planning counseling.

Purpose of the Study:

  • To investigate women's concerns regarding health risks of oral contraceptives and intrauterine devices (IUDs).
  • To identify factors associated with these contraceptive risk concerns.
  • To explore how these concerns impact current contraceptive method selection.

Main Methods:

  • A questionnaire survey was administered to a random sample of 3000 women aged 18-44 in Finland.
  • Logistic regression models were employed to analyze factors related to concerns about oral contraceptives and IUDs.

Related Experiment Videos

  • Response rate was 74% (n=2189).

    • Main Results:

    • Half of respondents reported concerns about contraceptive risks, primarily related to oral contraceptives (71%).
    • Concerns about oral contraceptives were linked to higher education, prior use, and good knowledge of contraception.
    • IUD concerns were associated with past use, older age, and a history of abortions. Women with concerns were more likely to use condoms or sterilization.

    Conclusions:

    • Women's concerns about contraceptive risks are significantly influenced by their past experiences with methods.
    • These concerns directly impact current contraceptive choices, often leading to the selection of barrier methods or sterilization.
    • Healthcare providers should enhance risk communication, focusing on accurate probability information, to address women's concerns effectively.