Contraceptive use among migrant, second-generation migrant and non-migrant women seeking abortion care: a descriptive cross-sectional study conducted in Sweden

Abstract

IntroductionThe objective of this study was to compare ever-in life contraception use, use of contraception at current conception, and planned use of contraception after an induced abortion, among three groups of women: migrants, second-generation migrants and non-migrant women, and to compare the types of contraception methods used and intended for future use among the three groups of women.MethodsThe cross-sectional study administered a questionnaire face-to-face to women aged 18 years and older who were seeking abortion care at one of six abortion clinics in Stockholm County from January to April 2015.ResultsThe analysis included 637 women. Migrants and second-generation migrants were less likely to have used contraception historically, at the time of the current conception, and to plan to use contraception after their induced abortion compared with non-migrant women. Historically, non-migrants had used pills (89%) and withdrawal (24%) while migrants had used the copper intrauterine device (24%) to a higher extent compared to the other two groups of women. Both the migrants (65%) and second-generation migrants (61%) were more likely than the non-migrants (48%) to be planning to use long-acting reversible contraception.ConclusionsLower proportions of contraception use were found in migrants and second-generation migrants than in non-migrants. In addition, there were significant differences in the types of contraception methods used historically and intended for future use.

Venezuelan migrants and access to contraception in Colombia: A mixed research approach towards understanding patterns of inequality

“…The findings of this study contrast with previous evidence describing low proportions of access to contraception among migrants in Sweden and Uganda compared to resident populations ( Emtell Iwarsson et al., 2019 ; Larsson et al., 2016 ; Bwambale et al., 2020 ). The unmet sexual and reproductive health needs of Venezuelan migrants in Colombia have been well documented ( Profamilia - OFDA 2020 ; Profamilia, 2019 ), although studies using mixed research approaches to explain inequalities in access to contraception among Venezuelan migrants and their experiences with the health system within the humanitarian response are limited.…”

Health-seeking behaviours of immigrants, asylum seekers and refugees in Europe: a systematic review of peer-reviewed articles

“…Bartolomei et al , 2016; Djuretic et al , 2007; Gondek and Kirkbride, 2018; Kleinert et al , 2019; Laban et al , 2008; Maier and Straub, 2011; Misra et al , 2006a; Palmer, 2007; Papadopoulos et al , 2003). However, healthcare services related to respiratory diseases, infections, musculoskeletal or connective tissue problems, gastrointestinal issues, injuries, perinatal health, pregnancy and childbirth, as well as diet and nutrition were also found to be needed (Garnweidner et al , 2013; Gewalt et al , 2018; Goodman et al , 2018; Emtell Iwarsson et al , 2019). Misra et al (2006a) argued that providing health services for asylum seekers and refugees, due to their complex needs, must be broad-based and include social service and advocacy groups, as well as primary care and specialised mental health services.…”

Intrauterine mepivacaine instillation for pain relief during intrauterine device insertion in nulliparous women: a double-blind, randomized, controlled trial

“…Studies in Sweden show contraceptive use among young women has increased thanks to the subsidy system. However, the cost is not an important factor affecting women's contraceptive choices (131) and that few women would change their method of contraception if they were all available free of charge (16). However, LARCs have a higher upfront cost than other contraceptive methods, and removing the cost-barriers has proven to increase the use of had an unmet need for contraception (17).…”

“…Norway and Sweden are neighbouring countries, and there is a risk that these processes might influence Swedish stakeholders. These types of arguments are dangerous to women seeking reproductive health care since women with unmet need for contraception are at high risk of unintended pregnancies (16,17,131) that will affect their social and psychological well-being and economic situation (1-4). Internationally, reproductive healthcare is the only medical field that allows HCPs to limit legally regulated access to care by conscientious objection (149).…”