Quality of life and mental health in adolescent users of oral contraceptives. Results from the nationwide, representative German Health Interview and Examination Survey for Children and Adolescents (KiGGS)

Lewandowski, Sabina Klara; Duttge, Gunnar; Meyer, Thomas

doi:10.1007/s11136-020-02456-y

Cited by 4 publications

(7 citation statements)

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“…The combination of quantitative description and qualitative analysis in interpreting the results was not only helpful in measuring experiences with the OCP, they showed how these experiences are perceived and lived. The results of this study are consistent with scientific research on the positive and negative side effects [60][61][62] of OCPs, the reasons for discontinuation [29,48,63], and embodiment [64,65].…”

Section: Discussionsupporting

confidence: 88%

“…The side effects reported by the YouTubers during OCP treatment are generally consistent with the associated side effects reported in other studies [43,61,69] and listed on the OCP's package inserts [70]. However, the high number of side effects experienced by YouTubers was striking.…”

Section: Plos Onesupporting

confidence: 85%

“…This is consistent with the experience of female YouTubers. The OCP has also been questioned and studied for its possible negative association with mental [10,25,61,77] and sexual health [10,62,69]. Research on these topics should still be interpreted with caution, as there is limited consistency in the direction of the evidence [10].…”

Section: Plos Onementioning

confidence: 99%

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YouTube and the implementation and discontinuation of the oral contraceptive pill: A mixed-method content analysis

Niemann,

Wicherski,

Glaum

et al. 2024

PLoS ONE

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Background Women living in high-quality healthcare systems are more likely to use oral contraceptives at some point in their lives. Research findings have sparked controversial discussions about contraception in the scientific community and the media, potentially leading to higher rates of method discontinuation. Understanding the underlying motives for method discontinuation is crucial for reproductive health equity and future programming interventions. To address this question, this study aims to explore women’s experiences of oral contraceptive use and discontinuation on YouTube. Methods A concurrent explanatory mixed-methods design was used to conduct content analysis of German YouTube videos. The information from 175 videos of 158 individuals was extracted through quantitative descriptive content analysis. Twenty-one individuals were included in the qualitative content analysis. Findings The body was a recurring theme in the pill biographies. Women described, for example, bodily sensations as reasons for taking and stopping the pill. They also described positive and negative side effects while taking the pill and after stopping. The most common side effects of taking the pill mentioned by YouTubers were mood swings (76/158), weight gain (45/158), headaches (33/158), and depressed mood (45/158). The symptoms after discontinuation reported most were facial skin impurities (108/158), decreased mood swings (47/158), hair loss (42/158), and weight loss (36/158). Overall, women overwhelmingly rated their discontinuation experience as positive (87/91). Conclusions The study identified key symptoms of oral contraceptive initiation and discontinuation by portraying the experiences of female YouTubers, adding valuable insights to the understanding of method initiation and discontinuation. Further research is needed to explore women’s personal experiences with method discontinuation beyond the YouTube platform.

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Section: Discussionsupporting

confidence: 88%

Section: Plos Onesupporting

confidence: 85%

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YouTube and the implementation and discontinuation of the oral contraceptive pill: A mixed-method content analysis

Niemann,

Wicherski,

Glaum

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

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“…Acerca dos efeitos colaterais citados, em um estudo alemão foi constatado que o uso de anticoncepcionais orais não está relacionado como causa de alteração da saúde mental, no entanto, está ligado a maior probabilidade de uso de psicotrópicos e antidepressivos, além de elevação da pressão arterial e dos níveis séricos de vitamina D, o que pode assustar os adolescentes. Ademais, o aumento do peso, acne, risco de trombose venosa profunda e outros, são fatores que também pesam na escolha do método contraceptivo (Lewandowski, et. al., 2020).…”

Section: Resultsunclassified

O impacto do uso de métodos contraceptivos na adolescência: uma revisão integrativa

Alves

Ferreira

Oliveira

et al. 2022

RSD

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Objetivo: Descrever fatores que influenciam o uso de contraceptivos por adolescentes. Metodologia: Trata-se de uma revisão integrativa referente ao uso de anticoncepcionais na adolescência. A pesquisa foi realizada em junho de 2021 nas seguintes bases de dados: MEDLINE, LILACS e PubMed. Para realização da revisão utilizou-se descritores determinados com base nos Descritores em Ciências da Saúde (DeCS), foram eles: “adolescentes”, “anticoncepcionais”, “contraceptivos”, “teenager” e “contraception”. Foram encontrados 143 artigos, entretanto, após critérios de inclusão e exclusão foram selecionados 8 artigos. Resultado: É visto que mesmo na contemporaneidade, há ainda uma gama de fatores que dificultam o uso de métodos contraceptivos por adolescentes. Fatores como cultura, religião, faixa etária, desigualdade de gênero e a classe social são determinantes na escolha de um método de proteção. Além disso, a falta de comunicação com os pais, influenciou a falta de conhecimento dos jovens sobre os métodos, assim como limitou a busca de atendimento profissional no sistema de saúde e a adesão. Conclusão: Embora a educação sexual, o sigilo médico e o acesso a métodos contraceptivos, sejam direitos garantidos aos adolescentes, muitos desses ainda não possuem acesso ao planejamento familiar. Isso acaba colocando muitos adolescentes em um estado de vulnerabilidade se tratando de IST’s e gravidez precoce.

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“…However, the prevalence and impact of oral contraceptive-related hypertension in adolescent women remain uncertain. There is con icting evidence regarding the cardiovascular effects in this demographic, with some studies noting a signi cant association between oral contraceptives and elevated blood pressure [10][11][12], while others report no substantial correlation [13].…”

Section: Introductionmentioning

confidence: 99%

Oral Contraceptives in Adolescents: A Retrospective population-based study on Blood Pressure and Metabolic Dysregulation

Araújo,

Moreira,

Almeida

et al. 2023

Preprint

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Purpose This study aimed to explore the relationship between oral contraceptive use and blood pressure values and in a national cohort of women adolescents and to investigate the level of coexistence of the high blood pressure levels, dyslipidemia, and insulin resistance. Methods This a retrospective cohort with 14,299 adolescents aged 14 to 17 years. Crude and adjusted analyses were performed using Poisson regression to estimate the prevalence ratios. Data clustering analysis was performed using machine learning approaches supported by an unsupervised neural network of self-organizing maps. Results We found that 14.5% (n = 2,076) of the women adolescents use oral contraceptives. Moreover, an increased prevalence of high blood pressure (4.9%), dyslipidemia (31.6%), and insulin resistance (34.7%) was observed among adolescents who use oral contraceptives as compared to those who do not. Our analysis also showed that 2.3% of adolescents using oral contraceptives had both high blood pressure levels and dyslipidemia, whereas 3.2% had high blood pressure levels combined with insulin resistance. The algorithmic investigative approach demonstrated that total cholesterol, LDLc, HDLc, insulin, and HOMA-IR were the most predicted variables to assist classificatory association in the context of oral contraceptive use among women adolescents with high blood pressure. Conclusions These findings suggest that oral contraceptives were associated with an increased prevalence of high blood pressure, dyslipidemia, and insulin resistance among women adolescents. Although the indication of this therapy is adequate to avoid unintended pregnancies, their use must be based on rigorous individual evaluation and under constant control of the cardiometabolic risk factors.

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Quality of life and mental health in adolescent users of oral contraceptives. Results from the nationwide, representative German Health Interview and Examination Survey for Children and Adolescents (KiGGS)

Cited by 4 publications

References 41 publications

YouTube and the implementation and discontinuation of the oral contraceptive pill: A mixed-method content analysis

YouTube and the implementation and discontinuation of the oral contraceptive pill: A mixed-method content analysis

O impacto do uso de métodos contraceptivos na adolescência: uma revisão integrativa

Oral Contraceptives in Adolescents: A Retrospective population-based study on Blood Pressure and Metabolic Dysregulation

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