Use of contraception and attitudes towards contraceptive use in Swedish women: an internet-based nationwide survey

Envall, Niklas; Wallstrom, Tove; Danielsson, Kristina Gemzell; Kallner, Helena Kopp

doi:10.1080/13625187.2022.2094911

Cited by 10 publications

(12 citation statements)

References 21 publications

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“…The finding that 41.7% of the women reported not using any form of contraception is somewhat higher than the 37.6% found in a nationwide Swedish study. 52 The difference may be explained by the fact that the majority of women in the current study were between 25 and 34 years old, which is an age range when many are trying to become pregnant or have given birth. 53…”

Section: Discussionmentioning

confidence: 82%

Menstrual attitudes in adult women: A cross-sectional study on the association with menstruation factors, contraceptive use, genital self-image, and sexual openness

Kvalem,

Dahr Nygaard,

Træen

et al. 2024

Womens Health (Lond Engl)

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Background: Menstruation is a central part of the everyday life of most women, and menstrual attitudes may impact health and well-being. Objectives: This article aimed to map menstrual attitudes among adult women and examine factors associated with these attitudes, such as aspects of menarche and current menstruation, and rarely studied factors, such as genital self-image and sexual openness. Study Design: A cross-sectional online survey. Method: A sample of 1470 women, aged 18–50 years, were recruited through social media sites. The Menstrual Self-Evaluation Scale was used to measure three different attitudes: menstruation as natural, shameful, and bothersome. Multiple linear regression analysis was used to investigate the relationship between each attitude and factors related to menarche and current menstruation, contraceptive use, genital self-image (assessed by Female Genital Self-Image Scale), and sexual openness ( Personal Comfort with Sexuality Scale). Sociodemographic variables were included into the models as covariates. Results: Agreeing with the attitude of menstruation as something natural was predicted primarily by positive emotions at menarche, experiencing less menstrual pain, using no or nonhormonal contraception, and having a positive genital self-image. Perceiving menstruation as bothersome was predicted by a lower educational level, experiencing stronger menstrual pain, having more perimenstrual psychological symptoms, and using hormonal contraceptives. Menstruation as something shameful was chiefly predicted by lower sexual openness and a negative genital self-image. Conclusion: Many women held attitudes about menstruation as both something natural and bothersome. Menarche and current menstruation experiences, and contraceptive method, played central roles in shaping attitudes toward menstruation as natural and bothersome. Viewing menstruation as shameful stood out from other attitudes by indicating a triad of self-objectified shame that includes menstruation, sexuality, and genital self-image. Further research into the relationships between menstruation, contraceptive use, sexuality, and body image is needed to enhance our understanding of women’s menstrual health.

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Section: Discussionmentioning

confidence: 82%

Menstrual attitudes in adult women: A cross-sectional study on the association with menstruation factors, contraceptive use, genital self-image, and sexual openness

Kvalem,

Dahr Nygaard,

Træen

et al. 2024

Womens Health (Lond Engl)

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“…Studies have reported data on alcohol consumption patterns and contraception use among women of childbearing age are scarce; however, there is some evidence for unwanted pregnancies to be strongly associated with alcohol, illicit drug use, and cigarette smoking. 42 , 43 A systematic review reported a lower prevalence of contraception use among women with opioid and substance use (56% vs 81%) with low proportions using effective contraception methods. 44 Globally, alcohol consumption continues to increase in women of childbearing age and during pregnancy.…”

Section: Discussionmentioning

confidence: 99%

A cross-sectional study on alcohol and contraception use among sexually active women of childbearing age: Implications for preventing alcohol-exposed pregnancies

Parackal

Akhtar

2023

Womens Health (Lond Engl)

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Background: A high proportion of unwanted or unplanned pregnancies may be alcohol-exposed due to contraception failure or non-use. Nevertheless, data on contraception and alcohol use in the context of the risk of alcohol-exposed pregnancies are sparse. Objectives: To describe contraception use and alcohol consumption in sexually active non-pregnant women and investigate the factors associated with less effective contraception methods. Study Design: A cross-sectional national survey of women aged 18–35 years. Methods: Data from non-pregnant women who were sexually active ( n = 517) were analysed. Descriptive statistics were used to report demographics, consumption, and contraception measures. Logistic regression was used to investigate the factors associated with less effective contraception among drinkers. Results: The majority of participants were younger (46%), of NZ European ethnicity (78%), not in a permanent relationship (54%), with some or completed tertiary education (79%), employed (81%) and not users of the community services card (82%). Twenty-five percent of women were smokers, 94% consumed alcohol, and 72% binged at least ‘monthly or less’. Most women used the pill (56%), and 20% of drinking women were using a contraception method with a 10% or more annual failure rate after 1 year of use. Women who binged ‘weekly or more often’ had similar odds of using less effective contraception as women who ‘never’ binged ( p > 0.05). Younger Māori or Pacific women (odds ratio = 5.99; 95% confidence interval of odds 1.15 –31.2; p = 0.033) and women who had no tertiary education (odds ratio = 1.75; 95% confidence interval of odds 0.00 –3.06; p = 0.052) had higher odds of using less effective contraception. Conclusion: With 20% of women at risk of an alcohol-exposed pregnancy, public health measures to address alcohol consumption and the effective use of contraception are critical to reducing the risk for alcohol-exposed pregnancies in NZ.

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“…The most important characteristic of a contraceptive method indicated by women is its effectiveness in preventing unintended pregnancy. [2][3][4] Long-acting reversible contraception (LARCs), consisting of subdermal implants and intrauterine devices, are highly effective, not dependent on the user and have high continuation and satisfaction rates. 5,6 LARCs are increasingly recommended as first-line choice to all women including nulliparous women and adolescents.…”

Section: Introductionmentioning

confidence: 99%

“…Also, contraceptive counseling is part of the national sexuality education program in Sweden. The most important characteristic of a contraceptive method indicated by women is its effectiveness in preventing unintended pregnancy 2–4 …”

Section: Introductionmentioning

confidence: 99%

Contraceptive uptake and compliance after structured contraceptive counseling ‐ secondary outcomes of the LOWE trial

Bizjak,

Envall,

Emtell Iwarsson

et al. 2024

Acta Obstet Gynecol Scand

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IntroductionHighly effective long‐acting reversible contraceptive (LARC) methods reduce unintended pregnancy rates; however, these methods are underutilized. The LOWE trial intervention provided structured contraceptive counseling resulting in increased uptake of LARC. This longitudinal follow up of the LOWE study assessed the long‐term impact of the intervention by investigating the contraceptive use at 12 months with a focus on continued use of LARC.Material and methodsIn the cluster randomized LOWE trial, abortion, youth, and maternal health clinics were randomized to provide either structured contraceptive counseling (intervention) or standard contraceptive counseling (control). The intervention consisted of an educational video on contraceptive methods, key questions asked by the health care provider, a tiered effectiveness chart and a box of contraceptive models. Women ≥ age 18, who were sexually active or planned to be in the upcoming 6 months, could participate in the study. We assessed self‐reported contraceptive use at three, six and 12 months. Contraceptive choice and switches were analyzed with descriptive statistics. Contraceptive use at 12 months and continued use of LARC were analyzed using mixed logistic regressions, with clinic included as a random effect. Analysis with imputed values were performed for missing data to test the robustness of results.ResultsOverall, at 12 months, women in the intervention group were more likely to be using a LARC method (aOR 1.90, 95% CI: 1.31–2.76) and less likely to be using a short‐acting reversible contraceptive (SARC) method (aOR 0.66, 95% CI: 0.46–0.93) compared to the control group. Women counseled at abortion (aOR 2.97, 95% CI: 1.36–6.75) and youth clinics (aOR 1.81, 95% CI: 1.08–3.03) were more likely to be using a LARC method, while no significant difference was seen in maternal health clinics (aOR 1.84, 95% CI: 0.96–3.66). Among women initiating LARC, continuation rates at 12 months did not differ between study groups (63.9% vs. 63.7%). The most common reasons for contraceptive discontinuation were wish for pregnancy, followed by irregular bleeding, and mood changes.ConclusionsThe LOWE trial intervention resulted in increased LARC use also at 12 months. Strategies on how to sustain LARC use needs to be further investigated.

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Use of contraception and attitudes towards contraceptive use in Swedish women: an internet-based nationwide survey

Cited by 10 publications

References 21 publications

Menstrual attitudes in adult women: A cross-sectional study on the association with menstruation factors, contraceptive use, genital self-image, and sexual openness

Menstrual attitudes in adult women: A cross-sectional study on the association with menstruation factors, contraceptive use, genital self-image, and sexual openness

A cross-sectional study on alcohol and contraception use among sexually active women of childbearing age: Implications for preventing alcohol-exposed pregnancies

Contraceptive uptake and compliance after structured contraceptive counseling ‐ secondary outcomes of the LOWE trial

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