Association between young women's physical and mental health and their method of contraception in a longitudinal, population-based study.

Autor:	Rowlands IJ; School of Public Health, The University of Queensland, Brisbane, Queensland, Australia i.rowlands@uq.edu.au.; School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia., Mishra GD; School of Public Health, The University of Queensland, Brisbane, Queensland, Australia., Lucke JC; School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia.
Jazyk:	angličtina
Zdroj:	BMJ sexual & reproductive health [BMJ Sex Reprod Health] 2021 Apr; Vol. 47 (2), pp. 129-136. Date of Electronic Publication: 2020 Jun 10.
DOI:	10.1136/bmjsrh-2019-200479
Abstrakt:	Background: Women's physical and mental health are strongly inter-related and may influence patterns of contraceptive use. We examined the longitudinal associations between young women's physical and mental health and method of contraceptive use over a 5-year period. Methods: Data from 4952 young women (≤27 years) participating in the Australian Longitudinal Study on Women's Health who completed four self-reported surveys between 2013 and 2017 were analysed. Women's contraceptive use was categorised as: contraceptive pill/oral contraceptives, long-acting reversible contraception (LARC), condom, other methods and none. Multinomial logistic regression was used to determine the longitudinal associations between women's physical and mental health and method of contraception. Results: Over the 5-year period the percentage of pill users decreased from 60% (95% CI 58% to 61%) to 41% (95% CI 39% to 42%) and LARC users increased from 13% (95% CI 12% to 14%) to 21% (95% CI 20% to 22%) as did non-users from 9% (95% CI 8% to 9%) to 17% (95% CI 16% to 18%). Compared with women using the pill, women who used LARCs were more likely to be overweight (OR 1.34; 95% CI 1.17 to 1.53) and obese (OR 1.84; 95% CI 1.55 to 2.19), current smokers (OR 1.45; 95% CI 1.23 to 1.71) and reported fair or poor general health (OR 1.50; 95% CI 1.28 to 1.76) and very high levels of psychological distress (OR 1.47; 95% CI 1.24 to 1.76). Similar results were also found among women who used condoms or no contraception. Conclusions: Findings suggest that obesity, smoking and poor physical and mental health play an important role in young women's contraceptive use. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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