Sociodemographic characteristics associated with the use of effective and less effective contraceptive methods: findings from the Understanding Fertility Management in Contemporary Australia survey

Autor:	Jane Fisher, Christine Bayly, Lynne Jordan, Karen Freilich, Heather Rowe, Kathleen McNamee, John McBain, Vikki Sinnott, Sara Holton, Maggie Kirkman
Rok vydání:	2017
Předmět:	Adult medicine.medical_specialty Adolescent Cross-sectional study Alternative medicine Long-acting reversible contraception Abortion Young Adult 03 medical and health sciences 0302 clinical medicine Pregnancy Surveys and Questionnaires medicine Humans Pharmacology (medical) 030212 general & internal medicine Young adult Contraception Behavior Gynecology Chi-Square Distribution 030219 obstetrics & reproductive medicine business.industry Australia Obstetrics and Gynecology Middle Aged medicine.disease Contraception Cross-Sectional Studies Logistic Models Socioeconomic Factors Reproductive Medicine Family medicine Female business Chi-squared distribution Unintended pregnancy
Zdroj:	The European Journal of Contraception & Reproductive Health Care. 22:212-221
ISSN:	1473-0782 1362-5187
Popis:	Unintended pregnancy and abortion may, in part, result from suboptimal use of effective contraception. This study aimed to identify sociodemographic factors associated with the use of effective and less effective methods among women and men of reproductive age living in Australia.In a cross-sectional national survey, 1544 women and men aged 18-51 were identified as being at risk of pregnancy. Chi-square and logistic regression analyses were used to assess the sociodemographic factors related to contraceptive use.Most respondents (n = 1307, 84.7%) reported using a method of contraception. Use of any contraceptive was associated with being born in Australia (Odds Ratio [OR] 1.89; 95% Confidence Interval [CI]1.186, 3.01; p = .008), having English as a first language (OR 1.81; 95% CI: 1.07, 3.04; p = .026), having private health insurance (OR 2.25; 95% CI 1.66, 3.04; p .001), and not considering religion important to fertility choices (OR 0.43; 95%CI 0.31, 0.60; p .001). A third used effective contraceptive methods (n = 534, 34.6%; permanent methods: 23.1%, and long-acting reversible contraception (LARC): 11.4%). Permanent methods were more likely to be used in rural areas (OR 0.62; 95%CI 0.46, 0.84; p = .002). Use of the least effective, short-term methods was reported by nearly half (condoms: 25.6%, withdrawal: 12.5%, and fertility-awareness-based methods: 2.8%). Those who relied on withdrawal were more likely to live in a metropolitan area (OR 2.85; 95% CI 1.95, 4.18; p .001), and not have private health insurance (OR 0.52; 95% CI 0.38, 0.71; p .001).Targeted promotion of the broad range of available contraceptives may raise awareness and uptake of more effective methods and improve reproductive autonomy in certain population groups.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b277d430c0af9fb6bcd94552bf9fd95f https://doi.org/10.1080/13625187.2017.1304534 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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