Contraception: from accessibility to efficiency
| Autor: | Bajos, Nathalie, Leridon, Henri, Goulard, Hélène, Oustry, Pascale, Job-Spira, Nadine, Group, The Cocon |
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| Přispěvatelé: | Kaniewski, Nadine, Epidémiologie, Démographie et Sciences Sociales: santé reproductive, sexualité et infection à VIH (Inserm U569), Epidémiologie, sciences sociales, santé publique (IFR 69), Université Paris 1 Panthéon-Sorbonne (UP1)-Université Paris-Sud - Paris 11 (UP11)-École des hautes études en sciences sociales (EHESS)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Paris 1 Panthéon-Sorbonne (UP1)-Université Paris-Sud - Paris 11 (UP11)-École des hautes études en sciences sociales (EHESS)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Institut national d'études démographiques (INED)-Institut National de la Santé et de la Recherche Médicale (INSERM) |
| Jazyk: | angličtina |
| Rok vydání: | 2003 |
| Předmět: |
Adult
MESH: Contraception medicine.medical_specialty Health Knowledge Attitudes Practice Cross-sectional study MESH: Treatment Failure Population MESH: Health Knowledge Attitudes Practice Contraceptive Failure Abortion MESH: Research Support Non-U.S. Gov't Health Services Accessibility MESH: Cross-Sectional Studies MESH: Pregnancy Pregnancy medicine Humans Treatment Failure education MESH: Treatment Outcome education.field_of_study MESH: Health Services Accessibility MESH: Humans Obstetrics business.industry Rehabilitation MESH: A Obstetrics and Gynecology Abortion Induced MESH: Adult medicine.disease Contraceptive use Contraception Cross-Sectional Studies Treatment Outcome Reproductive Medicine Family planning [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie Family medicine Pill Female MESH: Abortion Induced [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie business MESH: Female |
| Zdroj: | Human Reproduction Human Reproduction, Oxford University Press (OUP), 2003, 18, pp.994-9 Human Reproduction, 2003, 18, pp.994-9 ResearcherID |
| ISSN: | 0268-1161 1460-2350 |
| Popis: | BACKGROUND: Despite the widespread use of medical contraception in France, the prevalence of abortion remains stable. A cross-sectional population-based survey was designed to study the characteristics of current contraceptive use in France, the different types of contraceptive failure, and the reasons reported for not using contraception. METHODS: A representative sample of 14 704 French households was randomly selected from the telephone directory. All women who in the last 5 years had had an abortion or whose last pregnancy was unintended were selected (n = 1034), whilst a fraction (n = 1829) of the other women were randomly selected. Altogether, 2863 women answered the questionnaire. RESULTS: Only 2.7% of the women aged 18-44 years who did not wish to conceive and were sexually active did not use any contraception. However, 33% of pregnancies were estimated to be unplanned, of which 50% ended in an abortion. A total of 65% of the reported unplanned pregnancies occurred among women using contraception (21% the pill, 9% IUD, 12% condoms, 23% other method). The main reasons given for these contraceptive failures were the misuse of the methods or the failure of the partner to withdraw. Reasons for not using any contraception go beyond a simple lack of information. CONCLUSIONS: The importance of-and the reasons mentioned for-contraceptive failure show a misadaptation between women's contraceptive needs and the method they use. Improving the training of family planning providers remains a major goal to ensure that women use a contraceptive method that fits their social and sexual lifestyle. |
| Databáze: | OpenAIRE |
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