Factors influencing young women's decision making regarding hormonal contraceptives: a qualitative study

Cheung, Eileen; Free, Caroline

doi:10.1016/j.contraception.2004.12.010

Cited by 55 publications

(43 citation statements)

References 17 publications

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“…In keeping with the findings of this paper, Cheung & Free (2005) specifically noted that the idea of a 'natural menses' and its disruption by hormonal contraception was a factor in some women stopping hormonal contraception.…”

Section: Previous Research Findingsmentioning

confidence: 68%

Mechanistic and “Natural” Body Metaphors and Their Effects on Attitudes to Hormonal Contraception

Walker

2012

Women & Health

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A small, self-selected convenience sample of male and female contraceptive users in the United Kingdom (UK) (n=34) were interviewed between 2006 and 2008 concerning their feelings about the body and their contraceptive attitudes and experiences. The interviewees were a sub-sample of respondents (n=188) who completed a paper-based questionnaire on similar topics, who were recruited through a poster, placed in a family planning clinic, web-based advertisements on workplace and university websites, and through direct approaches to social groups. The bodily metaphors used when discussing contraception were analyzed using an Interpretive Phenomenological Analytical approach facilitated by Atlas-ti software.The dominant bodily metaphor was mechanistic i.e. 'body as machine'. A subordinate but influential bodily metaphor was the 'natural' body, which had connotations of connection to nature and a quasisacred bodily order. Interviewees drew upon this 'natural' metaphorical image in the context of discussing their anxieties about hormonal contraception. Drawing upon a 'natural', non-mechanistic body image in the context of contraceptive decision-making contributed to reluctance to use a hormonal form of contraception. This research suggests that clinicians could improve communication and advice about contraception by recognizing that some users may draw upon non-mechanistic body imagery.

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Section: Previous Research Findingsmentioning

confidence: 68%

Mechanistic and “Natural” Body Metaphors and Their Effects on Attitudes to Hormonal Contraception

Walker

2012

Women & Health

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“…Future research exploring male involvement in contraceptive decisions and their sense of responsibility regarding fertility control within the context of their relationships, across the socioeconomic spectrum, would shed light on these preliminary findings. Likewise, future studies should investigate men's attitudes towards contraceptive options in order to improve our understanding of the preference for traditional methods among highly educated men, which may reflect a rejection of hormonal contraception as unnatural, in line with a growing concern about the side effects of hormones [43] or an aspiration to a greater sharing of contraceptive responsibilities with their partner [44]. These hypotheses need to be explored in further analyses, including gender norms as a potential driver of contraceptive negotiations within relationships.…”

Section: Discussionmentioning

confidence: 98%

Men's contraceptive practices in France: evidence of male involvement in family planning

et al. 2015

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“…Some researchers suggest that it is not just the physiological experience of side effects that influence women's decisions, but the specific type of side effect and how it is perceived by women, their partners, and the community. 18,19 In the current study, neighbor's opinion had a positive effect on contraceptive use, most likely because of the attainment of a good education. The limitation of this study is that individual opinions, which are usually subjective, were assessed.…”

Section: Research Highlightsmentioning

confidence: 93%

Knowledge, Attitude, and Contraceptive Preferences Among Postpartum Women in Izzi, Ezza South, and Ikwo Local Government Areas of Ebonyi State, Nigeria

Anaba¹,

Ugwa²,

Agbor³

et al. 2018

Hosp Pract Res

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BackgroundIn Nigeria, the fertility rate is high and the contraceptive prevalence rate is very low.1 Therefore, women in Nigeria are exposed to the dangers of unwanted and unplanned pregnancies. In Ebonyi State, Nigeria, the demand for family planning is about 15%, while the unmet need for contraceptives among women who are currently married is 30%.2 Contraceptive use for spacing the births of children is 13.1%, while contraceptive use for limiting the number of children in a family accounts for 7.5%. 2 The rate of demand for contraceptives varies among women; those with no education comprised the lowest rate (16%) compared with those who had a primary (35%) or secondary school (34%) education.2 The total fertility rate (TFR) in the state is 5.3%. 2The tendency to use a contraceptive method depends upon the individual's attitude as well as his/her preference of particular methods. Knowing individuals' perceptions and preferences can help control and predict clients' behavior, and as is well-known, predicting and controlling behavior will help community health practitioners determine the myths and misconceptions among women regarding the different contraceptive methods. It will also help the development of a package of intervention that can be applied to increase uptake. Furthermore, it is important Abstract Background: The fertility rate is high and the contraceptive prevalence rate is very low in Nigeria. Thus, women in Nigeria are exposed to the dangers of unwanted and unplanned pregnancies. Objective: The current study aimed to determine the levels of knowledge, attitudes, and contraceptive preferences among couples in selected health facilities in Ebonyi State so as to recommend a package of intervention to increase contraception uptake. Methods: This cross-sectional descriptive quantitative study used questionnaires administered by the researchers themselves among 128 postpartum women who were current users of contraceptive methods in Izzi, Ezza South, and Ikwo local government areas of Ebonyi State, Nigeria from January 1, 2016 to June 30, 2017. Informed consent was obtained from participants. Data was analyzed using SPSS version 20. Simple percentages were used to report categorical variables. Results:The study results showed that most of the respondents (49%) had a secondary education, were aged above 20 years, and were mainly employed as civil servants with an average monthly income of $47.20. About 69% had less than 5 living children.Most respondents knew about contraception as a means of delaying pregnancy or limiting the number of children (37%) and recommended its use for family/society (46%). The most commonly used contraceptive methods were implants and injectable ones, while the IUD was the least preferred. Both implants and injectable contraceptives were recommended by friends and believed to be highly effective. Conclusion:The current study showed that knowledge and positive attitude of participants towards family planning was high, comparable to studies in other parts of the world. Further res...

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Factors influencing young women's decision making regarding hormonal contraceptives: a qualitative study

Cited by 55 publications

References 17 publications

Mechanistic and “Natural” Body Metaphors and Their Effects on Attitudes to Hormonal Contraception

Mechanistic and “Natural” Body Metaphors and Their Effects on Attitudes to Hormonal Contraception

Men's contraceptive practices in France: evidence of male involvement in family planning

Knowledge, Attitude, and Contraceptive Preferences Among Postpartum Women in Izzi, Ezza South, and Ikwo Local Government Areas of Ebonyi State, Nigeria

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