Hormonal contraception and mental health: results of a population-based study

Toffol, Elena; Heikinheimo, Oskari; Koponen, Päivikki; Luoto, Riitta; Partonen, Timo

doi:10.1093/humrep/der269

Cited by 58 publications

(35 citation statements)

References 40 publications

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“…The studies took place in seven different countries: United States (10), Australia (5), England (3), Canada (2), France (2), Finland (1), and Russia (1). Nine studies collected data from women in substance abuse treatment (including White et al, 1993 whose population also include needle exchange clients), seven from women using drugs or alcohol but not in drug treatment (including a subset of women from Toffol et al, 2011), and eight from other populations where >50% of the group reported drug and alcohol use (i.e., street-based female sex workers, chronically homeless women, incarcerated women, or women living with HIV or hepatitis C). Of note, fourteen studies included details about the specific type of drug(s) used, with more than half (51%) of the women in these studies reporting opioid use and much smaller percentages, alcohol and cocaine.…”

Section: Resultsmentioning

confidence: 99%

Contraceptive use and method choice among women with opioid and other substance use disorders: A systematic review

Terplan

Hand

Hutchinson

et al. 2015

Preventive Medicine

157

142

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Aim To systematically review the literature on contraceptive use by women with opioid and other substance use disorders in order to estimate overall contraceptive use and to examine method choice given the alarmingly high rate of unintended pregnancy in this population. Method Pubmed (1948–2014) and PsycINFO (1806–2014) databases were searched for peer-reviewed journal articles using a systematic search strategy. Only articles published in English and reporting contraceptive use within samples of women with opioid and other substance use disorders were eligible for inclusion. Results Out of 580 abstracts reviewed, 105 articles were given a full-text review, and 24 studies met the inclusion criteria. The majority (51%) of women in these studies reported using opioids, with much smaller percentages reporting alcohol and cocaine use. Across studies, contraceptive prevalence ranged widely, from 6%–77%, with a median of 55%. Results from a small subset of studies (N = 6) suggest that women with opioid and other substance use disorders used contraception less often than non-drug-using comparison populations (56% vs. 81%, respectively). Regarding method choice, condoms were the most prevalent method, accounting for a median of 62% of contraceptives used, while use of more effective methods, especially implants and intrauterine devices (IUDs), was far less prevalent 8%. Conclusions Women with opioid and other substance use disorders have an unmet need for contraception, especially for the most effective methods. Offering contraception services in conjunction with substance use treatment and promoting use of more effective methods could help meet this need and reduce unintended pregnancy in this population.

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Section: Resultsmentioning

confidence: 99%

Contraceptive use and method choice among women with opioid and other substance use disorders: A systematic review

Terplan

Hand

Hutchinson

et al. 2015

Preventive Medicine

157

142

View full text Add to dashboard Cite

show abstract

“…Cheslack-Postava, for example, found OCPs to be either unassociated with or protective against multiple sub-threshold mood disorders [23]. A 2011 study of Finnish women found that OCP use modestly protected against most psychiatric disorders [25]. A 2013 study using data from the National Longitudinal Study of Adolescent Health found that OCP use protected against depressive symptoms among US women ages 25–34 [24].…”

Section: Discussionmentioning

confidence: 99%

Oral contraceptive use and depression among adolescents

McKetta

Keyes

2019

Annals of Epidemiology

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Purpose: Depression is a prevalent health problem affecting US women. Oral contraceptive pills (OCPs) are commonly used for pregnancy prevention, and evidence is mixed regarding any increased risk for incident depression among users, particularly adolescents. Methods: We examined the relationship between OCP use and depressive disorders among female adolescents using validated, structured interview assessments in a general population sample of adolescents in the National Comorbidity Survey-Adolescent Supplement (NCS-A). Respondents were 4,765 female adolescents with no history of pregnancy who reported current OCP use, lifetime OCP use and age of OCP initiation. Lifetime and current depressive disorders, including major depressive disorder and depressive episodes, were assessed by lay interviewers. Results: In logistic regression models adjusted for a range of confounders, there was no relationship between ever using OCPs and lifetime depressive disorder (OR 1.10, 95% CI 0.88 – 1.37), nor current use of OCPs and current depressive disorder (OR 0.82, 95% CI 0.50 – 1.35). Using survival analysis for age-of-onset data, we found that OCP use is not associated with an increased risk of depressive disorders. Conclusion: In sum, use of OCPs in a general population sample of adolescents did not increase risk of depressive disorders.

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“…For one, women with long-term alcohol problems may have decided early on to limit childbearing in a reliable manner, as other studies have posited. 39 Second, women with those histories may also be connected to a network of social services (e.g., drug and alcohol treatment) that may indirectly affect access to other types of health services, including family planning. Other investigators have shown, for example, positive associations between several types of substance use with access to sexual and reproductive healthcare.…”

Section: Discussionmentioning

confidence: 99%

Highly Effective Birth Control Use Before and After Women's Incarceration

Ramaswamy

Chen

Cropsey

et al. 2015

Journal of Women's Health

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Background: We examined factors associated with women's use of highly effective birth control before and after incarceration, since women with ongoing criminal justice involvement bear a disproportionate burden of sexual and reproductive health problems, including high rates of unintended pregnancy and inconsistent contraceptive use. Methods: Using a longitudinal study design, we conducted surveys with 102 women in an urban midwestern jail and then followed up with 66 of them 6 months after incarceration. We used stepwise logistic regression to assess individual, interpersonal, resource-based, organizational, and environmental factors associated with utilizing highly effective birth control. Results: Forty-two percent of women reported utilizing highly effective birth control (e.g., sterilization or other highly effective reversible methods) prior to incarceration, and 54% reported using these methods after release from jail ( p < 0.001). Ninety percent of women reported not wanting to get pregnant. Consistent use of birth control ( p = 0.001) and alcohol problems ( p = 0.027) were associated with utilization of highly effective birth control prior to incarceration. Previous pregnancies ( p = 0.012) were the only factor associated with utilization of highly effective birth control after release from jail. Conclusions: Clinicians and public health practitioners can use findings from this study to develop clinical and intervention efforts aimed at improving unintended-pregnancy prevention among incarcerated women both during their confinement and during the tumultuous period after their release from jail.

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Hormonal contraception and mental health: results of a population-based study

Cited by 58 publications

References 40 publications

Contraceptive use and method choice among women with opioid and other substance use disorders: A systematic review

Contraceptive use and method choice among women with opioid and other substance use disorders: A systematic review

Oral contraceptive use and depression among adolescents

Highly Effective Birth Control Use Before and After Women's Incarceration

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