Sexual, relationship, contraceptive and personal factors influencing emergency contraception use: a qualitative study

Neustadt, Amy; Holmquist, Sabrina; Davis, Shawna; Gilliam, Melissa

doi:10.1016/j.contraception.2011.01.003

Cited by 11 publications

(20 citation statements)

References 23 publications

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“…Discourses around the right time to become a mother and the best way to bring a child into the world were presented in 3 studies . Having economic security, being in a stable relationship that preferably involved marriage, and being older than adolescence were seen by participants as the ideal context in which to have a child.…”

Section: Resultsmentioning

confidence: 99%

“…Further discourses surrounding motherhood established the importance of fertility as essential to femininity were identified in 4 studies . Women vocalized their desire to retain their fertility in the instance of meeting a new partner who wanted more children, and women were also unlikely to choose contraceptive options that they felt might harm their fertility in the future . Among individuals who did not place value on their fertility, this association was highly problematic and created a sense of erased identity when fertility was prioritized over other health concerns …”

Section: Resultsmentioning

confidence: 99%

“…The language surrounding contraception, especially hormonal contraception, revealed how women interact with their contraception. In 5 studies, women vocalized a desire for contraception they considered natural or disliked anything they considered unnatural, such as a method that stopped or altered normal menstruation . In 4 other studies, women vocalized distrust in contraception, especially in relation to contraception's adverse effect profile, efficacy, and short‐ and long‐term safety .…”

Section: Resultsmentioning

confidence: 99%

“…Discourses around the right time to become a mother and the best way to bring a child into the world were presented in 3 studies. 20,30,31 Having economic security, being in a stable relationship that preferably involved marriage, and being older than adolescence were seen by participants as the ideal context in which to have a child. It was generally viewed as preferable for a woman to have completed her education and have achieved many, if not all, of her professional goals before becoming pregnant.…”

Section: Pregnancy Timingmentioning

confidence: 99%

“…19,20,22,[27][28][29]31,32 For single women or those taking part in more casual sexual encounters, power manifested in contraceptive negotiations that often included the partner taking a stance against contraception and condom usage. 20,28,29 In more formal relationships, such as within the institution of marriage, male power represented a more encompassing control over method choice, usage, pregnancies, and health care-seeking behavior in general. 20,28 In the most extreme instances of overt power and control, intimate partner violence and reproductive coercion manifested.…”

Section: Husbands and Sexual Partnersmentioning

confidence: 99%

See 4 more Smart Citations

Women's Contraceptive Perceptions, Beliefs, and Attitudes: An Integrative Review of Qualitative Research

Alspaugh

Barroso

Reibel

et al. 2019

J Midwife Womens Health

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Introduction: Unintended pregnancy rates will remain high until researchers explore the lived experience of women's relationships with contraception. This integrative review examines the extant qualitative literature on women's contraception to illuminate common themes in women's perspectives through the lens of the feminist poststructuralist framework. Methods: A literature review of PubMed and CINAHL databases was completed for English-language studies conducted in the United States from January 2008 through September 2018 that qualitatively examined women's perceptions, beliefs, and attitudes regarding contraception. Reports, dissertations, mixed-methods research, and literature reviews were excluded. The sample, methods, and findings of 19 studies were reviewed. Themes were identified using the 5 major tenets of the feminist poststructuralist framework: discourse, power, language, subjectivity, and agency. Results: Themes of power imbalance between partners and health care providers; societal and communal discourses on femininity and motherhood; distrust of hormonal contraception; the ability to enhance personal agency through contraceptive decision making; and a need for open, patient-focused communication arose from the 19 studies included in the review. Discussion: Using a feminist poststructuralist framework to examine women's contraceptive perceptions illuminates and magnifies the many ways in which contraceptive beliefs and use are dependent on gender roles and power dynamics. Gaps in knowledge specific to older women and exploration of women's subjectivity should be addressed. Clinicians should evaluate the power structures inherent to their practice while providing woman-focused, evidence-based contraceptive education.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Pregnancy Timingmentioning

confidence: 99%

Section: Husbands and Sexual Partnersmentioning

confidence: 99%

See 3 more Smart Citations

Women's Contraceptive Perceptions, Beliefs, and Attitudes: An Integrative Review of Qualitative Research

Alspaugh

Barroso

Reibel

et al. 2019

J Midwife Womens Health

View full text Add to dashboard Cite

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Emergency contraceptive pill users’ risk perceptions for sexually transmitted infections and future unintended pregnancy

Hickey

Shedlin

2017

Journal of the American Association of Nurse Practitioners

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Background and purpose The availability of emergency contraception pills (ECP) over the counter (OTC) has the potential to reduce the incidence of unintended pregnancy; however, the increased risk for sexually transmitted infection (STI) acquisition, related to unprotected intercourse, has not been adequately addressed. The purpose of this study is to gain insight into risk perceptions for STIs and subsequent unintended pregnancy in women who have purchased ECP OTC. Methods Twenty‐one women, aged 18–24, attending a private university in an urban setting, who purchased and used ECP OTC participated in 1‐h, individual interviews. Conclusions Narrative, descriptive findings indicated that these women did not consider themselves at risk for STI or unintended pregnancy, despite having used ECP OTC. Pregnancy prevention was paramount for these women, which overshadowed concerns regarding STIs. Implications for practice Women at risk for unintended consequences of sexual activity are not fully cognizant of those potential outcomes and do not take measures to prevent their occurrence. The availability of ECP OTC offers protection against unintended pregnancy; however, opportunities for health promotion and prevention counseling may be lost.

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Fifty years on “the pill”: a qualitative analysis of nondaily contraceptive options

Sundstrom

2012

Contraception

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Sexual, relationship, contraceptive and personal factors influencing emergency contraception use: a qualitative study

Cited by 11 publications

References 23 publications

Women's Contraceptive Perceptions, Beliefs, and Attitudes: An Integrative Review of Qualitative Research

Women's Contraceptive Perceptions, Beliefs, and Attitudes: An Integrative Review of Qualitative Research

Emergency contraceptive pill users’ risk perceptions for sexually transmitted infections and future unintended pregnancy

Fifty years on “the pill”: a qualitative analysis of nondaily contraceptive options

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