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Article: Contraception matters:Indicators of poor usage of contraception in sexually active women attending family planning clinics in Victoria, Australia.

TitleContraception matters:Indicators of poor usage of contraception in sexually active women attending family planning clinics in Victoria, Australia.
Authors
KeywordsContraception
Family Planning
Women’s health
Unintended pregnancy
Unintended pregnancy
Unplanned pregnancy
Issue Date2012
PublisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcpublichealth/
Citation
BMC Public Health, 2012, v. 12, p. 1108 How to Cite?
AbstractBackground Unintended pregnancy (mistimed or unwanted) remains an important health issue for women. The purpose of this study was to determine the prevalence of and factors associated with risk of unintended pregnancy in a sample of Victorian women attending family planning clinics. Methods This cross-sectional survey of three Family Planning Victoria Clinics from April to July 2011 recruited women aged 16-50 years with a male sexual partner in the last 3 months, and not intending to conceive. The questionnaire asked about contraceptive behaviours and important factors that influence contraception use (identified from a systematic literature review). Univariate analysis was calculated for the variables of interest for associations with contraceptive use. An overall multivariate model for being at risk for unintended pregnancy (due to inconsistent or ineffective contraceptive use or non-use) was calculated through backward elimination with statistical significance set at <0.05. Results 1006 surveys were analyzed with 96% of women reporting contraception use in the last 3 months. 37% of women were at risk for unintended pregnancy due to imperfect use (61% inconsistent users; 31% ineffective methods) or never using contraception (8%). On multivariate analysis, women at risk for unintended pregnancy compared with women not at risk were <25 years old (OR 1.8, 95% CI 1.2-2.7); had no university/postgraduate degree (OR 1.7, 95% CI 1.2-2.4); and had >1 partner in the last 3 months (OR 3.2, 95% CI 2.3-4.6). These women were dissatisfied with current contraception (OR 2.5, 95% 1.8-3.5); felt “vulnerable” to pregnancy (OR 2.1, 95% CI 1.6-3.0); were not confident in contraceptive knowledge (OR 2.6, 95% CI 1.5-4.8); were unable to stop to use contraception when aroused (OR 2.1, 95% CI 1.5-2.9) but were comfortable in speaking to a doctor about contraception (OR 2.3, 95% CI 1.1-4.1). Conclusion Despite reported high contraceptive usage, nearly 40% of women were at risk for unintended pregnancy primarily due to inconsistent contraceptive use and use of ineffective contraception. Strategies for improving consistency of effective contraception use or greater emphasis on long-acting contraception may be needed for certain subpopulations at higher risk for unintended pregnancy.
Persistent Identifierhttp://hdl.handle.net/10722/191407
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorWong, WCWen_US
dc.contributor.authorOng, Jen_US
dc.contributor.authorTemple-Smith, MJen_US
dc.contributor.authorMcNamee, Ken_US
dc.contributor.authorFairley, CKen_US
dc.date.accessioned2013-10-15T06:57:51Z-
dc.date.available2013-10-15T06:57:51Z-
dc.date.issued2012en_US
dc.identifier.citationBMC Public Health, 2012, v. 12, p. 1108en_US
dc.identifier.urihttp://hdl.handle.net/10722/191407-
dc.description.abstractBackground Unintended pregnancy (mistimed or unwanted) remains an important health issue for women. The purpose of this study was to determine the prevalence of and factors associated with risk of unintended pregnancy in a sample of Victorian women attending family planning clinics. Methods This cross-sectional survey of three Family Planning Victoria Clinics from April to July 2011 recruited women aged 16-50 years with a male sexual partner in the last 3 months, and not intending to conceive. The questionnaire asked about contraceptive behaviours and important factors that influence contraception use (identified from a systematic literature review). Univariate analysis was calculated for the variables of interest for associations with contraceptive use. An overall multivariate model for being at risk for unintended pregnancy (due to inconsistent or ineffective contraceptive use or non-use) was calculated through backward elimination with statistical significance set at <0.05. Results 1006 surveys were analyzed with 96% of women reporting contraception use in the last 3 months. 37% of women were at risk for unintended pregnancy due to imperfect use (61% inconsistent users; 31% ineffective methods) or never using contraception (8%). On multivariate analysis, women at risk for unintended pregnancy compared with women not at risk were <25 years old (OR 1.8, 95% CI 1.2-2.7); had no university/postgraduate degree (OR 1.7, 95% CI 1.2-2.4); and had >1 partner in the last 3 months (OR 3.2, 95% CI 2.3-4.6). These women were dissatisfied with current contraception (OR 2.5, 95% 1.8-3.5); felt “vulnerable” to pregnancy (OR 2.1, 95% CI 1.6-3.0); were not confident in contraceptive knowledge (OR 2.6, 95% CI 1.5-4.8); were unable to stop to use contraception when aroused (OR 2.1, 95% CI 1.5-2.9) but were comfortable in speaking to a doctor about contraception (OR 2.3, 95% CI 1.1-4.1). Conclusion Despite reported high contraceptive usage, nearly 40% of women were at risk for unintended pregnancy primarily due to inconsistent contraceptive use and use of ineffective contraception. Strategies for improving consistency of effective contraception use or greater emphasis on long-acting contraception may be needed for certain subpopulations at higher risk for unintended pregnancy.-
dc.languageengen_US
dc.publisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcpublichealth/-
dc.relation.ispartofBMC Public Healthen_US
dc.rightsBMC Public Health. Copyright © BioMed Central Ltd-
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subjectContraception-
dc.subjectFamily Planning-
dc.subjectWomen’s health-
dc.subjectUnintended pregnancy-
dc.subjectUnintended pregnancy-
dc.subjectUnplanned pregnancy-
dc.titleContraception matters:Indicators of poor usage of contraception in sexually active women attending family planning clinics in Victoria, Australia.en_US
dc.typeArticleen_US
dc.identifier.emailWong, WCW: wongwcw@hku.hken_US
dc.identifier.authorityWong, WCW=rp01457en_US
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1186/1471-2458-12-1108-
dc.identifier.pmid23259407-
dc.identifier.hkuros225618en_US
dc.identifier.volume12en_US
dc.identifier.spage1108en_US
dc.identifier.epage1108en_US
dc.identifier.isiWOS:000314036500001-

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