首页 > 最新文献

BMJ Sexual & Reproductive Health最新文献

英文 中文
Understanding women from ethnic minorities' perspectives about contraception in the UK: a qualitative study using a participatory action research approach with community research link workers.
IF 3.4 3区 医学 Q1 FAMILY STUDIES Pub Date : 2025-02-11 DOI: 10.1136/bmjsrh-2024-202522
Emma Linton, Rebecca L Mawson, Ryan James Cory, Richard Ma, Kate Fryer, Habiba Aminu, Aaishah Aslam, Fatima Nasiru Nabage, Sheila Daley, Caroline Anne Mitchell

Background: Contraception has revolutionised women's health, enabling planned pregnancies and improved outcomes for mothers and babies. However, disparities exist in rates of unintended pregnancies and contraceptive uptake among ethnic groups. The reasons for this are poorly understood.

Objective: To understand women from ethnic minorities' perspectives about contraception.

Methods: Our qualitative study used a participatory action research approach, utilising community research link workers. Public engagement was embedded in the study's conception. We used focus groups and interviews to elicit perspectives, then analysed the data using thematic analysis. The study participants were women who self-identified as being from an ethnic minority group in Sheffield, UK.

Results: Thirty-six women participated in four focus groups and five interviews. Thematic analysis revealed four themes: (1) The role of contraception in a woman's life, (2) External influencers, (3) Cultural and religious considerations and (4) Everyone is different (individuality). Contraceptive needs should be considered holistically, rather than with a siloed, targeted approach. 'External influencers', such as partners, family and communities, determine how contraception is accessed and experienced. 'Cultural considerations', such as personal, sociocultural and religious factors specific to women from ethnic minorities, influence contraceptive choice.

Conclusions: This study provides a transcultural perspective of the issues at play when a woman from an ethnic minority makes a decision about contraception. Practitioners and health providers must be culturally competent and tailor consultations and services to the individual.

{"title":"Understanding women from ethnic minorities' perspectives about contraception in the UK: a qualitative study using a participatory action research approach with community research link workers.","authors":"Emma Linton, Rebecca L Mawson, Ryan James Cory, Richard Ma, Kate Fryer, Habiba Aminu, Aaishah Aslam, Fatima Nasiru Nabage, Sheila Daley, Caroline Anne Mitchell","doi":"10.1136/bmjsrh-2024-202522","DOIUrl":"https://doi.org/10.1136/bmjsrh-2024-202522","url":null,"abstract":"<p><strong>Background: </strong>Contraception has revolutionised women's health, enabling planned pregnancies and improved outcomes for mothers and babies. However, disparities exist in rates of unintended pregnancies and contraceptive uptake among ethnic groups. The reasons for this are poorly understood.</p><p><strong>Objective: </strong>To understand women from ethnic minorities' perspectives about contraception.</p><p><strong>Methods: </strong>Our qualitative study used a participatory action research approach, utilising community research link workers. Public engagement was embedded in the study's conception. We used focus groups and interviews to elicit perspectives, then analysed the data using thematic analysis. The study participants were women who self-identified as being from an ethnic minority group in Sheffield, UK.</p><p><strong>Results: </strong>Thirty-six women participated in four focus groups and five interviews. Thematic analysis revealed four themes: (1) The role of contraception in a woman's life, (2) External influencers, (3) Cultural and religious considerations and (4) Everyone is different (individuality). Contraceptive needs should be considered holistically, rather than with a siloed, targeted approach. 'External influencers', such as partners, family and communities, determine how contraception is accessed and experienced. 'Cultural considerations', such as personal, sociocultural and religious factors specific to women from ethnic minorities, influence contraceptive choice.</p><p><strong>Conclusions: </strong>This study provides a transcultural perspective of the issues at play when a woman from an ethnic minority makes a decision about contraception. Practitioners and health providers must be culturally competent and tailor consultations and services to the individual.</p>","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reusable menstrual hygiene products may lead to underdiagnosis of heavy menstrual bleeding: a randomised trial. 可重复使用的月经卫生用品可能导致严重月经出血的诊断不足:一项随机试验。
IF 3.4 3区 医学 Q1 FAMILY STUDIES Pub Date : 2025-02-04 DOI: 10.1136/bmjsrh-2024-202541
Bethany Samuelson Bannow, Katrina Ramsey, Katherine Courchaine, Alison Edelman, Alyssa C Colwill

Background: Clinical diagnosis of heavy menstrual bleeding (HMB) is dependent on patient report of menstrual product usage of pads and tampons, but it is unknown if newer reusable menstrual products (cup and underwear) are similarly diagnostic.

Methods: We enrolled 20 regularly menstruating individuals with HMB for two menstrual cycles. Participants completed a retrospective baseline Pictorial Blood loss Assessment Chart (PBAC) at the time of enrolment (eligibility PBAC score ≥100) as well as several different measures with each study cycle. In cycle 1, participants used study-provided disposable pads and tampons. For cycle 2, participants were randomised to menstrual cup or underwear and collected their menstrual fluid on their heaviest 2 days. We compared the two cycles with respect to the weight of menstrual fluid collected and the frequency of product changes and leaks during the heaviest days in cycles 1 and 2, as well as questionnaire responses.

Results: Overall, the mean rate of product changes per heaviest day were 5.5 disposable product changes (range 1.5-11), 3.6 cup changes (range 1.3-6.2), and 3.5 underwear changes (range 2.7-6.9). Both groups (cup users and underwear users) reported a median 3.5 leaks (range 1-5) per heaviest day in cycle 2, while using the menstrual cup or underwear.

Discussion: Participants reported fewer daily changes of reusable products compared with disposable ones, but more leaks, suggesting that 'rate of product change' with reusable products may result in missed diagnoses of HMB.

背景:重度月经出血(HMB)的临床诊断依赖于患者对卫生巾和卫生棉条使用情况的报告,但尚不清楚更新的可重复使用月经产品(杯子和内衣)是否具有类似的诊断作用。方法:我们招募了20名月经规律的HMB患者,为期两个月经周期。参与者在入组时完成了回顾性基线图像失血评估图(PBAC)(合格PBAC评分≥100)以及每个研究周期的几种不同测量。在第一阶段,参与者使用研究提供的一次性卫生巾和卫生棉条。在月经周期2中,参与者被随机分配到月经杯或内衣,并在月经最重的2天收集月经液。我们比较了两个周期在第1和第2周期最重的日子里收集的月经液的重量和产品变化和泄漏的频率,以及问卷的回答。结果:总体而言,每个最重日的平均产品更换率为5.5个一次性产品更换(范围为1.5-11),3.6个杯子更换(范围为1.3-6.2),3.5个内衣更换(范围为2.7-6.9)。在使用月经杯或内衣时,两组(使用月经杯和内衣的人)报告说,在月经周期2最重的一天中,平均每天有3.5次渗漏(范围1-5)。讨论:与一次性产品相比,参与者报告的可重复使用产品的每日变化较少,但泄漏更多,这表明可重复使用产品的“产品变化速度”可能导致HMB漏诊。
{"title":"Reusable menstrual hygiene products may lead to underdiagnosis of heavy menstrual bleeding: a randomised trial.","authors":"Bethany Samuelson Bannow, Katrina Ramsey, Katherine Courchaine, Alison Edelman, Alyssa C Colwill","doi":"10.1136/bmjsrh-2024-202541","DOIUrl":"10.1136/bmjsrh-2024-202541","url":null,"abstract":"<p><strong>Background: </strong>Clinical diagnosis of heavy menstrual bleeding (HMB) is dependent on patient report of menstrual product usage of pads and tampons, but it is unknown if newer reusable menstrual products (cup and underwear) are similarly diagnostic.</p><p><strong>Methods: </strong>We enrolled 20 regularly menstruating individuals with HMB for two menstrual cycles. Participants completed a retrospective baseline Pictorial Blood loss Assessment Chart (PBAC) at the time of enrolment (eligibility PBAC score ≥100) as well as several different measures with each study cycle. In cycle 1, participants used study-provided disposable pads and tampons. For cycle 2, participants were randomised to menstrual cup or underwear and collected their menstrual fluid on their heaviest 2 days. We compared the two cycles with respect to the weight of menstrual fluid collected and the frequency of product changes and leaks during the heaviest days in cycles 1 and 2, as well as questionnaire responses.</p><p><strong>Results: </strong>Overall, the mean rate of product changes per heaviest day were 5.5 disposable product changes (range 1.5-11), 3.6 cup changes (range 1.3-6.2), and 3.5 underwear changes (range 2.7-6.9). Both groups (cup users and underwear users) reported a median 3.5 leaks (range 1-5) per heaviest day in cycle 2, while using the menstrual cup or underwear.</p><p><strong>Discussion: </strong>Participants reported fewer daily changes of reusable products compared with disposable ones, but more leaks, suggesting that 'rate of product change' with reusable products may result in missed diagnoses of HMB.</p>","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142944886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lifestyle risk reduction engagement during interconception: a qualitative descriptive study of women's preferences.
IF 3.4 3区 医学 Q1 FAMILY STUDIES Pub Date : 2025-01-31 DOI: 10.1136/bmjsrh-2024-202518
Sharon James, Sarah E Ratcliffe, Anisa Rojanapenkul Assifi, Jessica Botfield, Kirsten Black, Mark Hanson, Danielle Mazza

Background: Prevention and self-management of lifestyle risks can reduce non-communicable disease risks and improve the health of mothers and their children. We explored Australian women's preferences for lifestyle risk reduction engagement during the interconception period.

Methods: We conducted a qualitative descriptive interview study between February and May 2022. Women and people who have been pregnant and intended to have more children were recruited. We asked participants about their preferences for lifestyle risk reduction between pregnancies. Following reflexive thematic analysis, we conceptualised findings using the COM-B system.

Results: Among 17 participants, most had given birth to one child and intended to have another child in 1 to 2 years. Our analysis found that most described lifestyle risk reduction engagement through nutrition and exercise, informed by personal experiences and their health goals for a future pregnancy/child. Key attributes affecting engagement in lifestyle risk reduction activities included their feasibility and practicality, habits and routines, motivation, pregnancy planning, and the source and quality of information. Participants' capacity and capability to engage in lifestyles supportive of interconception health were varied and influenced by juggling the routines of work, finances, health and evolving caring responsibilities. Community-based influences, including the availability of recreational infrastructure, the level of support provided by partners/family/peers and culture, also influenced participants' engagement in lifestyle risk reduction activities.

Conclusions: For lifestyles that encourage interconception health, maximising participants' capability and opportunities required motivation and access to infrastructure supportive of healthy meal options and exercise, health services and community networks.

{"title":"Lifestyle risk reduction engagement during interconception: a qualitative descriptive study of women's preferences.","authors":"Sharon James, Sarah E Ratcliffe, Anisa Rojanapenkul Assifi, Jessica Botfield, Kirsten Black, Mark Hanson, Danielle Mazza","doi":"10.1136/bmjsrh-2024-202518","DOIUrl":"https://doi.org/10.1136/bmjsrh-2024-202518","url":null,"abstract":"<p><strong>Background: </strong>Prevention and self-management of lifestyle risks can reduce non-communicable disease risks and improve the health of mothers and their children. We explored Australian women's preferences for lifestyle risk reduction engagement during the interconception period.</p><p><strong>Methods: </strong>We conducted a qualitative descriptive interview study between February and May 2022. Women and people who have been pregnant and intended to have more children were recruited. We asked participants about their preferences for lifestyle risk reduction between pregnancies. Following reflexive thematic analysis, we conceptualised findings using the COM-B system.</p><p><strong>Results: </strong>Among 17 participants, most had given birth to one child and intended to have another child in 1 to 2 years. Our analysis found that most described lifestyle risk reduction engagement through nutrition and exercise, informed by personal experiences and their health goals for a future pregnancy/child. Key attributes affecting engagement in lifestyle risk reduction activities included their feasibility and practicality, habits and routines, motivation, pregnancy planning, and the source and quality of information. Participants' capacity and capability to engage in lifestyles supportive of interconception health were varied and influenced by juggling the routines of work, finances, health and evolving caring responsibilities. Community-based influences, including the availability of recreational infrastructure, the level of support provided by partners/family/peers and culture, also influenced participants' engagement in lifestyle risk reduction activities.</p><p><strong>Conclusions: </strong>For lifestyles that encourage interconception health, maximising participants' capability and opportunities required motivation and access to infrastructure supportive of healthy meal options and exercise, health services and community networks.</p>","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143073894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Response to the letter: 'Sexual and reproductive health clinical consultations: preconception care' by Chingara et al.
IF 3.4 3区 医学 Q1 FAMILY STUDIES Pub Date : 2025-01-30 DOI: 10.1136/bmjsrh-2025-202733
Amy Hough, Jayne Kavanagh, Neha Pathak
{"title":"Response to the letter: 'Sexual and reproductive health clinical consultations: preconception care' by Chingara <i>et al</i>.","authors":"Amy Hough, Jayne Kavanagh, Neha Pathak","doi":"10.1136/bmjsrh-2025-202733","DOIUrl":"https://doi.org/10.1136/bmjsrh-2025-202733","url":null,"abstract":"","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Abortion skills and workforce 50 years on: an ageing workforce in need of rejuvenation. 50年过去了,堕胎技术和劳动力:老龄化的劳动力需要振兴。
IF 3.4 3区 医学 Q1 FAMILY STUDIES Pub Date : 2025-01-25 DOI: 10.1136/bmjsrh-2024-202559
Edgar Kennedy Dorman
{"title":"Abortion skills and workforce 50 years on: an ageing workforce in need of rejuvenation.","authors":"Edgar Kennedy Dorman","doi":"10.1136/bmjsrh-2024-202559","DOIUrl":"10.1136/bmjsrh-2024-202559","url":null,"abstract":"","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142909301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comment on 'Sexual and reproductive health clinical consultations: preconception care'.
IF 3.4 3区 医学 Q1 FAMILY STUDIES Pub Date : 2025-01-22 DOI: 10.1136/bmjsrh-2024-202685
Olivia Chingara, Andrea Woolner, Susan Logan
{"title":"Comment on 'Sexual and reproductive health clinical consultations: preconception care'.","authors":"Olivia Chingara, Andrea Woolner, Susan Logan","doi":"10.1136/bmjsrh-2024-202685","DOIUrl":"https://doi.org/10.1136/bmjsrh-2024-202685","url":null,"abstract":"","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143027970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fifty years of epidemiological research on the cardiovascular and cancer risks of hormonal contraception.
IF 3.4 3区 医学 Q1 FAMILY STUDIES Pub Date : 2025-01-22 DOI: 10.1136/bmjsrh-2024-202414
Lisa Iversen, Philip Hannaford
{"title":"Fifty years of epidemiological research on the cardiovascular and cancer risks of hormonal contraception.","authors":"Lisa Iversen, Philip Hannaford","doi":"10.1136/bmjsrh-2024-202414","DOIUrl":"https://doi.org/10.1136/bmjsrh-2024-202414","url":null,"abstract":"","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143027971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acceptability of digital health intervention during pregnancy to inform women about postpartum contraception (DIGICAP): a pilot randomised controlled study. 怀孕期间数字健康干预的可接受性,以告知妇女产后避孕(DIGICAP):一项试点随机对照研究
IF 3.4 3区 医学 Q1 FAMILY STUDIES Pub Date : 2025-01-16 DOI: 10.1136/bmjsrh-2024-202479
Michelle Cooper, Caroline J Free, Kevin Ka-Wing Kuan, Karen McCabe, Emmanuela Osei-Asemani, Charles Opondo, Sharon Cameron

Background: Pregnancy within a year of childbirth has negative impacts on women and their children's health. We developed a digital health intervention (DHI) to empower women in contraceptive choices postpartum. Our pilot randomised controlled trial (RCT) aimed to establish the feasibility of a main RCT of the effects of the DHI compared with standard care on long-acting contraception use.

Methods: Our pilot RCT recruited 52, 20-24 weeks pregnant women in NHS Lothian, UK between October 2022 and April 2023. Participants were randomised 7:3 to receive either the DHI (n=37) in addition to standard care, or standard care alone (n=15). Telephone survey follow-up was at 24 weeks' gestation and 6 weeks postpartum. Semi-structured qualitative interviews (n=10) were conducted with participants receiving the DHI.

Results: All eligible women joined the study and completed follow-up. All intervention participants found the animation highly acceptable; one participant requested text message discontinuation. We completed followed up on 37/37 (100%) of participants. DHI participants reported they valued access to credible contraceptive information that supported decision making in a non-pressurised way.

Conclusions: Our DHI is highly acceptable and a trial is feasible. A larger trial is needed to establish if the DHI increases uptake of long-acting reversible contraception postpartum and reduces unintended pregnancies within 12 months of childbirth.

Trial registration number: (Trial registration ISRCTN48521918).

背景:分娩后一年内怀孕对妇女及其子女的健康有负面影响。我们开发了一种数字健康干预(DHI),赋予妇女产后避孕选择的权力。我们的试点随机对照试验(RCT)旨在建立DHI与标准护理对长效避孕药使用影响的主要RCT的可行性。方法:我们的试点RCT在2022年10月至2023年4月期间在英国洛锡安NHS招募了52名20-24周的孕妇。参与者按7:3随机分组,接受DHI (n=37)和标准治疗,或单独接受标准治疗(n=15)。电话调查随访于妊娠24周和产后6周。对接受DHI的参与者进行半结构化定性访谈(n=10)。结果:所有符合条件的女性都加入了研究并完成了随访。所有的干预参与者都认为动画是高度可接受的;一位与会者要求停止发短信。我们对37/37(100%)的参与者完成了随访。DHI参与者报告说,他们重视获得可靠的避孕信息,以非压力的方式支持决策。结论:我们的DHI是高度可接受的,试验是可行的。需要更大规模的试验来确定DHI是否增加了产后长效可逆避孕的使用,并减少了分娩12个月内的意外怀孕。试验注册号:(试验注册号ISRCTN48521918)。
{"title":"Acceptability of digital health intervention during pregnancy to inform women about postpartum contraception (DIGICAP): a pilot randomised controlled study.","authors":"Michelle Cooper, Caroline J Free, Kevin Ka-Wing Kuan, Karen McCabe, Emmanuela Osei-Asemani, Charles Opondo, Sharon Cameron","doi":"10.1136/bmjsrh-2024-202479","DOIUrl":"https://doi.org/10.1136/bmjsrh-2024-202479","url":null,"abstract":"<p><strong>Background: </strong>Pregnancy within a year of childbirth has negative impacts on women and their children's health. We developed a digital health intervention (DHI) to empower women in contraceptive choices postpartum. Our pilot randomised controlled trial (RCT) aimed to establish the feasibility of a main RCT of the effects of the DHI compared with standard care on long-acting contraception use.</p><p><strong>Methods: </strong>Our pilot RCT recruited 52, 20-24 weeks pregnant women in NHS Lothian, UK between October 2022 and April 2023. Participants were randomised 7:3 to receive either the DHI (n=37) in addition to standard care, or standard care alone (n=15). Telephone survey follow-up was at 24 weeks' gestation and 6 weeks postpartum. Semi-structured qualitative interviews (n=10) were conducted with participants receiving the DHI.</p><p><strong>Results: </strong>All eligible women joined the study and completed follow-up. All intervention participants found the animation highly acceptable; one participant requested text message discontinuation. We completed followed up on 37/37 (100%) of participants. DHI participants reported they valued access to credible contraceptive information that supported decision making in a non-pressurised way.</p><p><strong>Conclusions: </strong>Our DHI is highly acceptable and a trial is feasible. A larger trial is needed to establish if the DHI increases uptake of long-acting reversible contraception postpartum and reduces unintended pregnancies within 12 months of childbirth.</p><p><strong>Trial registration number: </strong>(Trial registration ISRCTN48521918).</p>","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143000470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Self-reported contraceptive method use at conception among patients presenting for abortion in England: a cross-sectional analysis comparing 2018 and 2023. 英国堕胎患者在怀孕时自我报告的避孕方法使用情况:2018年和2023年比较的横断面分析
IF 3.4 3区 医学 Q1 FAMILY STUDIES Pub Date : 2025-01-13 DOI: 10.1136/bmjsrh-2024-202573
Rosie McNee, Hannah McCulloch, Patricia A Lohr, Anna Glasier

Background: Recent media attention has been given to an apparent shift away from hormonal methods of contraception. While an increase in fertility awareness-based or 'natural' family planning methods is reported in the grey literature, there are no robust data to determine any such trend in the UK.

Methods: We compared self-reported contraceptive use at conception among patients presenting for abortion at British Pregnancy Advisory Service from January to June 2018 (N=33 495) and January to June 2023 (N=55 055) using chi-square (χ2) tests of association.

Results: Reported use of fertility awareness-based methods of contraception around the time of conception increased from 0.4% in 2018 to 2.5% in 2023 (p<0.001). In contrast, use of hormonal methods of contraception decreased from 18.8% in 2018 to 11.3% in 2023 (p<0.001) and use of long-acting reversible contraception fell from 3% to 0.6% (p<0.001). Those reporting using no contraception at the time of conception significantly increased by 14% (p<0.001) when comparing data from 2018 (55.8%) with data from 2023 (69.6%).

Conclusions: Significantly fewer abortion patients report using effective methods of contraception around conception while also reporting an increased use of fertility awareness-based methods. Further research is needed to understand the reasons for this change.

背景:最近媒体关注的是激素避孕方法的明显转变。虽然灰色文献中报道了基于生育意识或“自然”计划生育方法的增加,但在英国没有可靠的数据来确定这种趋势。方法:采用χ2关联检验,比较2018年1月至6月(N=33 495)和2023年1月至6月(N=55 055)在英国妊娠咨询服务中心(British Pregnancy Advisory Service)就诊的流产患者在受孕时自我报告的避孕药具使用情况。结果:报告在怀孕前后使用基于生育意识的避孕方法的人数从2018年的0.4%增加到2023年的2.5%。结论:堕胎患者报告在怀孕前后使用有效避孕方法的人数明显减少,同时报告使用基于生育意识的避孕方法的人数也有所增加。需要进一步的研究来了解这种变化的原因。
{"title":"Self-reported contraceptive method use at conception among patients presenting for abortion in England: a cross-sectional analysis comparing 2018 and 2023.","authors":"Rosie McNee, Hannah McCulloch, Patricia A Lohr, Anna Glasier","doi":"10.1136/bmjsrh-2024-202573","DOIUrl":"https://doi.org/10.1136/bmjsrh-2024-202573","url":null,"abstract":"<p><strong>Background: </strong>Recent media attention has been given to an apparent shift away from hormonal methods of contraception. While an increase in fertility awareness-based or 'natural' family planning methods is reported in the grey literature, there are no robust data to determine any such trend in the UK.</p><p><strong>Methods: </strong>We compared self-reported contraceptive use at conception among patients presenting for abortion at British Pregnancy Advisory Service from January to June 2018 (N=33 495) and January to June 2023 (N=55 055) using chi-square (χ<sup>2</sup>) tests of association.</p><p><strong>Results: </strong>Reported use of fertility awareness-based methods of contraception around the time of conception increased from 0.4% in 2018 to 2.5% in 2023 (p<0.001). In contrast, use of hormonal methods of contraception decreased from 18.8% in 2018 to 11.3% in 2023 (p<0.001) and use of long-acting reversible contraception fell from 3% to 0.6% (p<0.001). Those reporting using no contraception at the time of conception significantly increased by 14% (p<0.001) when comparing data from 2018 (55.8%) with data from 2023 (69.6%).</p><p><strong>Conclusions: </strong>Significantly fewer abortion patients report using effective methods of contraception around conception while also reporting an increased use of fertility awareness-based methods. Further research is needed to understand the reasons for this change.</p>","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142977615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Remember vasectomy: challenges and successes-one small snip for mankind. 记住输精管结扎术:挑战和成功——对人类来说是一小步。
IF 3.4 3区 医学 Q1 FAMILY STUDIES Pub Date : 2025-01-08 DOI: 10.1136/bmjsrh-2024-202431
Gareth James, Melanie Atkinson
{"title":"Remember vasectomy: challenges and successes-one small snip for mankind.","authors":"Gareth James, Melanie Atkinson","doi":"10.1136/bmjsrh-2024-202431","DOIUrl":"https://doi.org/10.1136/bmjsrh-2024-202431","url":null,"abstract":"","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142944877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
BMJ Sexual & Reproductive Health
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1