Contraception – what about the men? Experience, knowledge and attitudes: a survey of 2438 heterosexual men using an online dating service

Sexual Health ◽  
2017 ◽  
Vol 14 (6) ◽  
pp. 533 ◽  
Author(s):  
Mary Stewart ◽  
Todd Ritter ◽  
Deborah Bateson ◽  
Kevin McGeechan ◽  
Edith Weisberg

Background There is little research on men’s contraceptive knowledge, attitudes and beliefs, yet the male partner is known to influence contraceptive choices. This study investigates contraceptive experiences, knowledge, attitudes and beliefs of a sample of sexually active, heterosexual men via an online dating site. Methods: An anonymous online survey was sent to men who had logged onto an online dating site within the previous year. Results: We analysed 2438 survey responses. A contraceptive method was used at last intercourse for 82% of men <50 years old versus 69% of men ≥50 (P < 0.0001). Condoms (35%), vasectomy (22%) and the contraceptive pill (21%) were the most commonly used methods. Older men were less likely to use condoms than younger men (P < 0.0001). More than 80% of participants had heard of each method. The greatest perceived harm was with the emergency contraceptive pill, with 32% responding that it was ‘harmful to the health of the user’ and 37% not sure. Belief that contraception decision-making should be shared between partners increased from 57% in a ‘one-night stand’ to 75% in a casual relationship, to 92% in a long-term relationship. Conclusion: Among this sample there is high contraceptive use, especially vasectomy in older men and a desire to share contraceptive decision-making with their partners, especially in long-term relationships. However, low awareness of some methods and misperceptions about hormonal contraceptive method safety, especially the emergency contraceptive pill, highlight the need for education for men.


Author(s):  
Juan Manuel Ospina Díaz ◽  
Carlos Alberto Niño Avendaño ◽  
Ledmar Jovanny Vargas Rodríguez

Background: The objective of this study was to asses frequency of employ, as well, as the level of knowledge of post-coital contraception in young female university students, living at the municipality of Tunja, Colombia. Methods: Descriptive, observational cross-sectional study. A sample of 615 students from two universities, public one and private the other, answered a survey about knowledge, sexual practices and the use of contraceptive methods, including the emergency contraceptive pill. Results: Mean age 21.18 years; Mean age of onset of sexuality 16.5 years; 59.7% had a stable partner; 69.6% answered that they had taken emergency contraception pill at least once in their life and 36.4% reported a frequency equal or greater than twice a year, while 17.5% considered it as a contraceptive method of habitual employment. Conclusions: Although the use of mechanical barrier methods as a method of contraception is not the objective of this study, we found that the condom is still the most commonly used contraceptive method by university students, but not used permanently or regularly. There is a high percentage of employment of emergency contraception pill, even with repetitive uses in short time periods. There is a high degree of conviction among young users about the contraceptive safety of the use of emergency contraception pill.



Demography ◽  
2021 ◽  
Author(s):  
Damian Clarke ◽  
Viviana Salinas

Abstract We examine the sharp expansion in availability of the emergency contraceptive pill in Chile following legalized access through municipal public health care centers. We study the period 2002–2016 and a broad rollout of the emergency contraceptive pill occurring between 2008 and 2011. By combining a number of administrative data sets on health outcomes and pharmaceutical use, and using event-study and difference-in-differences methods, we document that this expansion improved certain classes of women's reproductive health outcomes, notably reducing rates of abortion-related morbidity. These improvements were greater in areas of the country where the rollout of the emergency contraceptive pill was more extensive. We also document some evidence that refusal to provide the emergency contraceptive pill upon a women's request was linked with a worsening in reproductive health outcomes. These results point to the importance of contraceptive access as a determinant of women's reproductive health and well-being and relates to a growing body of work documenting the importance of women's autonomy as a determinant of health.



2014 ◽  
Vol 24 (1) ◽  
pp. 93-97 ◽  
Author(s):  
Alfonso Carvajal ◽  
María Sáinz ◽  
Verónica Velasco ◽  
Pilar García Ortega ◽  
Carlos Treceño ◽  
...  




Author(s):  
Bernhard Langer ◽  
Sophia Grimm ◽  
Gwenda Lungfiel ◽  
Franca Mandlmeier ◽  
Vanessa Wenig

Background: In Germany, there are two different active substances, levonorgestrel (LNG) and ulipristal acetate (UPA), available as emergency contraception (the “morning after pill”) with UPA still effective even 72 to 120 h after unprotected sexual intercourse, unlike LNG. Emergency contraceptive pills have been available without a medical prescription since March 2015 but are still only dispensed by community pharmacies. The aim of this study was to determine the counselling and dispensing behaviour of pharmacy staff and the factors that may influence this behaviour in a scenario that intends that only the emergency contraceptive pill containing the active substance UPA is dispensed (appropriate outcome). Methods: A cross-sectional study was carried out in the form of a covert simulated patient study in a random sample of community pharmacies stratified by location in the German state of Mecklenburg-Vorpommern and reported in accordance with the STROBE statement. Each pharmacy was visited once at random by one of four trained test buyers. They simulated a product-based request for an emergency contraceptive pill, stating contraceptive failure 3.5 days prior as the reason. The test scenario and the evaluation forms are based on the recommended actions, including the checklist from the Federal Chamber of Pharmacies. Results: All 199 planned pharmacy visits were carried out. The appropriate outcome (dispensing of UPA) was achieved in 78.9% of the test purchases (157/199). A significant correlation was identified between the use of the counselling room and the use of a checklist (p < 0.001). The use of a checklist led to a significantly higher questioning score (p < 0.001). In a multivariate binary logistic regression analysis, a higher questioning score (adjusted odds ratio [AOR] = 1.41; 95% CI = 1.22–1.63; p < 0.001) and a time between 12:01 and 4:00 p.m. (AOR = 2.54; 95% CI = 1.13–5.73; p = 0.024) compared to 8:00 to 12:00 a.m. were significantly associated with achieving the appropriate outcome. Conclusions: In a little over one-fifth of all test purchases, the required dispensing of UPA did not occur. The use of a counselling room and a checklist, the use of a checklist and the questioning score as well as the questioning score and achieving the appropriate outcome are all significantly correlated. A target regulation for the use of a counselling room, an explicit guideline recommendation about the use of a checklist, an obligation for keeping UPA in stock and appropriate mandatory continuing education programmes should be considered.



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