scholarly journals ‘Every medicine is part poison’: a qualitative inquiry into the perceptions and experiences of choosing contraceptive methods of migrant Chinese women living in Australia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hankiz Dolan ◽  
Mu Li ◽  
Deborah Bateson ◽  
Rachel Thompson ◽  
Chun Wah Michael Tam ◽  
...  
Keyword(s):  
Decision Making ◽  
Contraceptive Method ◽  
Intrauterine Device ◽  
Qualitative Inquiry ◽  
Medical Advice ◽  
The Body ◽  
Hormonal Contraceptives ◽  
Contraceptive Methods ◽  
Structured Interviews ◽  
Women’S Perceptions

Abstract Background In Australia, ethnic Chinese people are one of the largest, youngest and fastest growing overseas-born groups. Yet, little is known about their perceptions of contraceptive methods and their experiences with choosing one. Decisions about contraceptive methods are preference sensitive. Understanding the influencing factors of Chinese migrant women’s contraceptive method choice and practices will help cater to their decision-making needs in a culturally sensitive and responsive way. Methods A qualitative study design underpinned by critical realism approach was used to explore Chinese migrant women’s perceptions and experiences of choosing contraceptive methods. Semi-structured interviews were conducted with 22 women who self-identified as being ethnically Chinese and had been living in Australia for no more than 10 years. The interview guide was adapted from the Ottawa Decision Support Framework. Majority of the interviews were conducted in Mandarin Chinese. Transcribed data was analysed using thematic analysis method. Results Four major themes were identified, including: ‘every medicine is part poison: hormonal contraceptives cause harm to the body’; ‘intrauterine device, a device used in the past for married women’; ‘it takes two (or one) to decide, depending on the relationship dynamics and contraception preferences’; and ‘it is not necessary to seek medical advice in choosing contraceptive methods’. Conclusions Our findings suggest that Chinese migrant women’s perceptions and experiences of choosing contraceptive methods are influenced by complex personal, cultural, societal and inter-relational factors. Chinese migrant women were cautious of using hormonal methods due to fears of side-effects, including reduced or absent menstrual bleeding. Women were also reluctant to consider intrauterine devices as options due to associating them with past experiences of other women and themselves and also fears of potential complications. There was a reluctant attitude towards seeking medical advice regarding contraception due to beliefs that needing to use contraception is not an illness requiring treatment. Such findings are likely to be useful in increasing healthcare professionals’ and policy makers’ understanding of Chinese migrant women’s contraceptive method preferences, beliefs and behaviours. They also help to develop culturally and linguistically sensitive strategies, which goes beyond the provision of contraceptive counselling, in assisting Chinese migrant women’s decision-making needs.

Principles of contraception

2020 ◽  
pp. 1626-1634
Author(s):  
Zara Haider
Keyword(s):  
Sex Education ◽  
Potential Risk ◽  
Contraceptive Method ◽  
Intrauterine Device ◽  
Unprotected Sex ◽  
Online Resources ◽  
Contraceptive Methods ◽  
Duration Of Action ◽  
The Public

There are many contraceptive methods available (increasing year on year) which can be classified as: hormonal and non-hormonal, longer lasting, and those with a shorter duration of action, reversible and irreversible. No contraceptive method is 100% effective (apart from abstinence) and where there is potential risk of conception due to unprotected sex or an error with a contraceptive regimen, the patient must be informed about methods of emergency (post-coital) contraception, the most effective being the post-coital intrauterine device (PCIUD). Education of the public about the benefits of contraception is vital and must be done in a timely way (e.g. through school sex education, media, and online resources).

The politics of bounded procurement: Purists, brokers and the politics-procurement dichotomy

2014 ◽  
Vol 14 (1) ◽  
pp. 33-61 ◽  
Author(s):  
Alexandru V. Roman
Keyword(s):  
Decision Making ◽  
Public Procurement ◽  
The Body ◽  
The Political ◽  
Original Research ◽  
Complex Environments ◽  
Structured Interviews ◽  
The Future ◽  
Environmental Instability ◽  
The Impact

The last two decades have witnessed a tremendous growth in the body of literature addressing the importance and the impact of contracting and public procurement within the context of devolution of government. The austere budgetary and financial outlooks of the future suggest that the significance of the area will only continue to grow. As such, generating explanatory frameworks, within dimensions such as decisionmaking and accountability in public procurement, becomes crucial. Drawing from original research this article suggests one possible frame for understanding administrative decision-making in complex environments. Based on semi-structured interviews with public procurement specialists, the study identifies two decision-making patterns− broker and purist. It is asserted that the decision-making dynamics exhibited by administrators are contingent on their perceptions regarding environmental instability, in particular the political volatility surrounding their work.

scholarly journals The effect of Women’s decision-making autonomy on family Planning acces in Senegal in 2017

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
N M Sougou ◽  
O Bassoum ◽  
M M M M Leye ◽  
A Tal-Dia
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Contraceptive Method ◽  
Contraceptive Use ◽  
Modern Contraceptive ◽  
Contraceptive Methods ◽  
Modern Contraceptive Method ◽  
Significant Difference ◽  
Modern Contraceptive Use ◽  
The Impact

Abstract Background The impact of access to decision-making on women’s health in the choice of fertility control has been highlighted by research. The aim of this study was to analyze the impact of access to decision-making for women’s health on access to family planning in Senegal in 2017. Methods The analyses of this study had been done on the Individual Records file of Senegal’s Demographic Health Survey 2017. This data covered 8865 women aged 15 to 49 years. The propensity scores matching method had been done. The variable access to the decision was considered as the variable of interest. Matching was done using variables that were not modified by the effect of the treatment. These were religion and socio-economic level. The outcome variables were modern contraceptive use, the existence of unmet needs and the type of modern contraceptive method used. Significance was at 5%. The condition of common support had been respected. The analysis was done with the STATA.15 software. Results Six percent (6.26%) of women could decide about their health on their own. Access to decision-making increased significantly with the woman’s age (p < 0.05). Fifteen percent (15.24%) women used a modern contraceptive method. Women using a contraceptive method were more numerous in the group with access to decision-making (29.43%) with a significant difference with the other group of 8% (p < 0.05). After matching, there was no significant difference between women in terms of modern contraceptive use and the existence of unmet needs. There was a significant difference in the type of contraceptive method used between the two groups of women. These differences were 23.17% for Intra Uterine Device, 52.98% for injections, 08.9% for implants and 10.79% for condoms. Conclusions Access to decision-making for health would facilitate women’s access to long-acting contraceptive methods. These findings show the importance of implementing gender transformative interventions in improving access to family planning. Key messages Access to decision-making for health would allow better access to modern contraceptive methods, especially those with a long duration of action. Better consideration of gender disparity reduction could improve access to family planning in Senegal.

scholarly journals Update on male hormonal contraception

2019 ◽  
Vol 10 ◽  
pp. 204201881983484 ◽  
Author(s):  
Giulia Gava ◽  
Maria Cristina Meriggiola
Keyword(s):  
Family Planning ◽  
Side Effects ◽  
Contraceptive Method ◽  
Hormonal Contraception ◽  
Active Role ◽  
Hormonal Contraceptives ◽  
Contraceptive Methods ◽  
Men And Women ◽  
Male Contraceptive ◽  
The World

Despite increases in female contraceptive options, 40–45% of pregnancies across the world are still unplanned. While several effective female contraceptive methods have been developed, contraceptive choices for men are still limited to the male condom with its high failure rates and to vasectomies, which are invasive and not reliably reversible. Several studies have demonstrated a great interest among men and women for effective, reversible, and safe male contraceptive methods. Over the years, numerous studies have been performed to develop male hormonal and nonhormonal safe and effective contraceptives. A variety of new molecules are under development as oral or transdermal hormonal contraceptives for men demonstrating few side effects. In our overpopulated world, the development and commercialization of a male contraceptive method that will allow both men and women to take an active role in family planning is mandatory and further research on this topic is required.

scholarly journals Right For Me: protocol for a cluster randomised trial of two interventions for facilitating shared decision-making about contraceptive methods

BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e017830 ◽  
Author(s):  
Rachel Thompson ◽  
Ruth Manski ◽  
Kyla Z Donnelly ◽  
Gabrielle Stevens ◽  
Daniela Agusti ◽  
...  
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Contraceptive Method ◽  
Decision Aids ◽  
Shared Decision ◽  
Contraceptive Methods ◽  
Cluster Randomised ◽  
Highly Effective ◽  
Aids Training ◽  
Healthcare Visit

IntroductionDespite the observed and theoretical advantages of shared decision-making in a range of clinical contexts, including contraceptive care, there remains a paucity of evidence on how to facilitate its adoption. This paper describes the protocol for a study to assess the comparative effectiveness of patient-targeted and provider-targeted interventions for facilitating shared decision-making about contraceptive methods.Methods and analysisWe will conduct a 2×2 factorial cluster randomised controlled trial with four arms: (1) video+prompt card, (2) decision aids+training, (3) video+prompt cardanddecision aids+training and (4) usual care. The clusters will be clinics in USA that deliver contraceptive care. The participants will be people who have completed a healthcare visit at a participating clinic, were assigned female sex at birth, are aged 15–49 years, are able to read and write English or Spanish and have not previously participated in the study. The primary outcome will be shared decision-making about contraceptive methods. Secondary outcomes will be the occurrence of a conversation about contraception in the healthcare visit, satisfaction with the conversation about contraception, intended contraceptive method(s), intention to use a highly effective method, values concordance of the intended method(s), decision regret, contraceptive method(s) used, use of a highly effective method, use of the intended method(s), adherence, satisfaction with the method(s) used, unintended pregnancy and unwelcome pregnancy. We will collect study data via longitudinal patient surveys administered immediately after the healthcare visit, four weeks later and six months later.Ethics and disseminationWe will disseminate results via presentations at scientific and professional conferences, papers published in peer-reviewed, open-access journals and scientific and lay reports. We will also make an anonymised copy of the final participant-level dataset available to others for research purposes.Trial registration numberClinicalTrials.gov Identifier:NCT02759939.

scholarly journals Gender and CSR decisions: perspectives from Australian boards

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Kathyayini Kathy Rao ◽  
Carol Tilt
Keyword(s):  
Decision Making ◽  
Positive Impact ◽  
Gender Diversity ◽  
The Body ◽  
Future Research ◽  
Structured Interviews ◽  
Board Diversity ◽  
Content Type ◽  
Board Decision Making ◽  
Board Level

Purpose Within the board diversity literature, the issue of gender diversity has been extensively studied, however, limited research has examined whether gender diversity at board level has any influence on corporate social responsibility (CSR) decisions. This paper aims to fill this knowledge gap and shed light on whether, and how, gender diversity influences CSR related decisions. Design/methodology/approach In total, 13 in-depth semi-structured interviews were conducted with board members of Australian companies to examine their perceptions of the effect of gender diversity. Findings Although the findings show evidence that there is a general perception that gender diversity has the potential to influence board level decisions, this does not appear to translate to CSR decisions specifically. The results from the interviews identified that several issues and moderating factors interact with the gender-CSR relationship. Research limitations/implications The paper contributes significantly to the body of knowledge by going beyond the plethora of quantitative analyses. The results suggest that there is much work to be done to improve governance policy and mechanisms if boards are to see the potential for gender to have a positive impact on CSR decision-making. Originality/value The study responds to calls for more research adopting qualitative studies, including interviews and case studies, to understand the complex interactions that take place during board decision-making. The findings provide useful insights for future research, practise and policymakers.

scholarly journals Contraceptıve use in perımenopausal women

2020 ◽  
Vol 17 (2) ◽  
pp. 548-557
Author(s):  
Belma Toptaş ◽  
Hilmiye Aksu
Keyword(s):  
Contraceptive Method ◽  
Contraceptive Use ◽  
Intrauterine Device ◽  
Cross Sectional Study ◽  
English Summary ◽  
Modern Contraceptive ◽  
Contraceptive Methods ◽  
Chi Square ◽  
Cross Sectional ◽  
Perimenopausal Women

The aim of this study was to determine contraceptive method use in perimenopausal women. This cross-sectional study was carried out in XXXXXXXXXXX Hospital between 6 June and 7 September in 2016. The study sample included 243 women selected through random sampling, a non-probability sampling. Data were collected with a questionnaire created by the researchers in light of the literature. The analysis of the data obtained from the research was carried out in the SPSS 20.0 package program. Percentage ratios, arithmetic mean and standard deviation, chi square test have been used in analysis of data. The mean age of the women was 47.7±3.4 years. At the time of the study, 77.4% of the women were using a contraceptive method, but 22.6% of the women were not using any contraceptive methods. The most frequent method was intrauterine device at the rate of 25.1%. Twenty-three-point nine percent of the women had tubal ligation and 14.8% of the women were using withdrawal. Formerly, the most frequently used modern contraceptive method had been contraceptive pills at the rate of 53.8%. The second most frequent former method had been male condom at the rate of 46.5% and the third most frequent former method had been copper intrauterine device at the rate of 32.9%. Nine-point nine percent of the women had not used any contraceptive methods previously. Fifty-four-point three percent of the women did not know how long they should use a contraceptive method after their periods ended due to menopause. The decreased rate of contraceptive use and not knowing how long contraceptives should be used in perimenopausal women reveal an unfulfilled need for counseling in these women. It can be recommended that perimenopausal women should be provided counseling appropriate for their age and needs. ​Extended English summary is in the end of Full Text PDF (TURKISH) file.   Özet Bu araştırmanın amacı perimenopozal dönemdeki kadınların kontraseptif yöntem kullanım durumlarını belirlemektir. Kesitsel tipteki bu çalışma XXXXXXXXXXX Hastanesi’nde 06/06/2016 ile 07/09/2016 tarihleri arasında yapılmıştır. Araştırmanın örneklemini 243 kadın oluşturmuş ve örnekleme alınacak kadınları belirlemede olasılıksız örnekleme yöntemlerinden gelişigüzel örnekleme yöntemi seçilmiştir. Araştırma verileri, araştırmacılar tarafından literatüre uygun elde edilen soru formu ile toplanmıştır. Verilerin analizi SPSS 20,0 paket programında gerçekleştirilmiştir. Verilerin analizinde, yüzdelik oranlar, aritmetik ortalama, standart sapma, ve Ki kare testi kullanılmıştır. Kadınların yaş ortalamaları 47,7±3,4’dir.  Kadınların %77,4’ü halen gebelikten korunmak için bir yöntem kullanırken %22,6’sı hiçbir yöntem kullanmamaktadır. Şuanda kullanılan kontraseptif yöntemin en yüksek oranda (%25,1) rahim içi araç (RİA) olduğu belirlenmiştir. Kadınlar %23,9 oranında tüp ligasyon ve %14,8 oranında ise geri çekme yöntemi ile gebelikten korunmaktadırlar. Araştırmaya katılan kadınların yarıdan fazlası (%53,8) geçmişte gebelikten korunmak için modern yöntem olarak hap kullanmıştır. Erkek kondomu %46,5 oranı ile ikinci sırada yer alırken, %32,9 oranı ile bakırlı RİA üçüncü sırada kullanılmıştır. Yöntem kullanmayan kadın oranı ise %9,9’dur. Kadınların %54,3’ü menopoz nedeni ile adetten kesildikten sonra ne kadar süre daha gebelikten korunmaları gerektiğini bilmemektedir. Perimenopozal dönemde yöntem kullanımının azalması ve bu dönemde ne kadar süre gebelikten korunması gerektiğinin bilinmemesi kadınların karşılanamayan danışmanlık gereksinimlerinin olduğunu ortaya koymaktadır. Bu danışmanlığın kadının yaşına ve ihtiyacına uygun verilmesi önerilebilir.

scholarly journals Misconceptions about family planning of women in Turkey

2015 ◽  
Vol 12 (1) ◽  
pp. 1319
Author(s):  
Meltem Demirgöz Bal ◽  
Semiha Aydın Özkan
Keyword(s):  
Family Planning ◽  
Contraceptive Method ◽  
Informed Choice ◽  
The Body ◽  
Premature Menopause ◽  
Contraceptive Methods ◽  
Cross Sectional ◽  
Study Population ◽  
The Mean ◽  
Southwest Part

<p><em>Background</em>: The objective of this study is to investigate the myths of women about contraceptive methods.</p><p><em>Method</em>: This study was planned as a cross-sectional research. The study population consisted of 1335 women aged between 16 and 56 years, who attended to a family planning clinic of a state hospital in Karaman City in the southwest part of Turkey.</p><p><em>Findings</em>: The mean age of women has been 32,79±8,8. While 6.2% (n=84) of the women used no contraceptive method, 70.4% (n=945) of them used an effective method and 23.4% (n=312) used a traditional method. The 40.2% of women have believed in that the oral contraceptive method caused weight gain, infertility, bleeding disorders, hirsutism, cancer, irritability, malformed baby and premature menopause.  The 24,2% of women have thought of that the intrauterine devices caused bleeding disorder, moving in the body, cancer, decreased sexual desire, genital infection and  infertility.</p><p><em>Conclusions</em>: There are many myths and misconceptions surrounding contraception, and they can sometimes prevent a woman from making an informed choice.</p>

scholarly journals EMIRATI WOMEN’S PERCEPTIONS OF POLYGAMY ACCORDING TO AGE, EMPLOYMENT, AND EDUCATIONAL LEVEL

2019 ◽  
Vol 7 (5) ◽  
pp. 911-916
Author(s):  
Khawlah M. AL-Tkhayneh ◽  
Khaled Khamis Nser
Keyword(s):  
Family Life ◽  
Educational Level ◽  
The Body ◽  
Social Policies ◽  
Social Variables ◽  
Structured Interviews ◽  
Body Of Knowledge ◽  
Women’S Perceptions ◽  
Insight Into

Purpose of the study: The study investigates the Emirati Women’s perceptions of polygamy according to three variables, namely age, employment, and educational level. It also explores where there are possible reasons that may drive these women to accept polygamy in certain circumstances and their reactions if it actually happens. Methodology: To achieve this, semi-structured interviews were conducted with 50 Emirati women to get more insight into their choice, reasons, and reactions. Main findings: The results reveal that 88% of the participants refused the entire idea of polygamy while the rest accepted it. The results also show that the three social variables played an important role in their choice. The participants who consented to polygamy did so due to religious and cultural reasons. In case the husband went along with his remarriage, the participants indicated that they would file for divorce, especially those who are young and employed, or stay with their husbands unhappy. The latter were mostly older and unemployed. Applications of this study: The Emirati women’s concerns of polygamy and its consequences on family life should be taken into account when revising social policies in the UAE. The originality of this study: The study is one of its kinds to address polygamy in the UAE. It contributes to the body of knowledge through identifying Emirati women’s concerns of polygamy and discussing the reasons for accepting/rejecting polygamy.  

Contraception and thrombophilia

2009 ◽  
Vol 29 (02) ◽  
pp. 193-196 ◽  
Author(s):  
H. Rott ◽  
A. Kruempel ◽  
G. Kappert ◽  
U. Nowak-Göttl ◽  
S. Halimeh
Keyword(s):  
Chronic Illness ◽  
High Risk ◽  
Children And Adolescents ◽  
Hormonal Contraception ◽  
Hormonal Contraceptives ◽  
Thromboembolic Events ◽  
Contraceptive Methods ◽  
Secondary Complications ◽  
Increased Risk ◽  
Coagulation Proteins

SummaryThe risk of thromboembolic events (TE) is increased by acquired or inherited thrombo -philias (IT). We know that some hormonal contraceptives also increase the risk of thrombosis, thus, the use of such contraceptives are discussed as contraindications in women with IT. TEs are infrequent events in children and adolescents and in the majority of cases are associated with secondary complications from underlying chronic illness. Although adolescents are not typically considered to be at high-risk for TE, this cohort is frequently using hormonal contraception, leading to an increased risk in cases with unknown IT. The risk of TE with pregnancy alone is higher than associated with combined hormonal contra -ception. Progestin-only methods have not been found to increase the risk of TE with only moderate changes of coagulation proteins compared to normal reference values. Conclusion: Thrombophilic women are good candidates for progestin-only contraceptive methods.

Sign in / Sign up

Export Citation Format

Share Document