"I think maybe 10 years seems a bit long." Beliefs and attitudes of women who had never used intrauterine contraception

Walker, Susan H. and Newton, Victoria and Hoggart, Lesley and Parker, Michael (2018) "I think maybe 10 years seems a bit long." Beliefs and attitudes of women who had never used intrauterine contraception. BMJ Sexual & Reproductive Health, 44 (2). pp. 90-96. ISSN 2515-1991

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Official URL: http://dx.doi.org/10.1136/bmjsrh-2017-101798


Aim: To explore, in general practice settings the concerns, beliefs and attitudes about intrauterine contraception reported by women, who had never used the methods. Method: We used a sequential mixed-method (QUAL/quant) approach. A pragmatic, self-selecting sample of thirty women, aged 18-46 years, who had never used intrauterine contraception (IUC), was recruited through seven general practices in South East England. Themes arising from qualitative interviews were used to construct a quantitative survey, completed by a pragmatic sample of 1195 women, aged between 18-49 years, attending thirty-two general practices in the same region, between February and August 2015. Findings: Qualitative themes were concerns about the long acting nature of IUC, concerns about bodily boundaries, and informal knowledge of IUC, especially “friend of a friend” stories. Women were not sure if the devices could be removed before their full 5 or 10 year duration, and felt that these timeframes did not fit with their reproductive intentions. Quantitative survey data showed that the most commonly endorsed concerns among never-users were painful fitting (55.8%), unpleasant removal of the device (60.1%), and concern about having a device ‘inside me’ (60.2%). Conclusions: To facilitate fully informed contraceptive choice, information provided to women considering IUC should be tailored to address the concerns expressed by never-users, particularly around the details of insertion and removal, and concerns about adverse long-term effects of the device. Women need to be reassured that IUC can be removed and fertility restored at any time following insertion.

Item Type: Journal Article
Keywords: intra-uterine contraception, general practice, barriers, attitudes, knowledge, beliefs
Faculty: ARCHIVED Faculty of Health, Social Care & Education (until September 2018)
Depositing User: Dr Susan H Walker
Date Deposited: 24 Jan 2018 16:16
Last Modified: 09 Sep 2021 18:57
URI: https://arro.anglia.ac.uk/id/eprint/702558

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