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PubMed1997

[Contraceptive behavior in the population of the Czech Republic: results of a national survey].

Using an anonymous questionnaire the authors investigated in a representative group of the Czech population above 15 years of age (862 men and 857 women) the use of the main contraceptive methods. During the first intercourse more than half the respondents did not use any contraception, a condom was used only by 19% men and 14% women. In a steady partnership the most frequent method of contraception is coitus interruptus, whereby experience with hormonal contraception was reported by cca one third and with a condom by two thirds of respondents. Among younger men and women there are more users of hormonal contraception and condoms. Only 5% of the examined men and 4% of the women opposed any type of contraception, almost one quarter of respondents use only so-called "natural methods" and almost three quarters of the respondents consider them an essential part of sex life. The attitudes of atheists and junior and more educated women are more liberal.

Adolescent↗
PubMed1998

Sexual and physical abuse among incarcerated youth: implications for sexual behavior, contraceptive use, and teenage pregnancy.

OBJECTIVE: In the present study, physical and sexual abuse among incarcerated youth were examined with respect to sexual activity, contraceptive use, and pregnancy. METHOD: The self-report survey data were collected from 62 females and 334 males who were incarcerated in Nevada youth correctional facilities in the summer of 1994. Of the males, 46.8% (n = 156) reported a history of physical abuse and 9.9% (n = 33) reported sexual abuse. A surprisingly high 73% (n = 46) of the females reported a history of physical abuse and 68.3% (n = 43) reported sexual abuse. RESULTS: The analyses indicated that females who reported a history of sexual abuse had an earlier mean age of first intercourse than those who reported no sexual abuse. In addition, male and female respondents with a history of physical and/or sexual abuse reported using no method of contraception as compared to youth with no history of abuse. CONCLUSIONS: Implications of these results for detention-based counseling and prevention programming are discussed.

Adolescent↗
PubMed1991

[Duration of desire for a child, contraceptive behavior and rate of previous infertility treatment. An epidemiologic study of 750 consecutive patients in labor at the Oldenburg Gynecologic Clinic using a structured interview].

In order to gain current information, on how long a healthy couple desiring a child has to wait until conception, on previous contraceptive behaviour and prior infertility treatment, 750 women were interviewed within 7 days after delivery between January and November, 1989, using a standardised questionnaire. This sample represents one third of all patients, who delivered a child in an Oldenburg hospital during the time period covered. 544 women had desired a pregnancy, an additional 206 women had not directly planned a pregnancy, and 73 of these had taken no precautions against conception, since they were willing to accept a pregnancy if it should occur. 133 women called their pregnancy an "accident", which in 87 couples occurred despite some kind of contraceptive procedure. The absolute number of contraceptive failures was highest for timed intercourse (n = 38) and users of oral contraceptives (n = 32). Couples without a history of infertility treatment had to wait for an average period of 3.4 months before a conception occurred (95% confidence limits: 3.1-3.8 months). The mean age of the women in this group was 28.1 +/- 0.2 years, whereas on an average their male partners were 30.9 +/- 0.2 years of age. The likelihood to achieve pregnancy within the first 4 months of trying, varied between 13 and 15% per month. After 6 months of waiting, the pregnancy rate per cycle was reduced to 6%, whereas, after one year, the likelihood for conception was only 1%. Half of all couples desiring a pregnancy achieved this within 4 months.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1997

[Contraceptive behavior in the population of the Czech Republic: results of a national survey].

Based on an anonymous survey by means of questionnaires in a representative sample of the population of the Czech Republic above the age of 15 years (862 men and 857 women) the use of different types of contraception was investigated at the onset of sexual life with a steady or casual partner, as well as attitudes to contraception. From the results ensues that during the first intercourse no contraception was used by more than half the respondents, a condom was used only by 19% men and 14% women, in particular younger men and women. In a steady partnership the most frequent method of contraception is coitus interruptus, whereby about one third have experience with hormonal contraception and two thirds of the respondents have experience with condoms. Among younger age groups of men and women there are more users of hormonal contraception and condoms. The position is similar in intercourse with casual partners. Only 5% men and 4% women oppose any contraception, almost one quarter are in favour of the so-called "natural" method and almost three quarters consider it necessary. The attitudes of atheists, younger and better educated women are more liberal.

Adolescent↗
PubMedDate not supplied

Maternal correlates of adolescent sexual and contraceptive behavior.

Maternal disapproval of premarital sex, maternal discussions about birth control and the quality of the parent-child relationship may have an important influence on adolescents' sexual activity and the consistency of their contraceptive use. Findings from a survey of 751 black youths showed that adolescent perceptions of maternal disapproval of premarital sex and satisfaction with the mother-child relationship were significantly related to abstinence from adolescent sexual activity and to less-frequent sexual intercourse and more consistent use of contraceptives among sexually active youths. Teenagers who reported a low level of satisfaction with their mother were more than twice as likely as those highly satisfied with their relationship to be having sexual intercourse. Discussions about birth control were associated with an increased likelihood that adolescents were sexually active. Such discussions were not significantly related to consistent contraceptive use for female adolescents, but were associated with increased contraceptive use for male teenagers.

Adolescent↗
PubMed1990

Successful contraceptive behavior among adolescent mothers: are there predictors?

Of 43 adolescent mothers who had been enrolled in a specialized program of prenatal care, 20 reported no subsequent unplanned pregnancy for 2 years. Descriptive statistics were used to identify differences between these nonrepeaters and 23 repeaters. The locus-of-control framework provided the theoretical basis for the study. The two study groups and those lost to follow-up were similar in demographic characteristics. School attendance, contraceptive knowledge, use of contraception, locus of control, and maternal support did not effectively differentiate the two groups. Program activities, including attendance at prenatal groups and nurse/social worker visits, also did not explain recidivism. Implications of these findings for health care providers and for further research are discussed.

Adolescent↗
PubMed1989

[Background information on contraception behavior of patients undergoing abortion as an indication of the psychosocial origin of unwanted pregnancies].

269 patients were interviewed in a private abortion clinic in Lindenfels, Hessen, West Germany on aspects of contraception and abortion. The results indicated three crucial points, which influence contraceptive behaviour: social barriers, which affect indirectly the access to and the handling of contraceptives; psychic, mainly unconscious barriers, which counteract contraception; an increasing distrust and rejection of modern medical contraception, especially in highly educated women. These barriers are evident in lack of information, differing in the various social groups; partly irrational and exaggerated fear of side effects, and lack of success of factual information. Furthermore, poor co-operation is evident on the part of the husband or partner together with considerable shortcomings in medical counselling.

Abortion, Induced↗
PubMed1994

[Results of a case-control study of the current effect of various factors of cervical cancer risk. 2. Contraceptive behavior and the smoking factor].

We considered in this study 309 patients with cervical intraepithelial neoplasia (CIN) or invasive cervical carcinoma and 490 women without pathological changes in the cervical epithelium. The interviews was performed using a standardised questionnaire. The percentage of women who attended screening programmes for cervical carcinoma amounted to 83.5% for the study group and 81% for the control group. The relative risk (RR) for developing CIN or invasive cervical carcinoma increased with the use of hormonal contraceptives; the increase being statistically significant (RR = 3.5; p = 0.006). Moreover easy use of oral contraceptives (< 18 years, 18-20 years, 21-25 years vs > 25 years) and prolonged use of oral contraceptives were associated with a significant increased of the relative risk. In contrast, women who used IUD had a very low relative risk (RR = 0.6; p = 0.005). 54.5% of the patients in the study group and 41.6% of those in the control group were smokers. We observed that smoking increases the relative risk for cervical carcinoma or CIN (RR = 1.7; p = 0.01). The duration of smoking and the number of cigarettes smoked were observed to increase the risk for cervical carcinoma, the increase being statistically significant.

Adolescent↗
PubMed1987

Young adults' contraceptive practices: an investigation of influences.

This study investigated young adults' contraceptive behaviors and attitudes through application of a comprehensive, theoretical framework. Specifically, a social-psychological approach to understanding preventive behaviors (e.g., contraceptive practices), was developed, incorporating the Health Belief Model and other factors, which offered a means for evaluating the extent to which contraceptive behaviors were influenced by individual and group characteristics. The study group consisted of 283 unmarried students at several schools who were, on average, 19 years of age. Results suggested that effective contraceptive behavior associated most strongly with respondents' perceiving relatively few barriers to their use of contraception, their maintenance of extensive interpersonal skills, and their regarding peer norms as consistent with effective contraceptive behavior. Findings also underlined a need for continuing education about sexuality and contraception. Dangerous misinformation prevailed regarding respondents' knowledge of areas that include anatomy, physiology, and appropriate use of effective contraceptive methods. Finally, results implied a need to consider broad behavioral, social, and interpersonal issues as they relate to young adults' effective contraceptive behavior. Future studies of contraceptive risk taking are encouraged to examine both individual and social factors affecting sexual and contraceptive practices if unplanned pregnancy is to be minimized, if not eliminated.

Adolescent↗
PubMed1994

Rethinking patient counseling techniques for changing contraceptive use behavior.

Some women who use contraception become pregnant. Determinants of pregnancy in these women are fecundity, frequency of intercourse, contraceptive method, and contraceptive behaviors. Current counseling content emphasizes the choice of method, with "education" about a limited set of use behaviors. A listing of use behaviors for oral contraceptives (OCs) shows that "use" should be conceptualized as multidimensional with numerous levels and not a simple dichotomous concept of use versus nonuse. The multidimensional understanding of "use" suggests the need for multidimensional counseling to affect distal determinants of use behaviors: knowledge, motivation, ability, and intentions. A review of behavioral theories suggests that various techniques can be used, in addition to the current emphasis on history taking and patient education, to help women have effective use behaviors. These include assessment for need and individualized counseling. With use of techniques that are widely recognized in other intervention programs, the emphasis of contraceptive counseling would be on the future, on intentions and behaviors, and on mobilizing self-planning and action by the OC user.

Contraception↗