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Dynamics of contraceptive failures.

The purpose of this study was to explore the vicissitudes of contraceptive efforts and practice, and human behavior contributing to contraceptive failure. A consecutive sample of 481 women, who visited various gynecological out-patient clinics of a New York City municipal hospital between August 1974 and August 1975, served as the study population. There were 181 women with planned pregnancies and 300 women with unplanned pregnancies. The data were gathered in personal interviews. By comparison of both groups it was discovered that the women with unplanned pregnancies, because of their lower frustration tolerance level, had been led by successive difficulties related to contraceptive efforts and practice to episodic, faulty, or nonuse of technically effective contraceptive methods. Thereafter, psychological processes and mechanisms gave rise to a false sense of security, which virtually prevented them from resuming contraceptive practice. These psychological processes and mechanisms also govern other spheres of human behavior and merit systematic investigation.

Adult↗

The impact of pharmacy access to emergency contraceptive pills in France.

OBJECTIVE: The objective of this study is to determine the impact of pharmacy access to emergency contraceptive pills (ECPs) on ECP use, risky sexual behavior and contraceptive use patterns in France. METHODS: We analyzed the responses of women to heath surveys conducted in 1999 and 2004. RESULTS: We found that increasing access to ECPs in France by introducing a dedicated product and by eliminating prescription requirement resulted in increased ECP use, with the vast majority of ECP users in 2004 having obtained ECPs directly from a pharmacy without a prescription. This increase in ECP access and use did not result in increased proportions of women who had ever had intercourse, or in a decrease in the age at first intercourse, or in an increase in the proportion of women at risk for unintended pregnancy. Among women at risk for unintended pregnancy, there was no decrease in the use of contraception and no decrease in the use of the most effective methods. CONCLUSION: Introducing a dedicated product and allowing direct pharmacy access to ECPs in France have resulted in greater ECP use, with no negative impact on sexual behavior or use of contraception.

Adolescent↗

Risk and protective factors for sexual risk taking among adolescents involved in Prime Time.

This article describes a preliminary qualitative evaluation of risk and protective factors associated with consistent contraceptive use and healthy sexual decision-making among ten of the first participants in the Prime Time intervention study. Prime Time is an 18-month intervention including one-on-one case management and peer educator training targeting sexually active 13-17-year-old girls who are recruited from health care clinics. Using an approach grounded in findings from previous research, social cognitive theory, and the social development model, Prime Time aims to improve participants' contraceptive use consistency, reduce number of sexual partners, and reduce unwanted sexual activity. Findings from this preliminary evaluation alert health care providers to the complex and dynamic nature of adolescent girls' sexual behaviors and to a broad range of risk and protective factors within individuals and their environments that may influence adolescent girls' sexual behaviors and contraceptive use. Findings suggest that an ongoing, supportive relationship with a case manager who is able to pace and tailor an intervention to the individual young person can have positive effects on adolescent girls' sexual behaviors and contraceptive use.

Adolescent↗

The oral contraceptive pill: use, user satisfaction, side effects and fears among Manawatu women.

The 1978 Manawatu Family Growth Study included questions on the oral contraceptive pill to gauge aspects of its use, user satisfaction and the experience of side effects and fears. Of the 1390 women aged 16-44 interviewed, 1085 (78 percent) had ever used the pill--411 and 674 were current and previous users, respectively. Among the current users 45.2 percent stated they sometimes forgot to take the pill and 50 percent reported they were not entirely happy about using the pill. For dissatisfied current users and all previous users it was found that: (a) various side effects were experienced by substantial percentages in each group, the most common being weight gain or swelling; and (b) a fear of permanent damage to health was acknowledged by more than half of each group. Concern caused by publicity on side effects was reported by 46.9 percent of those who had ever used the pill. These and other results, and their implications, indicate a need for instruction, guidance and counselling for oral contraceptive users.

Adolescent↗