YOUNG PEOPLE’S ONLINE SOURCES OF CONTRACEPTIVE INFORMATION AND ASSOCIATIONS WITH CONTRACEPTIVE KNOWLEDGE AND ATTITUDES

IF 2.8 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Contraception Pub Date : 2024-10-07 DOI:10.1016/j.contraception.2024.110643

ZH Pleasure, EA Pleasants, B Whitfield, C Larsen, D Johnson, RJ Steiner, L Lindberg

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引用次数: 0

Abstract

Objectives

We aimed to assess concordance between adolescent and young adults’ (AYA) preferred and actual sources of online contraceptive information; and examine associations between sources and contraceptive attitudes and knowledge.

Methods

We used data from a 2023 online national survey of AYA (15-29 years) assigned-female-at-birth (n=1,150). We examined the prevalence of preferred and actual information sources, and assessed multivariable associations between information received from websites and social networking sites (SNS) and four contraceptive knowledge and attitude measures.

Results

One-third of respondents preferred websites as a contraceptive information source (33%), but they were an actual source for only 15% in the past year. Conversely, SNS were a preferred source for only 10%, yet the second most common actual source (22%). Adjusting for age, sexual activity, and other information sources, receiving information from websites was positively associated with identifying the most effective contraceptive method (adjusted OR (aOR)=2.83, 95%-CI:1.82-4.40) and, marginally, with agreeing that hormonal contraception is safe (aOR=1.63, 95%-CI:0.98-2.70). Receiving information from SNS was positively associated with identifying the most effective contraceptive method (aOR=1.87, 95%-CI:1.26-2.77), but had a marginal negative association with believing that benefits outweigh side effects (aOR=0.72, 95%-CI:0.48-1.08).

Conclusions

Websites were a desired source with potential positive impacts on contraceptive outcomes, but AYA face challenges accessing them. SNS, while less desired than websites, are a more common source with potential positive and negative impacts on outcomes. Future research, advocacy, and clinical practice should distinguish between these online sources, monitor the impacts of SNS, and leverage websites as preferred and beneficial contraceptive information sources for AYA.

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年轻人的网上避孕信息来源以及与避孕知识和态度的联系

目标我们旨在评估青少年和年轻成人（AYA）首选和实际在线避孕信息来源之间的一致性；并研究信息来源与避孕态度和知识之间的关联。方法我们使用了 2023 年对分配给出生时女性的青少年和年轻成人（15-29 岁）（n=1,150）进行的全国在线调查的数据。我们研究了首选和实际信息来源的普遍性，并评估了从网站和社交网站（SNS）获得的信息与四项避孕知识和态度测量指标之间的多变量关联。结果三分之一的受访者首选网站作为避孕信息来源（33%），但在过去一年中只有 15%的受访者将网站作为实际信息来源。相反，只有 10% 的受访者首选 SNS 作为信息来源，但 SNS 却是第二大最常见的实际信息来源（22%）。在对年龄、性活动和其他信息来源进行调整后，从网站获取信息与确定最有效的避孕方法呈正相关（调整后 OR (aOR)=2.83, 95%-CI:1.82-4.40），与同意激素避孕是安全的呈略相关（aOR=1.63, 95%-CI:0.98-2.70）。从 SNS 获取信息与确定最有效的避孕方法呈正相关（aOR=1.87，95%-CI:1.26-2.77），但与认为避孕方法利大于弊呈负相关（aOR=0.72，95%-CI:0.48-1.08）。SNS 虽然不如网站受欢迎，但却是一种更常见的渠道，对避孕结果具有潜在的积极和消极影响。未来的研究、宣传和临床实践应区分这些在线来源，监测 SNS 的影响，并将网站作为青少年首选的、有益的避孕信息来源。

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来源期刊

Contraception 医学-妇产科学

CiteScore

4.70

自引率

17.20%

发文量

211

审稿时长

69 days

期刊介绍： Contraception has an open access mirror journal Contraception: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal Contraception wishes to advance reproductive health through the rapid publication of the best and most interesting new scholarship regarding contraception and related fields such as abortion. The journal welcomes manuscripts from investigators working in the laboratory, clinical and social sciences, as well as public health and health professions education.