Experiences and impacts of side effects among contraceptive users in the UK: exploring individual narratives of contraceptive side effects.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Catherine Stewart, Rose Stevens, Fiona Kennedy, Paulina Cecula, Elena Rueda Carrasco, Jennifer Hall
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引用次数: 0

Abstract

Purpose: While many women worldwide use contraception, there is a paucity of research on individual experiences of side effects. To address this gap, we investigated individual's contraception experiences.

Methods: Women aged 18 to 35, living in the UK were invited to participate in an online survey on contraception. Free text responses were collected. Through a directed content analysis approach, we developed a coding framework (based on existing literature and initial response review) including six themes; method(s) of contraception, side effect(s) experienced, impact of side effect(s), timing of side effect(s), interactions with healthcare practitioners, and trial-and-error.

Results: Overall, 337 participants provided free-text responses. Side effect experiences and impacts varied greatly between individuals and contraceptives. Most participants described negative effects, including mental health issues and bleeding problems. However, some shared positive experiences mainly related to bleeding management or the absence of side effects. Participants described how side effects often varied or appeared over time. Some participants felt unheard by healthcare practitioners.

Conclusions: This study highlights how specific contraceptive experience is to the individual. We advocate for a patient-centred approach to contraceptive counselling. Practitioners should play an active role in improving contraception prescription, acknowledging the diverse experiences and preferences of patients.

英国避孕药使用者对副作用的体验和影响:探索个人对避孕药副作用的叙述。
目的:虽然全世界有许多妇女使用避孕药具,但有关个人副作用体验的研究却很少。为了填补这一空白,我们对个人的避孕经历进行了调查:方法:我们邀请居住在英国的 18 至 35 岁女性参与有关避孕的在线调查。我们收集了自由文本回复。通过定向内容分析方法,我们制定了一个编码框架(基于现有文献和初步回复审查),其中包括六个主题:避孕方法、经历的副作用、副作用的影响、副作用的时间、与医疗保健从业人员的互动以及试错:共有 337 名参与者提供了自由文本回答。副作用的经历和影响因人和避孕药具而异。大多数参与者描述了负面影响,包括心理健康问题和出血问题。不过,也有一些人分享了积极的经验,主要与出血控制或无副作用有关。与会者描述了副作用是如何随着时间的推移而变化或出现的。一些参与者认为医护人员没有听取他们的意见:本研究强调了避孕体验对个人的特殊性。我们提倡以患者为中心的避孕咨询方法。从业人员应在改进避孕处方方面发挥积极作用,承认患者的不同经历和偏好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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