Sexual behaviour, contraceptive use, and family planning intentions: 30 years of repeated cross-sectional surveys.

IF 1.9 4区医学 Q3 OBSTETRICS & GYNECOLOGY

European Journal of Contraception and Reproductive Health Care Pub Date : 2025-03-04 DOI:10.1080/13625187.2025.2470422

Cerisa Obern, Tanja Tydén, Inger Sundström Poromaa, Frida Gyllenberg

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Abstract

Purpose: Globally, women are postponing childbearing and total fertility rates are decreasing. In Sweden, a 2018 law requires consent before sexual activity and LARC is now recommended as a first-hand choice. This study compares sexual behaviour (including consent), contraceptive use and family planning intentions with past surveys.

Material and methods: This is a cross-sectional survey that has been repeated every fifth-tenth year since 1989 in Sweden. It explores sexual behaviour, contraceptive use and family planning intentions among women attending a gynaecology clinic for contraceptive counselling and compares these results with previous surveys.

Results: Of the 596 women surveyed, 558 were sexually experienced, the majority (98%) of which perceived consent during their most recent sexual activity. Over 30 years, there was a significant trend towards having more sexual partners (p = 0.02). The use of SARC (p = <0.01) and LARC (p = 0.04) has increased since 2014, while condom use and emergency contraceptive use have decreased (p = <0.01 for both). Three out of four respondents (n = 449) wanted children, significantly fewer than 2014.

Conclusions: Sexual behaviour and contraceptive use have changed over the last ten years in Sweden. More women use effective forms of contraception and informed consent laws may have positive implications. Yet fewer women have decided to have children in the future.

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性行为、避孕药具的使用和计划生育意图：30年的重复横断面调查。

目的：在全球范围内，妇女正在推迟生育，总生育率正在下降。在瑞典，2018年的一项法律要求在性行为之前征得同意，LARC现在被推荐为第一选择。这项研究将性行为（包括同意）、避孕措施的使用和计划生育意图与过去的调查进行了比较。材料和方法：这是一项横断面调查，自1989年以来每五到十年在瑞典重复一次。它探讨了到妇科诊所接受避孕咨询的妇女的性行为、避孕药具的使用和计划生育意图，并将这些结果与以前的调查进行了比较。结果：在接受调查的596名女性中，558名有过性经验，其中大多数（98%）在最近的性行为中表示同意。在30年的时间里，有明显的性伴侣增加的趋势（p = 0.02）。自2014年以来，SARC的使用（p = p = 0.04）有所增加，而避孕套和紧急避孕药具的使用则有所减少（p = n = 449），明显低于2014年。结论：瑞典的性行为和避孕措施的使用在过去十年中发生了变化。更多的妇女使用有效的避孕方式，知情同意法可能产生积极影响。然而，决定将来要孩子的女性越来越少。

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

European Journal of Contraception and Reproductive Health Care 医学-妇产科学

CiteScore

3.70

自引率

11.80%

发文量

审稿时长

>12 weeks

期刊介绍： The Official Journal of the European Society of Contraception and Reproductive Health, The European Journal of Contraception and Reproductive Health Care publishes original peer-reviewed research papers as well as review papers and other appropriate educational material.