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BackgroundReducing pregnancy risk requires a multidimensional approach to sexual and reproductive health product development. The purpose of this analysis is to identify, compare, and contrast womens pre-use beliefs and attitudes about three different forms of contraceptives: intravaginal rings spermicide in conjunction with condoms and oral contraceptive pills and explore how those attitudes and beliefs, along with actual method-use experience, may affect potential choices in contraceptive method moving forward. The relationship of beliefs and attitudes to their riskbenefit calculations when using these methods was also considered.? Methods: Women used one or more contraceptive methods, each for 36 months. Qualitative data from individual in-depth interviews completed after each 3-month use period were analysed using a summary matrix framework. Data were extracted and summarised into themes. Each womans experiences were compared among the methods she used comparisons were also made across participants. Results: The data consist of 33 90120 min in-depth qualitative interviews from 16 women aged 2034 years, in which they discussed various elements of their method use experience. One prominent theme was identified: the influence of attitudes and beliefs on the riskbenefit calculus. There were six key elements within the theme: pregnancy prevention dosing and the potential for user error side-effects familiarity disclosure and sexual partnerships. Conclusions: Women weighed perceived risks and benefits in their decision-making and, ultimately, their contraception choices. Understanding womens beliefs and attitudes that contribute to a calculation of riskbenefit can inform the development of sexual and reproductive health products.
Sexual Health – CSIRO Publishing
Published: Jun 26, 2020
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