Condom use in young women using long-acting reversible contraception (Larc)

A qualitative study

Dados Bibliográficos

ID15099790
AutoresNabreesa Murphy (0000-0002-7642-1616, The University of Melbourne, autor correspondente), Henrietta Williams (0000-0003-3013-7721, The University of Melbourne), Julie Nguyen (0000-0001-7836-9017, The University of Melbourne), Kathleen Mcnamee (0000-0001-7112-8202, Family Planning Victoria, Melbourne, Victoria, Australia), Jacqueline Coombe (0000-0002-9520-5724, The University of Melbourne), Jane Hocking (The University of Melbourne), Jane S Hocking (0000-0001-9329-8501, The University of Melbourne), Alaina Vaisey (The University of Melbourne)
Ano2021
Volume23
Fascículo8
Páginas1153-1164
Data de publicação2021-08-02
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoCulture Health & Sexuality (JOURNAL)
Identificadores do periódicoISSN: 1369-1058 • E-ISSN: 1464-5351
EditoraInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691058.2020.1758344
PMID32644012
OpenAlexW3041099456
IdiomaEN
Citações recebidas3
Referências citadas13

Young women in Australia disproportionately experience unintended pregnancy and sexually transmissible infections (STIs). As the promotion of highly effective pregnancy prevention methods such as long-acting reversible contraception (LARC) increases, concurrent use of condoms with LARC remains optimal for pregnancy and STI prevention. There is little data exploring condom use behaviour in young Australian women using LARC. In this qualitative study we interviewed twenty women using LARC about their experiences of making decisions regarding condom use. We used inductive thematic analysis to identify factors influencing participant decision-making. We found that while LARC had an impact on condom use and sexual practices, decisions regarding condom use were influenced by multiple factors including mood, menstrual changes related to LARC, and relationship dynamics. Participants' views of 'safe sex' extended beyond pregnancy and STI protection, to include desired outcomes such as pleasure, consent and communication. Access to STI testing and treatment was key to how participants managed STI risk. Findings highlight the need for a more comprehensive approach to safer sex health promotion, and the importance of ensuring STI testing and treatment services continue to be available and accessible to all young people

Condom · Environmental health · Family medicine · Family planning · Gynecology · Human immunodeficiency virus (HIV · Long-acting reversible contraception · Population · Pregnancy · Promotion (chess · Qualitative research · Reproductive health · Thematic analysis · Unintended pregnancy · Adolescent Sexual and Reproductive Health · Intimate Partner and Family Violence · Medicine · Reproductive Health and Contraception