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The Contraceptive Confidence and Consequences Survey TNS NIPO Healthcare.

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Presentation on theme: "The Contraceptive Confidence and Consequences Survey TNS NIPO Healthcare."— Presentation transcript:

1 The Contraceptive Confidence and Consequences Survey TNS NIPO Healthcare

2 1Rationale and Objectives

3 3 Rationale Previous research shows that more than two-thirds of Pill users regularly forget the Pill and over one in five miss at least one pill every month. However little is known about how this impacts women’s confidence in the Pill or the emotional consequences of contraceptive misuse. Therefore an international research project was set up : to investigate motivations for use of contraception, confidence in methods used and to assess knowledge and experience of factors that impact method reliability, and the consequences of pregnancy scares among women and men. Source: European Women on Contraception 2003, TNS-NIPO

4 4 Objectives Contraceptive Usage What methods of contraception do women and men have experience with and currently use? Needs and Motivations What do women and men want from contraception, and what motivates their contraceptive choice? Contraceptive Confidence/Experience How confident are women in their method of contraception and what knowledge and experience do women and men have about incorrect contraceptive use? Consequences of Incorrect Use What are the consequences of incorrect contraceptive use on women and men’s lives?

5 2Research design & methodology

6 6 Research design - participating countries Spain Germany The Netherlands France Switzerland Belgium Italy Denmark Sweden Finland Hungary Russia Austria Ukraine

7 7 Research design & methodology Target group: heterosexual men and women between 16 and 40 years Sample size: 300 men and 300 women per country (total n= 8531) Average length questionnaire: 13 minutes All countries CAWI (Computer Assisted Web Interviewing) Fieldwork carried out in March/ April 2005

8 8 Sample Overview Background variables Age Gender Country Education level Relationship status Current contraceptive use Contraceptive experience in past

9 9 All questions, samples sizes and bases are given at the bottom of every slide Meaning of the figures and marking Result is significant higher than the remaining part of the sample at 95% confidence level 56 Result is significant lower than the remaining part of the sample 42 Question: Base: Sample size: All figures are percentages (%) 33 13%of the men who…. Findings of particular note are highlighted in a yellow box All slides are marked with the gender symbol, indicating if the question of subject was asked to women and/ or men

10 3Overview Findings

11 11 Previous findings: Contraceptive Confidence 53% of Pill users have ever felt relieved to start their period and 14% always or frequently feel relieved. Incorrect use or decreased reliability due to circumstances were the most common reasons. Condom users are more likely to feel relief at the start of their period, but women using the once-a-month contraceptive ring or IUD are significantly less likely to feel relief. 51% of men worry their partner might forget the Pill; and 54 % remind their partner to take the Pill. Full presentation of results available at: http://www.tns-nipo.com http://www.contraception.net

12 Contraceptive Confidence/Experience

13 13 Contraceptive Confidence Are there circumstances in which the used method is not reliable anymore? Question: Did you believe that in general there are circumstances or situations in which is no longer reliable in preventing pregnancy? Base: Women who currently use this method or used the Pill in the past five years Sample size: current Pill n=1641, Mini-Pill n=119, Medicated IUD n=115, withdrawal n=53, male condom n=739, copper IUD n=123 Unprompted, only 53% of current Pill users know there are circumstances in which the Pill is no longer reliable In Russia (26%) and Sweden (35%) these numbers are the lowest. Unprompted, only 53% of current Pill users know there are circumstances in which the Pill is no longer reliable In Russia (26%) and Sweden (35%) these numbers are the lowest.

14 14 Contraceptive Confidence Are there circumstances in which the used method is not reliable anymore? Question: Did you believe that in general there are circumstances or situations in which is no longer reliable in preventing pregnancy? Base: Men who currently use this method or used the Pill in the past five years Sample size: current Pill n= 1429, Mini-Pill n=38, Medicated IUD n= 57, withdrawal n=48, male condom n= 1049, copper IUD n=102 Unprompted, only 43% of the partners of current Pill users know there are circumstances when the Pill is not reliable anymore. In Denmark (23%) and Sweden (22%) these numbers are the lowest. Unprompted, only 43% of the partners of current Pill users know there are circumstances when the Pill is not reliable anymore. In Denmark (23%) and Sweden (22%) these numbers are the lowest.

15 15 Contraceptive Confidence Under what circumstances is the Pill not reliable anymore? Question: Under which circumstances do you believe the Pill is no longer reliable in preventing pregnancy? Base: Women and men who currently use the Pill or used it in the past five years Sample size: Prompted women n=2567 men n=2355 When presented with possible risk factors, there was nearly universal awareness that missed pills compromise the Pill’s reliability; but low awareness of other factors.

16 16 Contraceptive Experience Which of these circumstances did you experience yourself? (The Pill) Question: Did you believe that in general there are circumstances or situations in which is no longer reliable in preventing pregnancy? Base: Women and men who currently use the Pill or used the Pill in the past five years and mentioned under which circumstances its reliability can decrease Sample size: women n=2519, men n=2207 82%of all (ex)-Pill users and 67%of the partners of Pill users have experienced situations in which they thought the Pill was no longer reliable

17 17 Missed pills More than two thirds of pill users say they regularly miss pills and more than one in five women miss at least one pill every month European women on Contraception, 2003

18 18 Contraceptive Experience Discussing the decreased reliability Question: If such a situation occurred in the past 5 years, did you ever discuss with other people the reduced reliablity? Base: Women who have experienced circumstances under which was less reliable Sample size: total n=2685, 16-19 years n=289, 20-34 years n=1949, 35-40 years n=447 21% of women don’t discuss decreased reliability with anyone,56% discusses it with their partner, 38 % with a female friend and 23% with a doctor

19 19 Contraceptive Experience Discussing the decreased reliability Question: How often did you infom your partner about this reduced reliability? Base: All women and men who have experienced circumstances under which was less reliable Sample size: women n=1503, men n= n=1506 While 65% of men assume their partner will always tell them if reliability is compromized, only 35% of women actually always does so. Women Men

20 20 Contraceptive Experience Reaction of partner to message of decreased reliability Question: What was or were the mostfrequently occurring reactions of your partner to the message that, in your opinion, was less reliable at that time? Base: Women who have experienced circumstances under which was less reliable and discussed this with their partner Sample size: n=1470 Supportive reactions (given by 86%) Concerned reactions (given by 38%) 57% of men were supportive, 28% supportive but concerned, and 9% of the men concerned 16-19 year old women are less likely to report suportive reactions from their partner. 57% of men were supportive, 28% supportive but concerned, and 9% of the men concerned 16-19 year old women are less likely to report suportive reactions from their partner.

21 21 Contraceptive Experience Having sexual intercourse while reliability of the Pill is decreased Question: Did you ever have sexual intercourse while you already suspected that the reliability of the Pill was reduced Base: Women and men who have experienced circumstances under which the Pill was less reliable Sample size: women n=2119, men n=1463 Half of women and men continued having sexual intercourse when they were aware the reliability of the Pill was decreased. Women and men aged 20-34 year old were particularly likely to continue having sex.

22 22 Contraceptive Experience Having sexual intercourse while reliability of the condom is decreased Question: Did you ever have sexual intercourse while you already suspected that the reliability of the condom was reduced Base: Women and men who have experienced circumstances under which the condom was less reliable Sample size: women n=400, men n=509 About 40%of the women and 36% of the men continued having sexual intercourse when they were aware the reliability of the condom was decreased.

23 23 Contraceptive Experience Having protected sexual intercourse while reliability of the Pill is decreased Question: How often did you use additional contraceptives during sexual intercourse (while you already suspected that the reliability of was reduced)? Base: Women end men who have had sexual intercourse while they already suspected that the reliability of the Pill was reduced Sample size: women n=1063, men n=730 Around three-quarters of couples don’t always use additional protection when they think the Pill’s reliability was decreased Women Men

24 24 Contraceptive Experience Having sexual intercourse while reliability of the contraceptive method is decreased Question: Did you ever have sexual intercourse while you already suspected that the reliability of the was reduced? How often did you use additional contraceptives during sexual intercourse (while you already suspected that the reliability of was reduced)? Base: Women and men who have experienced circumstances under which method was less reliable Sample size: women appr. n=125 per country, men appr. n=125 per country

25 25 Contraceptive Experience Having sexual intercourse while reliability of the Pill is decreased Question: Did you ever have sexual intercourse while you already suspected that the reliability of the Pill was reduced? How often did you use additional contraceptives during sexual intercourse (while you already suspected that the reliability of the Pill was reduced)? Base: Women and men who have experienced circumstances under which the Pill was less reliable Sample size: women minimal n=50 per country, men minimal n=50 per country

26 Consequences of Incorrect Use

27 27 Question: Did you ever in the past five years think that you might be pregnant although was used? Base: Women and Men who currently use this method or used the Pill in the past five years and have mentioned they experienced circumstances under which its reliability was decreased Sample size:women current Pill n=1408 condom n=400, men current Pill n=906, condom n= 509 Consequences of Incorrect Use Ever thought you/ your partner might be pregnant while using the Pill / the condom Over 50%of Pill users have ever thought they might be pregnant, and 40%of the partners of Pill users. Women Men

28 28 Consequences of Incorrect use Pregnancy fears were caused by…. Missed or late pills were the most common reason Pill users and partners of Pill users gave for thinking they may be pregnant followed by vomiting shortly after taking the Pill or using antibiotics A torn condom is the most frequent reason for pregnancy concern according to both men and women followed by slipped off during intercourse. In addition, 14 % of women and 19 % of men said that they had forgotten to use a condom during intercourse. Question: Was the feeling that you might be pregnant caused by one or more of the circumstances or situations listed below? Base: Women and men who currently use this method or used the Pill in the past five years and have experienced pregnancy distress Sample size: women n=1099, men n=594

29 29 Question: What was his initial reaction? Base: Women who have experienced pregnancy distress and told their partner about this Sample size: n=1063 Consequences of Incorrect Use What was his initial reaction? …..36% of informed men reacted positively and 23% reacted negatively 73% of the women state they informed their partner about their pregnancy concern… The more serious/ stable the relation, the more positive his initial reaction

30 30 Consequences of Incorrect Use Who was responsible? Question: Who do you believe was responsible for the fact that you/ your partner might have been pregnant while using ? Base: Women and men who currently use and have experienced pregnancy distress Sample size: women current pill n=755, male condom n=260, men current pill n=366, male condom n=243 Pill using women tend to take responsibility for the fact that they could have become pregnant, while condom using women see this as a shared responsibility. Most women believe they are responsible because they use the contraceptive (incorrectly). Condom using men tend to take responsibility for the fact that their partner could have become pregnant, while partners of Pill using women see this mostly as a shared responsibility Women Men

31 31 Consequences of Incorrect Use Influence on emotional life Question: Although was used, you thought you might have become pregnant. Did this influence your emotional life? Base: Women and men who have experienced pregnancy distress Sample size: women n=1451, men n=871 67% of women stated it had a negative impact on their emotional life rising to 72 % in if their career was very important to them 59%of men stated it had a negative impact on their emotional life rising to 67% if their career was very important to them Women Men

32 32 Consequences of Incorrect Use Influence on emotional life Question: Although was used, you thought you/your partner might have become pregnant. Did this influence your emotional life? Base: Women and men who have experienced pregnancy distress Sample size: women appr n=100 per country, men appr. n=75 per country

33 33 Pregnancy distress Negative influence on emotional life Question: Which negative influence did it have on your emotional life? Base: Women and men who have experienced that pregnancy distress had a negative influence on their emotional life Sample size: women n=947, men n=510 Men feel mostly worried, nervous, anxious and scared Women feel mostly worried, scared and nervous Women who see their future carreer as very important, feel significant more scared (62%)

34 34 Consequences of Incorrect Use Influence on relationship and work 23% of women said the pregnancy scare had a negative impact on their relationship.. but for men, the negative influences was more frequent (34 %). 26% of women and men reported a negative impact on their work/study rising to 34 % and 42 % respectively if their career was very important to them. Negative impact at work manifested most commonly as a decrease in concentration, with a third of men also admitted to making more mistakes than normal. Question: Althrough was used, you thought you might have become pregnant. Did this influence your relationship/ study or job? Base: Women and men who have experienced pregnancy distress and had a relationship or study/ job at that time Sample size: with relationship women n=1332, men n=756 with work/ study women n=1258, men n=803

35 35 Consequences of Incorrect use Actions actually taken Question: Which of the following measures did you take when you thought you might be pregnant Base: Women who have experienced pregnancy distress Sample size: n=1451 Most women state that they took a home pregnancy test or just waited 19% visited the doctor Married women visit the doctor most often and women in a relation tend to use the morning after Pill more often

36 36 Consequences of Incorrect use Actions wanted and actually taken 77% of men discussed with their partner what actions to take…. Single men were more likely to want the woman to use the morning after Pill than married men - 38% versus 7 % Althought 51% of the men wanted their partner to use a home pregnancy test, only 36% actually bought one. Married men and men who are living together with their partner were more likely to buy a pregnancy test; Question: 1. Did you and your partner discussed what actions to take? 2. Which of the following measures did you want your partner to take when you thought she might be pregnant 3. And which of the following measures did you take yourself when you thought she might be pregnant Base: Men who have experienced pregnancy distress Sample size: n=871

37 37 Consequences of Incorrect Use And, were you really pregnant at that time? Question: You had the feeling you might be pregnant. And were you really pregnant? Base: Women who have experienced pregnancy distress Sample size: Total n=1451, n= current pill n=755, ex pill n=344, male condom n=260 12%of the women were really pregnant. Althought it was unplanned, 35%of the women reacted positive to it. 8% of all women who were actually pregnant did NOT inform their partner about this 50%of the informed partners reacted positive to the news according to the women


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