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Hum. Reprod. Advance Access published online on September 27, 2007

Human Reproduction, doi:10.1093/humrep/dem259
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© The Author 2007. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Misconceptions about oral contraception pills among adolescents and physicians

Y. Hamani, Y. Sciaki-Tamir, R. Deri-Hasid, T. Miller-Pogrund, A. Milwidsky and R. Haimov-Kochman1

Department of Obstetrics and Gynecology, Hadassah Hebrew University Medical Center, Mount Scopus, PO Box 24035, Jerusalem 24035, Israel

1 Corresponding address. Tel: +972-2-584-4111; Fax: +972-2-581-4210; E-mail: kochman{at}hadassah.org.il

BACKGROUND: Limited access to contraception and poor compliance are the major reasons for unintended pregnancy in adolescence. This study was designed to compare knowledge of the combined oral contraceptive pill (COCP) in teenage users and non-users. We speculated that consultations between COCP users and their physicians would dispel misconceptions.

METHODS: A cross-sectional survey was undertaken in public clinics affiliated with an academic center. High school-educated female adolescents aged 14-20 years opting for contraception (n = 254) and Israeli physicians (n = 114) specializing in Obstetrics, Gynecology and Reproductive Endocrinology participated in the study. Information about past or present COCP use and views of the COCP were recorded by employing a ten-question YES/NO self-completion questionnaire, designed by the researchers.

RESULTS: The prevalence of incorrect beliefs was exceedingly high in the whole adolescent study group and relatively high among the physicians. The prevalence of incorrect beliefs was comparable between COCP users and non-users, regarding the 10 misconceptions investigated. The duration of COCP use did not influence the prevalence of misconceptions about the pill. Age did not serve as a confounding factor for all misconceptions.

CONCLUSIONS: Lack of informative communication between COCP-prescribing physicians and users and mistaken knowledge of the caring physicians may contribute to adolescent ignorance of the COCP. Focusing on adolescent-specific disbeliefs could lead to construction of better educational programs in schools and clinics.

Key words: adolescence/belief/oral contraception/misconception

Submitted on March 3, 2007; resubmitted on July 8, 2007; accepted on July 18, 2007.


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