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Sexual health clinic leeds contraception withdrawal method


To describe actual and preferred contraceptive sources among young people in Britain and whether discordance between these is associated with markers of sexual risk behaviour or poor sexual health.

Reported source of contraceptive method s and preferred source if all were available and easily accessible. Likelihood of discordance was higher among women who usually used a less effective contraceptive method or Sexual health clinic leeds contraception withdrawal method an abortion.

It was less likely among men who usually used a less effective method of contraception and men who were not in a steady relationship. Most young people in Britain obtained contraception in the past year but one-third had not used their preferred source. Healthcare sources were preferred.

Discordance was associated with using less effective contraception and abortion among young women. Meeting young people's preference for obtaining contraception from healthcare sources could improve uptake of effective contraception to reduce unwanted pregnancies. Young people are more likely to use contraception inconsistently and to have higher rates of unplanned pregnancy and abortion and lower levels of healthcare usage than older adults.

With the exception of sterilisation, "Sexual health clinic leeds contraception withdrawal method" can be obtained from most general practice GP surgeries, community contraception clinics, some genitourinary medicine GUM clinics, sexual health clinics and some young people's services. In addition to being available free of charge on the NHS, the emergency contraceptive EC pill, and less widely, the contraceptive pill, patch and ring can be purchased from some pharmacies and condoms from many retailers.

The methods available at each source or service may vary; in particular, not all GPs provide long-acting reversible contraceptive LARC methods such as intrauterine devices IUDs and implants.

National guidelines emphasise the importance of easy access to reproductive and sexual health services for young people that are youth-friendly through whole system commissioning.

Meeting young people's needs for contraceptive services may help them to avoid unplanned pregnancies. However, much research on "Sexual health clinic leeds contraception withdrawal method" people's contraceptive service use in Britain has been conducted within health services, omitting non-users of services and those who use retail sources, or has been unable to examine young people's preferences. Understanding young people's preferences for contraceptive sources, how these compare to actual use, and whether not accessing a preferred source is associated with markers of poor sexual health, is valuable for informing service provision.

To address this, our objectives are to present gender-specific estimates from a large national probability sample survey of the prevalence of use of different sources of contraceptives among young people, their preferred sources, and discordance between actual and preferred source, and identify sociodemographic, reproductive and sexual health and behaviour factors associated with this discordance.

Where To Go?

Full details of the methods used in the third National Survey of Sexual Attitudes and Lifestyles Natsal-3 have been reported elsewhere. We oversampled individuals aged 16—34 years to allow detailed exploration of behaviours in the age group at highest risk of some sexual health outcomes such as unplanned pregnancy. Sampled addresses were randomly assigned to the core sample where all individuals aged 16—74 were eligible or the boost sample where only those aged 16—34 were eligible.

Participants were interviewed in their own homes through a combination of face-to-face computer-assisted personal interviews CAPI and computer-assisted self-interview CASI for the more sensitive questions. CAPI questions included those about use of, and preference for, sources of contraception. Item non-response in Natsal-3 was typically below 0. We weighted the data to adjust for the unequal probabilities of selection in terms of age and the number of adults in the eligible age range at an address.

After application of these selection weights, the Natsal-3 sample was broadly representative of the British population compared with Census figures, although men and London residents were slightly under-represented.

Participants provided oral informed consent to take part in interviews. In the CAPI, participants who reported that they or any partner had used any contraceptive method s Sexual health clinic leeds contraception withdrawal method in the past year were shown a card listing different sources of contraceptive supplies and asked to indicate which source s they had used in that Sexual health clinic leeds contraception withdrawal method. However, data on which contraceptive method s had been obtained from each source in the past year were not collected.

A separate card was then shown again only to those who reported that they or any partner had used any contraceptive method s together in the past year which asked which source they would prefer, assuming all those listed were available and easy to get to in their area.

Participants could report multiple sources used and one preferred source. We considered there to be discordance between actual and preferred sources if participants did not report using their preferred source, alone or in addition to other sources, to obtain contraception in the past year.

Leeds Sexual Health, a new...

For analysis, reported usual method of contraception used in the past year was classified according to the most effective method reported. Grouping contraceptive methods into these categories avoided small numbers for less commonly reported methods.

Data were not collected on the source from which each method was obtained. We used Stata V. Participants eligible for the CASI defined Sexual health clinic leeds contraception withdrawal method those who reported any sexual experience were asked in the CASI how long ago their last occasion of vaginal sex was. Only individuals who reported that they or any partner had used any contraceptive method s together in the past year were routed to the questions on the source s they had used to obtain contraception, and where they would prefer to obtain contraceptives from.

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