Picardo Carla M, Nichols Mark, Edelman Alison, Jensen Jeffrey T
Department of Obstetrics and Gynecology, Oregon Health and Science University, Portland, USA.
J Am Med Womens Assoc (1972). 2003 Spring;58(2):112-6.
To assess the knowledge of the risks and benefits of oral contraceptives (OCs) in a heterogeneous group of women and to identify their sources of information.
A self-administered questionnaire assessing demographics, contraception history, knowledge of risks and benefits of OCs, and information sources was given to literate English- and Spanish-speaking women waiting for appointments at 4 clinics serving distinct populations in Portland, Oregon.
Approximately half of the 211 women studied were of the opinion that OCs decreased the risk of acne, dysmenorrhea, and menorrhagia and increased the risk of weight gain, headaches, and thrombosis. Less than 15% knew of the decreased risk of anemia, endometrial cancer, colon cancer and pelvic inflammatory disease, but 28% understood the decreased risk of ovarian cancer. Seven percent to 36% of women used their own experiences in assessing the effect of OCs on a variety of general and reproductive factors. Women relied primarily on printed information for knowledge of OCs' effects on cardiovascular health and cancer.
Women in this heterogeneous population of women were unaware of several benefits of OCs. Women relied heavily on their own experiences in assessing the risks and benefits of OCs. Women cited printed information more frequently than medical personnel as major sources of information on cardiovascular and oncological risks and benefits of OCs. The Internet, however, played a minimal, if any role in educating women about OCs.
评估一组异质性女性对口服避孕药（OCs）风险和益处的了解情况，并确定她们的信息来源。
向在俄勒冈州波特兰市为不同人群服务的4家诊所候诊的、能读写英语和西班牙语的女性发放一份自填式问卷，问卷内容包括人口统计学信息、避孕史、对OCs风险和益处的了解情况以及信息来源。
在研究的211名女性中，约一半人认为OCs可降低痤疮、痛经和月经过多的风险，增加体重增加、头痛和血栓形成的风险。不到15%的人知道OCs可降低贫血、子宫内膜癌、结肠癌和盆腔炎的风险，但28%的人了解OCs可降低卵巢癌的风险。7%至36%的女性根据自身经验来评估OCs对各种一般和生殖因素的影响。女性主要依靠印刷信息来了解OCs对心血管健康和癌症的影响。
这组异质性女性群体中的女性并不知晓OCs的多项益处。女性在评估OCs的风险和益处时严重依赖自身经验。女性将印刷信息而非医务人员视为关于OCs心血管和肿瘤方面风险及益处的主要信息来源。然而，互联网在向女性普及OCs知识方面即便有作用，也微乎其微。
