Olsen Anna, Banwell Cathy, Dance Phyll
National Centre for Epidemiology and Population Health (NCEPH), Australian National University, Canberra, Australia.
Health Care Women Int. 2009 Jun;30(6):456-74. doi: 10.1080/07399330902797591.
In this article we seek to delineate the experiences of contraceptive use by Australian women living with hepatitis C. Using semi-structured, in-depth interviews, 109 women with hepatitis C from two cities in Australia, Melbourne (Victoria) and Canberra (the Australian Capital Territory), were interviewed about their alcohol and other drug use, their contraceptive history, and their experiences of hepatitis C. We aimed to understand why such a high proportion of women living with hepatitis C (66%) had previously reported that they were not currently using contraception. Many women had used contraception at some stage of their lives but were no longer using it because they had experienced contraceptive failure or uncomfortable side effects. Others were concerned about the impact of contraception on their fertility, were planning to get pregnant or considered themselves to be celibate. Hepatitis C appeared to have little impact on their contraceptive practices, but some women's illicit drug use had an important influence. Illicit drug use was, for some, an encouragement to seek long-term forms of contraception that reduced their chances of pregnancy while for others drug taking hampered their contraceptive use. In compliance with health promotion campaigns of the last two decades, women were generally more concerned about preventing sexually transmissible infections than pregnancies, particularly with new or casual partners.
在本文中，我们试图描绘感染丙型肝炎的澳大利亚女性使用避孕药具的经历。通过半结构化的深度访谈，我们对来自澳大利亚两个城市——墨尔本（维多利亚州）和堪培拉（澳大利亚首都直辖区）的109名丙型肝炎女性进行了访谈，内容涉及她们的酒精和其他药物使用情况、避孕史以及丙型肝炎经历。我们旨在了解为何如此高比例的丙型肝炎女性（66%）此前报告称她们目前未使用避孕药具。许多女性在其人生的某个阶段使用过避孕药具，但因经历过避孕失败或不适的副作用而不再使用。其他人则担心避孕药具对其生育能力的影响，计划怀孕或认为自己保持独身。丙型肝炎似乎对她们的避孕行为影响不大，但一些女性的非法药物使用产生了重要影响。对一些人来说，非法药物使用促使她们寻求长期避孕方式以降低怀孕几率，而对另一些人来说，吸毒妨碍了她们使用避孕药具。遵照过去二十年的健康促进运动，女性通常更关心预防性传播感染而非怀孕，尤其是与新伴侣或临时伴侣在一起时。
