Cumming Grant P, Cochrane Rosemary, Currie Heather D, Moncur Rik, Lee Amanda J
Department of Obstetrics and Gynaecology, Dr Gray’s Hospital, Elgin, UK.
Menopause Int. 2012 Sep;18(3):106-9. doi: 10.1258/mi.2012.012020. Epub 2012 Jul 3.
Sociodemographic trends mean increasing numbers of new relationships in later life. These trends may not only have health consequences for women and health services but also impact on the targeting of sexual health messages. This study aimed to examine attitudes and knowledge surrounding contraception, sexual health and unwanted pregnancy among those accessing the website www.menopausematters.co.uk. A voluntary online survey was completed.
Survey was completed by 550 respondents. Three hundred and sixty-six women, 94% of whom self-classified as pre- or perimenopausal, had been sexually active with a male partner in the previous four weeks. Commonest contraceptive methods used by perimenopausal and postmenopausal women were condoms, combined oral contraceptive pill (COCP) and male sterilization. Up to 42% of women surveyed were unhappy with their contraception. A total of 27% premenopausal, 32% perimenopausal women and 40% postmenopausal used no contraception. One-third of women were unhappy about this and 19 unplanned pregnancies had occurred. The majority of women were informed regarding COCP use over 35 years, hormone replacement therapy, emergency contraception and ceasing contraception. The majority of women were unaware that more terminations of pregnancy are performed in women over 40 than any other age group per total pregnancies.Almost a third of women were unaware that chlamydia incidence is increasing in older women. Most would use condoms in new relationship.
Women accessing www.menopausematters.co.uk are well informed about contraception and sexual health. The majority of those accessing the site are sexually active, but many use no contraception, or are unhappy with their chosen method, leaving them vulnerable to unwanted pregnancy or sexually transmitted infection.
社会人口趋势意味着晚年建立新关系的人数不断增加。这些趋势不仅可能对女性健康和医疗服务产生影响，还会影响性健康信息的针对性。本研究旨在调查访问网站www.menopausematters.co.uk的人群对避孕、性健康和意外怀孕的态度与知识。开展了一项自愿在线调查。
550名受访者完成了调查。366名女性在过去四周内与男性伴侣有过性活动，其中94%将自己归类为绝经前或围绝经期女性。围绝经期和绝经后女性最常用的避孕方法是避孕套、复方口服避孕药（COCP）和男性绝育术。高达42%的受访女性对自己的避孕方式不满意。共有27%的绝经前女性、32%的围绝经期女性和40%的绝经后女性未采取避孕措施。三分之一的女性对此感到不满，并且已经发生了19例意外怀孕。大多数女性了解35岁以上使用复方口服避孕药、激素替代疗法、紧急避孕和停止避孕的相关信息。大多数女性不知道40岁以上女性的堕胎率高于其他任何年龄段的女性。近三分之一的女性不知道老年女性衣原体感染率正在上升。大多数人在建立新关系时会使用避孕套。
