Los Angeles BioMedical Research Institute at Harbor UCLA Medical Center, Torrance, California; Western University of Health Sciences, Pomona, California.
Charles R. Drew University of Medicine and Science, Los Angeles, California.
Contraception. 2019 Sep;100(3):193-195. doi: 10.1016/j.contraception.2019.04.008. Epub 2019 May 6.
To assess beliefs about the safety of oral contraceptives compared to pregnancy to determine if men and women possess accurate information to make informed choices.
In each of six surveys conducted in Southern California from 2008 to 2017, participants were asked "Which do you think is more hazardous to a woman's health - birth control pills or pregnancy?"
A total of 28.4% of all 1839 male and female respondents and 29.1% of the 1712 female respondents answered correctly that the health risks posed by pregnancy were greater. In subgroup analyses, 64.4%-81.9% rated oral contraceptives at least as hazardous to a woman's health as pregnancy.
The vast majority of respondents incorrectly believed that oral contraceptives are more hazardous than pregnancy.
Health decision making relies upon patients' understanding of the relative risks and benefits of each available option. Most sexually active women do not understand that there is no contraceptive method current guidelines would offer them that is as hazardous to their health as pregnancy. Such misconceptions can lead to risky decisions. Clinicians need to explicitly provide their sexually active patients more accurate and balanced information, putting contraception in the context of its probable alternative - pregnancy.
评估人们对比口服避孕药和怀孕的安全性的信念，以确定男性和女性是否拥有做出明智选择的准确信息。
在 2008 年至 2017 年期间，在加利福尼亚南部进行的六次调查中，每个调查都询问参与者“你认为哪种情况对女性健康更危险——避孕药还是怀孕？”
在所有 1839 名男性和女性受访者以及 1712 名女性受访者中，共有 28.4%的人回答正确，认为怀孕带来的健康风险更大。在亚组分析中，有 64.4%-81.9%的人认为口服避孕药对女性健康的危害至少与怀孕一样大。
绝大多数受访者错误地认为口服避孕药比怀孕更危险。
健康决策依赖于患者对每种可用选择的相对风险和益处的理解。大多数有性行为的女性不了解，目前的指导方针没有一种避孕方法对她们的健康危害会像怀孕一样大。这种误解可能导致危险的决策。临床医生需要明确向有性行为的患者提供更准确和平衡的信息，将避孕放在其可能的替代方案——怀孕的背景下。
