Sexual Health Unit, Melbourne School of Population and Global Health, The University of Melbourne, Carlton, Victoria, Australia.
Health Promot J Austr. 2024 Jul;35(3):588-595. doi: 10.1002/hpja.806. Epub 2023 Sep 12.
The internet is an important source of health information, however, the quality of information about long-acting reversible contraception (LARC, including intrauterine devices (IUDs) and contraceptive implants) found online is largely unknown.
A scoping review of webpages returned in a Google search was conducted. The first three pages of results were included if they were written in English and contained information about LARC. Results were critically reviewed and assessed using the DISCERN quality of health information tool.
Of 778 results, 306 pages met the eligibility criteria. While most webpages provided key information about LARC, including location in the body, benefits, side effects and risks, the information provided varied considerably. Only half mentioned efficacy and many webpages did not provide information about the cost of insertion and removal, how and where to access the devices or how they work. Despite side effects being mentioned in more than three-quarters of webpages, the depth and specificity of these varied considerably and were often contradictory across different webpages.
Most webpages provided medically accurate information to consumers; however, many did not include key information such as cost or how they work. Descriptions of side effects varied between webpages, and this may inhibit informed decision-making. SO WHAT?: Most people make decisions about what contraceptive method they might like to use before visiting a health care provider, and most will get this information from the internet. Providing comprehensive, medically accurate and consistent information about both IUDs and contraceptive implants is vital to support informed decision-making.
互联网是获取健康信息的重要来源，但人们对在线上获取的长效可逆避孕（LARC，包括宫内节育器（IUD）和避孕植入物）相关信息的质量知之甚少。
对谷歌搜索结果中的网页进行了范围界定性综述。如果网页为英文且包含有关 LARC 的信息，则纳入前 3 页的结果。使用 DISCERN 健康信息质量工具对结果进行批判性评估和评估。
在 778 项研究结果中，有 306 个网页符合入选标准。虽然大多数网页提供了关于 LARC 的关键信息，包括在体内的位置、益处、副作用和风险，但提供的信息差异很大。只有一半的网页提到了有效性，而且许多网页没有提供关于插入和取出的费用、如何以及在哪里获得这些设备以及它们如何工作的信息。尽管超过四分之三的网页都提到了副作用，但这些副作用的深度和具体性差异很大，而且在不同的网页之间往往相互矛盾。
大多数网页为消费者提供了准确的医学信息；但是，许多网页没有包括关键信息，如费用或如何工作。网页之间对副作用的描述存在差异，这可能会阻碍知情决策。所以呢？：大多数人在就诊前就会决定他们可能喜欢使用哪种避孕方法，而且大多数人会从互联网上获取此信息。提供关于宫内节育器和避孕植入物的全面、准确且一致的信息对于支持知情决策至关重要。
