Jade Morgan, Mijas Magdalena Ewa, Jasienska Grazyna, Galbarczyk Andrzej
School of Health and Related Research, University of Sheffield, Sheffield, UK.
Department of Environmental Health, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland.
Int J Womens Health. 2025 Jan 6;17:9-19. doi: 10.2147/IJWH.S478652. eCollection 2025.
While several studies demonstrate an association between reproductive coercion or a lack of reproductive autonomy and decreased mental health in women, little is known about potential mental health impacts when women are denied prescription contraceptives. The aim of this research was to explore associations between prescription contraceptive denial and perceived ease of future access to contraception, and self-assessed mental health.
Polish women (N=424) completed an anonymous online survey with demographic questions; perceived stress (PSS-10), state anxiety (STAI-X1), and depression (CESD-R) assessments, and contraceptive access questions.
Eighty-eight participants (21%) had experienced at least one episode of prescription contraceptive denial from a doctor or pharmacist. There were no differences in stress, anxiety, and depression scores between women who had and had not ever experienced denial. However, women who had experienced contraceptive denial within the last six months, had higher depression scores. In addition, women who perceived future access as very easy had the lowest stress, anxiety and depression scores.
These results suggest that experiences and attitudes related to contraceptive access are related to perceived stress, anxiety, and depression. Contraceptive denial and other access barriers constitute a significant public health issue that may impact the health of women.
虽然多项研究表明生殖胁迫或缺乏生殖自主权与女性心理健康下降之间存在关联，但对于女性被拒绝开具处方避孕药时潜在的心理健康影响却知之甚少。本研究的目的是探讨处方避孕药被拒与未来获得避孕药具的难易程度感知以及自我评估的心理健康之间的关联。
波兰女性（N = 424）完成了一项包含人口统计学问题、感知压力（PSS - 10）、状态焦虑（STAI - X1）和抑郁（CESD - R）评估以及避孕药具获取问题的匿名在线调查。
88名参与者（21%）曾经历过至少一次被医生或药剂师拒绝开具处方避孕药的情况。曾经历过被拒和未曾经历过被拒的女性在压力、焦虑和抑郁得分上没有差异。然而，在过去六个月内经历过避孕药具被拒的女性，抑郁得分更高。此外，认为未来获取非常容易的女性，其压力、焦虑和抑郁得分最低。
这些结果表明，与避孕药具获取相关的经历和态度与感知到的压力、焦虑和抑郁有关。避孕药具被拒及其他获取障碍构成了一个可能影响女性健康的重大公共卫生问题。
