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The prescription of oral contraceptives and its relation to the incidence of chlamydia and abortion in Sweden 1997-2005
Stockholm University, Faculty of Social Sciences, Department of Sociology.
Stockholm University, Faculty of Social Sciences, Department of Sociology.
Stockholm University, Faculty of Social Sciences, Department of Sociology.
2012 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 40, no 1, 85-91 p.Article in journal (Refereed) Published
Abstract [en]

Aims: The aim of this study is to examine the association between the prescription of oral contraceptives and the incidence of chlamydia, and between the prescription of oral contraceptives and the number of abortions in a population-based ecological study. Methods: For this study we used register data from the Swedish Institute for Infectious Disease Control (chlamydia incidence), the Swedish National Board of Health and Welfare (number of abortions), Statistics Sweden (population data), and Apoteket (Swedish pharmacy) (prescriptions for oral contraceptives). We conducted ordinary least squares regression analysis of the association between chlamydia or abortions and the prescription of oral contraceptives. Results: The prescription of oral contraceptives has a positive association on both the incidence of chlamydia and the numbers of abortion. Our best model predicts that prescription of 100 yearly doses of oral contraceptives increase the abortions by 3.3 cases among 16-year-old women and 0.7 cases among 29-year-old women, while cases of chlamydia increase by 6.7 among 16-year-old women and 1.5 among 29-year-old women. Conclusions: Our findings indicate that the use of oral contraceptives among young people and young adults is positively associated with the chlamydia incidence and the abortion rate in these populations in Sweden.

Place, publisher, year, edition, pages
2012. Vol. 40, no 1, 85-91 p.
Keyword [en]
Abortion, chlamydia, oral contraceptive, Sweden
National Category
Sociology
Identifiers
URN: urn:nbn:se:su:diva-76318DOI: 10.1177/1403494811421977ISI: 000299735800011OAI: oai:DiVA.org:su-76318DiVA: diva2:526886
Note
3Available from: 2012-05-15 Created: 2012-05-10 Last updated: 2017-12-07Bibliographically approved
In thesis
1. Play with fire, play with you sometimes: Social aspects of condom use among young people in Sweden
Open this publication in new window or tab >>Play with fire, play with you sometimes: Social aspects of condom use among young people in Sweden
2014 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Although Sweden invests a great deal of money and effort in prevention work, STIs are a major problem in our society. Young people are at high risk both when it comes to unwanted pregnancies and STIs and several studies have revealed that the condom use is quite low. Condom use is a complex issue. There are often several factors that interact and affect the decision to use or not use condom. The result in this thesis shows that young people have behavioral expectation to use condom, especially for anal sex and vaginal sex with a casual partner (both known and unknown). At the same time, the condom use is low irrespective of type of partner and type of sex. Approximately 20 % of the participants never used a condom during the preceding 12 months. Most of the participants said that reason for their use or non-use was based on partner evaluation. However, our participants indicate that there often is a deeper reason why they do not use condoms. Women talk about their male partner’s resistance against condom use. Men in the other hand mention the problem with fit and feel especially problems related to erection problems when they have been drinking alcohol. One of the most interesting findings is that the participants’ view of sex affected their condom use. Those with a relaxed view (e.g., did not connect love with sex and had had more sexual partners during the past 12 months) had fewer occasions of unprotected vaginal intercourse compared with the participants with a traditional view (e.g., often associated sex with vaginal penetration).The most important thing we need to do is increase ’men’s sense of responsibility and involve them in the prevention work. It is also important that the condom counseling is individualized. It is not enough to simply speak about condom use in general; instead we need to relate condom use to sexual practice and partner type but also to the individuals’ specific condom problem.

Place, publisher, year, edition, pages
Stockholm: Department of Sociology, Stockholm University, 2014. 133 p.
Series
Stockholm studies in sociology, ISSN 0491-0885 ; N.S., 58
Keyword
adolescents, alcohol, behavioral expectations, Chlamydia Trachomatis, condom use, contraceptive use, gender, mixed-methods, sexual behavior, sexual practice, sexual relationships, STI, Sweden, youth
National Category
Sociology
Research subject
Sociology
Identifiers
urn:nbn:se:su:diva-108900 (URN)978-91-7649-038-9 (ISBN)
Public defence
2014-12-12, De Geersalen, Svante Arrhenius väg 14, Stockholm, 10:00 (Swedish)
Opponent
Supervisors
Note

At the time of the doctoral defense, the following papers were unpublished and had a status as follows: Paper 1: Epub ahead of print. Paper 2: Manuscript. Paper 3: Manuscript.

Available from: 2014-11-20 Created: 2014-11-06 Last updated: 2014-12-05Bibliographically approved

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