Young women's continued use of oral contraceptives over other hormonal methods: findings from a qualitative study.
BACKGROUND
Long-acting reversible contraceptives (LARC) have become more commonly promoted in the UK, but most young women still rely on the contraceptive pill. Here, we describe young women's accounts of hormonal contraceptive use to explore why this might be the case.


METHODS
In-depth interviews with twenty 20-year-old women from eastern Scotland in the UK.


RESULTS
All but one woman reported use of the pill. It was the method they expected to use, sought out, and received. Belief in the pill's efficacy was maintained even when knowledge or experience of failure suggested otherwise. Only four women reported using alternative hormonal methods and only did so after experiencing unmanageable problems with the pill (side effects or forgetting to take it). All then discontinued use because of weight gain or dislike of menstrual suppression.


CONCLUSIONS
Attempts to promote LARC must address these issues. Pill use can be unproblematic if managed well, and should continue to be promoted as an appropriate contraceptive for young women.
Williamson
Lisa M
LM
MRC Social and Public Health Sciences Unit, Glasgow, UK. lisa@sphsu.mrc.ac.uk
Buston
Katie
K
Sweeting
Helen
H
D000328:Adult; D000367:Age Factors; D003268:Contraception Behavior; D003271:Contraceptive Agents, Female; D003276:Contraceptives, Oral; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D010342:Patient Acceptance of Health Care; D011374:Progesterone; D011372:Progestins; D036301:Qualitative Research; D012606:Scotland
D003271:Contraceptive Agents, Female; D003276:Contraceptives, Oral; D011372:Progestins; D011374:Progesterone