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Attitudes Toward Oral Contraceptive Use Among Women of Reproductive Age: A Systematic Review

Lee, Jongwon MS, RN, WHNP; Jezewski, Mary Ann PhD, RN, FAAN

Article Available Online Only for the January–March Issue

Despite the effectiveness of oral contraceptives (OCs), their popularity differs across populations. Attitudes are a significant factor that influences OC use. This report systematically reviews 28 studies on attitudes toward OC use among women. The Matrix Method was used to review the literature. Affective, cognitive, and behavioral components of attitudes were analyzed, including satisfaction, safety, fear/anxiety, and inconvenience. In general, negative attitudes still prevail across countries. Positive attitudes are more prevalent in Europe. Effective counseling and education are needed for those negatively disposed toward OC use. For favorable users, compliance strategies for longer continuation with OC regimen must be provided.

Despite the effectiveness of oral contraceptives (OCs), their popularity differs across populations. The Matrix Method was used to review the literature, revealing that negative attitudes still prevail across countries with positive attitudes more prevalent in Europe. Effective counseling and education are needed for those negatively disposed toward the use of OCs.

School of Nursing (Ms Lee and Dr Jezewski), and the Center for Nursing Research (Dr Jezewski), University at Buffalo, The State University of New York.

Corresponding author: Jongwon Lee, MS, RN, WHNP, School of Nursing, University at Buffalo, The State University of New York, 922 Stockton Kimball Tower, 3435 Main St, Buffalo, NY 14214 (e-mail: jl83@buffalo.edu).

© 2007 Lippincott Williams & Wilkins, Inc.