{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T20:27:28Z","timestamp":1790627248532,"version":"4.1.0"},"reference-count":34,"publisher":"CSIRO Publishing","issue":"3","license":[{"start":{"date-parts":[[2025,8,17]],"date-time":"2025-08-17T00:00:00Z","timestamp":1755388800000},"content-version":"vor","delay-in-days":1878,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,6,30]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Reducing pregnancy risk requires a multidimensional approach to sexual and reproductive health product development. The purpose of this analysis is to identify, compare, and contrast women\u2019s pre-use beliefs and attitudes about three different forms of contraceptives: intravaginal rings; spermicide in conjunction with condoms; and oral contraceptive pills \u2013 and explore how those attitudes and beliefs, along with actual method-use experience, may affect potential choices in contraceptive method moving forward. The relationship of beliefs and attitudes to their risk\u2013benefit calculations when using these methods was also considered.? Methods: Women used one or more contraceptive methods, each for 3\u20136 months. Qualitative data from individual in-depth interviews completed after each 3-month use period were analysed using a summary matrix framework. Data were extracted and summarised into themes. Each woman\u2019s experiences were compared among the methods she used; comparisons were also made across participants. Results: The data consist of 33 90\u2013120 min in-depth qualitative interviews from 16 women aged 20\u201334 years, in which they discussed various elements of their method use experience. One prominent theme was identified: the influence of attitudes and beliefs on the risk\u2013benefit calculus. There were six key elements within the theme: pregnancy prevention; dosing and the potential for user error; side-effects; familiarity; disclosure; and sexual partnerships. Conclusions: Women weighed perceived risks and benefits in their decision-making and, ultimately, their contraception choices. Understanding women\u2019s beliefs and attitudes that contribute to a calculation of risk\u2013benefit can inform the development of sexual and reproductive health products.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh19197","type":"journal-article","created":{"date-parts":[[2020,6,26]],"date-time":"2020-06-26T03:37:47Z","timestamp":1593142667000},"page":"262-269","source":"Crossref","is-referenced-by-count":5,"title":["\u2018I feel like a person has a right to use a product to protect themselves\u2026\u2019: a qualitative study of the risk\u2013benefit calculus on women\u2019s contraceptive use and choice"],"prefix":"10.1071","volume":"17","author":[{"given":"Sof\u00eda L.","family":"Carbone","sequence":"first","affiliation":[{"name":"ABrown University School of Public Health, 121 South Main Street, Providence, RI 02903, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Guillen","sequence":"additional","affiliation":[{"name":"BCenter for Behavioral and Preventive Medicine, Miriam Hospital, Coro West, Suite 309, 164 Summit Avenue, Providence, RI 02906, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaime J.","family":"Ramirez","sequence":"additional","affiliation":[{"name":"BCenter for Behavioral and Preventive Medicine, Miriam Hospital, Coro West, Suite 309, 164 Summit Avenue, Providence, RI 02906, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara E.","family":"Vargas","sequence":"additional","affiliation":[{"name":"BCenter for Behavioral and Preventive Medicine, Miriam Hospital, Coro West, Suite 309, 164 Summit Avenue, Providence, RI 02906, USA."},{"name":"CThe Warren Alpert Medical School at Brown University, 222 Richmond Street, Providence, RI 02903, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Connie Fei","family":"Lu","sequence":"additional","affiliation":[{"name":"CThe Warren Alpert Medical School at Brown University, 222 Richmond Street, Providence, RI 02903, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa L.","family":"Getz","sequence":"additional","affiliation":[{"name":"BCenter for Behavioral and Preventive Medicine, Miriam Hospital, Coro West, Suite 309, 164 Summit Avenue, Providence, RI 02906, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaa","family":"Frimpong","sequence":"additional","affiliation":[{"name":"CThe Warren Alpert Medical School at Brown University, 222 Richmond Street, Providence, RI 02903, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelley A.","family":"Smith","sequence":"additional","affiliation":[{"name":"BCenter for Behavioral and Preventive Medicine, Miriam Hospital, Coro West, Suite 309, 164 Summit Avenue, Providence, RI 02906, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Stout","sequence":"additional","affiliation":[{"name":"BCenter for Behavioral and Preventive Medicine, Miriam Hospital, Coro West, Suite 309, 164 Summit Avenue, Providence, RI 02906, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iris","family":"Tong","sequence":"additional","affiliation":[{"name":"CThe Warren Alpert Medical School at Brown University, 222 Richmond Street, Providence, RI 02903, USA."},{"name":"DWomen\u2019s Medicine Collaborative, Lifespan, 146 West River Street, Providence, RI 02904, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Hill","sequence":"additional","affiliation":[{"name":"DWomen\u2019s Medicine Collaborative, Lifespan, 146 West River Street, Providence, RI 02904, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert E.","family":"Berry","sequence":"additional","affiliation":[{"name":"ECambridge Health Alliance, 1493 Cambridge Street, Cambridge, MA 02139, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abigail","family":"Harrison","sequence":"additional","affiliation":[{"name":"ABrown University School of Public Health, 121 South Main Street, Providence, RI 02903, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5528-1212","authenticated-orcid":true,"given":"Kate M.","family":"Guthrie","sequence":"additional","affiliation":[{"name":"ABrown University School of Public Health, 121 South Main Street, Providence, RI 02903, USA."},{"name":"BCenter for Behavioral and Preventive Medicine, Miriam Hospital, Coro West, Suite 309, 164 Summit Avenue, Providence, RI 02906, USA."},{"name":"CThe Warren Alpert Medical School at Brown University, 222 Richmond Street, Providence, RI 02903, USA."},{"name":"FCorresponding author. Email: kate_guthrie@brown.edu"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"67","published-online":{"date-parts":[[2020,6,26]]},"reference":[{"key":"2025102615483282000_R1","doi-asserted-by":"publisher","first-page":"421","DOI":"10.1007\/s10461-017-1962-8","article-title":"Acceptability of a tenofovir disoproxil fumarate vaginal ring for HIV prevention among women in New York City.","volume":"22","author":"Watnick","year":"2018","journal-title":"AIDS Behav"},{"key":"2025102615483282000_R2","doi-asserted-by":"publisher","first-page":"539","DOI":"10.1016\/j.whi.2017.03.004","article-title":"More than a destination: contraceptive decision making as a journey.","volume":"27","author":"Downey","year":"2017","journal-title":"Womens Health Issues"},{"key":"2025102615483282000_R3","doi-asserted-by":"publisher","first-page":"82","DOI":"10.1186\/s12905-019-0772-8","article-title":"Using the theory of planned behavior and self-identity to explore women\u2019s decision-making 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