{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T20:47:03Z","timestamp":1767041223802,"version":"3.48.0"},"reference-count":60,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,11,16]],"date-time":"2025-11-16T00:00:00Z","timestamp":1763251200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Perspect Sexual Reproductive"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Coined the Contraceptive Paradox, unwanted pregnancies and abortions remain stable in most West\u2010European countries despite the wide availability of highly effective contraception. Demographic and contextual reasons for ineffective (or no) contraceptive use in couples with no desire for a child have been described, yet data on women's concerns are scarce.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study evaluates a broad range of individual factors potentially determining insufficient\/less or ineffective contraceptive use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009399 women post abortion in Vienna, Austria answered a questionnaire assessing demographics, use of contraception, fertility perception, desire to avoid a pregnancy, influence of family and friends, and attitudes toward hormones, the pharma industry, and naturalness. We used multivariate ordinal logistic regression (OLR), reporting Odds Ratios (OR) to identify factors determining contraceptive use (none vs. moderately effective vs. highly effective contraception). Additionally, decision trees served as a basis for hypothesis generation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Hormone skepticism (OR when compared with no skepticism ranged from 0.07 for very large to 0.20 for low skepticism), a moderate desire to avoid a pregnancy (1.43), older age (0.98), being unemployed (1.93) and being single (OR\u2009=\u20092.63 for unstable relationship and 1.73 for stable relationship when compared with no relationship, respectively), were all associated with using no contraception. Decision trees suggested perceiving oneself and the partner as fertile and knowing that hormone\u2010free contraception was important for friends and family as additional factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our findings may assist clinicians in better understanding women's attitudes and misconceptions. However, further research is needed to address potential dilemmas in women's contraceptive decision\u2010making processes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/psrh.70045","type":"journal-article","created":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T02:36:02Z","timestamp":1763346962000},"page":"533-543","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Influencing Contraceptive Use in Women Seeking First\u2010Trimester Abortion Care: An Austrian Cross\u2010Sectional Survey"],"prefix":"10.1111","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0081-7489","authenticated-orcid":false,"given":"Anna","family":"Felnhofer","sequence":"first","affiliation":[{"name":"Department of Pediatrics and Adolescent Medicine, Division of Pediatric Pulmonology, Allergology and Endocrinology Medical University of Vienna Vienna Austria"},{"name":"Comprehensive Center for Pediatrics, CCP, Medical University of Vienna Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lusine","family":"Yeghiazaryan","sequence":"additional","affiliation":[{"name":"Center for Medical Statistics, Informatics, and Intelligent Systems, Cemsiis, Medical University of Vienna Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franz","family":"Piribauer","sequence":"additional","affiliation":[{"name":"Center for Applied Epidemiology and Health Policy Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6451-7349","authenticated-orcid":false,"given":"Christian","family":"Fiala","sequence":"additional","affiliation":[{"name":"Gynmed Clinic for Abortion and Family Planning Vienna Austria"},{"name":"Department of Women's and Children's Health Karolinska Institutet, and WHO Collaborating Centre, Karolinska University Hospital Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,16]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214\u2010109X(20)30315\u20106"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2019.04.007"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1363\/3809006"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0091539"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/13625187.2018.1442911"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2007.0210"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/sifp.12114"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2004.12.010"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1071\/SH04023"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2019.112531"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1728\u20104465.2014.00381.x"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2022.04.011"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552\u20106909.2011.01334.x"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2010.09.010"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1363\/4009408"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0010\u20107824(03)00107\u20100"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.2307\/2673738"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2014.05.097"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/13625187.2019.1615616"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2010.06.019"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1363\/3909007"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1931\u20102393.2003.tb00177.x"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.12969"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2012.03.003"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2011.08.009"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2012.10.001"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.2307\/3097748"},{"key":"e_1_2_10_29_1","first-page":"1","volume-title":"Vital and Health Statistics. 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