{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T23:02:25Z","timestamp":1775084545547,"version":"3.50.1"},"reference-count":40,"publisher":"BMJ","issue":"3","license":[{"start":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T00:00:00Z","timestamp":1740960000000},"content-version":"unspecified","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"European Medicines Agency via the Specific Contract no. 01 to framework service","award":["EMA\/2015\/24\/PH"],"award-info":[{"award-number":["EMA\/2015\/24\/PH"]}]},{"DOI":"10.13039\/501100005357","name":"Slovak Research and Development Agency","doi-asserted-by":"crossref","award":["APVV-22-0587"],"award-info":[{"award-number":["APVV-22-0587"]}],"id":[{"id":"10.13039\/501100005357","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Research and Innovation Authority","award":["VAIA 09I01-03-V04-0010"],"award-info":[{"award-number":["VAIA 09I01-03-V04-0010"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2024,12,19]]},"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To explore the experiences of women and health professionals when communicating about combined hormonal contraceptives (CHCs), with a focus on venous thromboembolism (VTE). We also focused on information sources consulted by women for their decision-making process regarding contraceptives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Qualitative semistructured face-to-face interviews were conducted with 24\u2009women and 16 health professionals. The study followed a phenomenological approach, and data were synthesised using the framework analysis method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Community health centres across three countries in the UK, Denmark, and Slovakia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Adult (aged 18+) women using CHC and health professionals eligible to prescribe CHC in their respective countries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Women tended to be positive about CHC\u2019s safety and seek information about CHC through their health professionals, family and friends. They would like to receive further information from health professionals, particularly when it comes to risks of CHC and alternative methods of contraception. Health professionals reported using a variety of methods to communicate about CHC and generally report giving advice based on national and local guidelines. In line with women\u2019s perspectives, they reported time constraints and lack of resources as barriers to communication about CHC. Health professionals in our sample believed there is a lack of standardisation in the information offered and guidelines used to prescribe CHC, with little contact with international regulators such as the European Medicines Agency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>It is necessary to improve the conditions under which contraceptive counselling is provided, as well as supporting health professionals in this task. Exploring the lived experiences of women and health professionals about how they discuss contraception choices can shed light on the best approaches to improve reproductive health consultations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2024-084735","type":"journal-article","created":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T16:55:14Z","timestamp":1741020914000},"page":"e084735","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Awareness of risk when prescribing and taking combined hormonal contraceptives (CHCs): a qualitative study with women and health professionals in three European countries"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1406-5724","authenticated-orcid":false,"given":"Paula Cristina Gomes","family":"Alves","sequence":"first","affiliation":[{"name":"Institute for Lifecourse Development, Centre for Mental Health, University of Greenwich, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irene","family":"Petersen","sequence":"additional","affiliation":[{"name":"Research Department of Primary Care and Population Health, University College London, London, UK"},{"name":"Department of Clinical Epidemiology, Aarhus University & Aarhus University Hospital, Aarhus, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iveta","family":"Nagyova","sequence":"additional","affiliation":[{"name":"Department of Social and Behavioural Medicine, Faculty of Medicine, Pavol Jozef Safarik University, Kosice, Slovakia"},{"name":"SAVEZ\u2014Slovak Public Health Association, Slovakia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zuzana","family":"Katreniakov\u00e1","sequence":"additional","affiliation":[{"name":"Department of Social and Behavioural Medicine, Faculty of Medicine, Pavol Jozef Safarik University, Kosice, Slovakia"},{"name":"SAVEZ\u2014Slovak Public Health Association, Slovakia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vera","family":"Ehrenstein","sequence":"additional","affiliation":[{"name":"Department of Clinical Epidemiology, Aarhus University & Aarhus University Hospital, Aarhus, Denmark"},{"name":"Center for Population Medicine, Aarhus Universitet, Aarhus, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2139-2309","authenticated-orcid":false,"given":"Fiona A","family":"Stevenson","sequence":"additional","affiliation":[{"name":"Research Department of Primary Care and Population Health, University College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,3,3]]},"reference":[{"key":"2025120617523167000_15.3.e084735.1","doi-asserted-by":"crossref","unstructured":"Lopez LM , Grey TW , Stuebe AM , et al . Combined hormonal versus nonhormonal versus progestin-only contraception in lactation. Cochrane Database Syst Rev 2015;2015. doi:10.1002\/14651858.CD003988.pub2","DOI":"10.1002\/14651858.CD003988.pub2"},{"key":"2025120617523167000_15.3.e084735.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2014.06.003"},{"key":"2025120617523167000_15.3.e084735.3","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.f5298","article-title":"Different combined oral contraceptives and the risk of venous thrombosis: systematic review and network meta-analysis","volume":"347","author":"Stegeman","year":"2013","journal-title":"BMJ"},{"key":"2025120617523167000_15.3.e084735.4","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.h2135","article-title":"Use of combined oral contraceptives and risk of venous thromboembolism: nested case-control studies using the QResearch and CPRD databases","volume":"350","author":"Vinogradova","year":"2015","journal-title":"BMJ"},{"key":"2025120617523167000_15.3.e084735.5","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12455"},{"key":"2025120617523167000_15.3.e084735.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2016.10.005"},{"key":"2025120617523167000_15.3.e084735.7","unstructured":"European medicines Agency . PRAC Confirms that benefits of all Combined Hormonal Contraceptives (CHCs) continue to outweigh risks. London: European Medicines Agency, 2013. 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