{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T20:24:42Z","timestamp":1778099082514,"version":"3.51.4"},"reference-count":25,"publisher":"BMJ","issue":"2","funder":[{"DOI":"10.13039\/501100003921","name":"Department of Health, Australian Government","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100003921","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["GNT1121844"],"award-info":[{"award-number":["GNT1121844"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Sex Reprod Health"],"accepted":{"date-parts":[[2020,5,14]]},"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Women\u2019s physical and mental health are strongly inter-related and may influence patterns of contraceptive use. We examined the longitudinal associations between young women\u2019s physical and mental health and method of contraceptive use over a 5-year period.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Data from 4952 young women (\u226427 years) participating in the Australian Longitudinal Study on Women\u2019s Health who completed four self-reported surveys between 2013 and 2017 were analysed. Women\u2019s contraceptive use was categorised as: contraceptive pill\/oral contraceptives, long-acting reversible contraception (LARC), condom, other methods and none. Multinomial logistic regression was used to determine the longitudinal associations between women\u2019s physical and mental health and method of contraception.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Over the 5-year period the percentage of pill users decreased from 60% (95% CI 58% to 61%) to 41% (95% CI 39% to 42%) and LARC users increased from 13% (95% CI 12% to 14%) to 21% (95% CI 20% to 22%) as did non-users from 9% (95% CI 8% to 9%) to 17% (95% CI 16% to 18%). Compared with women using the pill, women who used LARCs were more likely to be overweight (OR 1.34; 95%\u2009CI 1.17 to 1.53) and obese (OR 1.84; 95%\u2009CI 1.55 to 2.19), current smokers (OR 1.45; 95%\u2009CI 1.23 to 1.71) and reported fair or poor general health (OR 1.50; 95%\u2009CI 1.28 to 1.76) and very high levels of psychological distress (OR 1.47; 95%\u2009CI 1.24 to 1.76). Similar results were also found among women who used condoms or no contraception.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Findings suggest that obesity, smoking and poor physical and mental health play an important role in young women\u2019s contraceptive use.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjsrh-2019-200479","type":"journal-article","created":{"date-parts":[[2020,6,10]],"date-time":"2020-06-10T17:20:05Z","timestamp":1591809605000},"page":"129-136","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Association between young women\u2019s physical and mental health and their method of contraception in a longitudinal, population-based study"],"prefix":"10.1136","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7889-891X","authenticated-orcid":false,"given":"Ingrid J","family":"Rowlands","sequence":"first","affiliation":[{"name":"School of Public Health, The University of Queensland, Brisbane, Queensland, Australia"},{"name":"School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gita D","family":"Mishra","sequence":"additional","affiliation":[{"name":"School of Public Health, The University of Queensland, Brisbane, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2885-5292","authenticated-orcid":false,"given":"Jayne C","family":"Lucke","sequence":"additional","affiliation":[{"name":"School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,6,10]]},"reference":[{"key":"2025090510325270000_47.2.129.1","doi-asserted-by":"crossref","first-page":"407","DOI":"10.5694\/mja17.01094","article-title":"Unintended and unwanted pregnancy in Australia: a cross-sectional, National random telephone survey of prevalence and outcomes","volume":"209","author":"Taft","year":"2018","journal-title":"Med J Aust"},{"key":"2025090510325270000_47.2.129.2","doi-asserted-by":"publisher","DOI":"10.3109\/13625187.2013.819077"},{"key":"2025090510325270000_47.2.129.3","doi-asserted-by":"crossref","first-page":"340","DOI":"10.3109\/13625187.2014.919380","article-title":"'As many options as there are, there are just not enough for me': contraceptive use and barriers to access among Australian women","volume":"19","author":"Dixon","year":"2014","journal-title":"Eur J Contracept Reprod Health Care"},{"key":"2025090510325270000_47.2.129.4","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1016\/j.contraception.2014.12.010","article-title":"An exploratory analysis of contraceptive method choice and symptoms of depression in adolescent females initiating prescription contraception","volume":"91","author":"Francis","year":"2015","journal-title":"Contraception"},{"key":"2025090510325270000_47.2.129.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2014.02.028"},{"key":"2025090510325270000_47.2.129.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2013.02.009"},{"key":"2025090510325270000_47.2.129.7","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/j.srhc.2017.01.004","article-title":"Examining the influence of mental health on dual contraceptive method use among College women in the United States","volume":"12","author":"Moore","year":"2017","journal-title":"Sex Reprod Healthc"},{"key":"2025090510325270000_47.2.129.8","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1016\/j.socscimed.2018.08.009","article-title":"Current and past depressive symptoms and contraceptive effectiveness level method selected among women seeking reproductive health services","volume":"214","author":"Steinberg","year":"2018","journal-title":"Soc Sci Med"},{"key":"2025090510325270000_47.2.129.9","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1016\/j.contraception.2017.12.013","article-title":"The effects of preabortion depressive symptoms on postabortion contraceptive effectiveness level chosen among women seeking abortions","volume":"97","author":"Vafai","year":"2018","journal-title":"Contraception"},{"key":"2025090510325270000_47.2.129.10","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/j.contraception.2016.09.003","article-title":"Does body mass index or weight perception affect contraceptive use?","volume":"95","author":"Bhuva","year":"2017","journal-title":"Contraception"},{"key":"2025090510325270000_47.2.129.11","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1016\/j.contraception.2017.11.007","article-title":"Obesity and contraceptive use among women 20-44years of age in the United States: results from the 2011-15 national survey of family growth (NSFG)","volume":"97","author":"Mosher","year":"2018","journal-title":"Contraception"},{"key":"2025090510325270000_47.2.129.12","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1016\/j.contraception.2015.02.006","article-title":"Weight and body mass index among female contraceptive clients","volume":"91","author":"Kohn","year":"2015","journal-title":"Contraception"},{"key":"2025090510325270000_47.2.129.13","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2009.05.122"},{"key":"2025090510325270000_47.2.129.14","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyv110"},{"key":"2025090510325270000_47.2.129.15","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1093\/ije\/dyx133","article-title":"Cohort profile: the Australian longitudinal study on women's health (ALSWH) 1989-95 cohort","volume":"47","author":"Loxton","year":"2018","journal-title":"Int J Epidemiol"},{"key":"2025090510325270000_47.2.129.16","doi-asserted-by":"crossref","DOI":"10.1071\/SH15189","article-title":"What qualities of long-acting reversible contraception do women perceive as desirable or undesirable? A systematic review","author":"Coombe","year":"2016","journal-title":"Sex Health"},{"key":"2025090510325270000_47.2.129.17","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/j.srhc.2016.09.003","article-title":"Who uses long-acting reversible contraception? profile of LARC users in the CUPID cohort","volume":"11","author":"Coombe","year":"2017","journal-title":"Sex Reprod Healthc"},{"key":"2025090510325270000_47.2.129.18","doi-asserted-by":"crossref","DOI":"10.1136\/jfprhc-2015-101184","article-title":"A qualitative analysis of women's explanations for changing contraception: the importance of non-contraceptive effects","volume":"42","author":"Wigginton","year":"2016","journal-title":"J Fam Plann Reprod Health Care"},{"key":"2025090510325270000_47.2.129.19","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2012.10.012"},{"key":"2025090510325270000_47.2.129.20","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2013.06.003"},{"key":"2025090510325270000_47.2.129.21","doi-asserted-by":"crossref","first-page":"1154","DOI":"10.1001\/jamapsychiatry.2016.2387","article-title":"Association of hormonal contraception with depression","volume":"73","author":"Skovlund","year":"2016","journal-title":"JAMA Psychiatry"},{"key":"2025090510325270000_47.2.129.22","unstructured":"Faculty of Sexual & Reproductive Healthcare (FRSH) . Overweight, obesity and contraception. England, UK: FRSH, 2019."},{"key":"2025090510325270000_47.2.129.23","unstructured":"Family Planning New South Wales Family Planning Victoria and True Relationships and Reproductive Health . Contraception: an Australian clinical practice Handbook. 4th edn. Family Planning New South Wales, Family Planning Victoria and True Relationships and Reproductive Health, 2016."},{"key":"2025090510325270000_47.2.129.24","doi-asserted-by":"crossref","first-page":"870","DOI":"10.1089\/jwh.2016.5930","article-title":"Healthcare provider attitudes regarding contraception for women with obesity","volume":"26","author":"Jatlaoui","year":"2017","journal-title":"J Womens Health"},{"key":"2025090510325270000_47.2.129.25","doi-asserted-by":"publisher","DOI":"10.1111\/j.1369-7625.2011.00699.x"}],"container-title":["BMJ Sexual &amp; Reproductive Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjsrh-2019-200479","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T17:53:30Z","timestamp":1757094810000},"score":1,"resource":{"primary":{"URL":"https:\/\/jfprhc.bmj.com\/lookup\/doi\/10.1136\/bmjsrh-2019-200479"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,10]]},"references-count":25,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2021,4,13]]},"published-print":{"date-parts":[[2021,4]]}},"alternative-id":["10.1136\/bmjsrh-2019-200479"],"URL":"https:\/\/doi.org\/10.1136\/bmjsrh-2019-200479","relation":{},"ISSN":["2515-1991","2515-2009"],"issn-type":[{"value":"2515-1991","type":"print"},{"value":"2515-2009","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6,10]]}}}