“Every Medicine Is Somewhat Poisonous”: Understanding the Reluctance to Use Oral Contraceptives Among Unmarried Women Seeking Abortion in China

Ruby LAI*

*Corresponding author for this work

Research output: Journal PublicationsJournal Article (refereed)peer-review

Abstract

Objective
In this study, I examined the low uptake of oral contraceptives (OCs) in China and the factors affecting the reluctance among unmarried Chinese women seeking abortion to use OCs to prevent unintended pregnancies.

Study Design
I conducted ethnographic and participant observation in multiple medical facilities and interviewed 62 women who were seeking or had had an abortion between 2013 and 2017 in a coastal city in east China. I analyzed data regarding the women's perceptions and experiences of using OCs through a thematic analysis approach.

Results
The women reported fear of side effects, including infertility, weight gain, and mental health issues and their view on traditional Chinese medicine further validated their skepticism toward Western medicine. Discouragement from male partners and a lack of sexual and reproductive education also caused their hesitancy and misunderstandings of OCs.

Conclusion
This study contributes to a more nuanced understanding of the barriers to OC use in China. It resonates with existing studies that associate the reluctance to use OCs with the fear of side effects and highlights the influence of sociocultural specificities and couple interactions in shaping contraceptive use.

Implications
Tackling premarital abortions is one of the priorities of the Chinese government in the face of the population crisis. Service providers and educators should understand unmarried women's reluctance to use OCs and provide comprehensive sexuality education and post-abortion counseling services to women and men to dispel culturally specific misconceptions.
Original languageEnglish
Article number109917
JournalContraception
DOIs
Publication statusE-pub ahead of print - 5 Dec 2022

Bibliographical note

Funding Information:
The project was supported by the Hong Kong PhD Fellowship Scheme and the RGC Postdoctoral fellowship award from the Research Grants Council of the Hong Kong Special Administrative Region, China (LU PDFS2021-3H01).

Publisher Copyright:
© 2022 Elsevier Inc.

Keywords

  • Oral Contraceptives
  • Contraceptive Methods
  • Reproductive Health
  • Abortion
  • China
  • Reproductive health
  • Oral contraceptives
  • Contraceptive methods

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