Sexual self-schema: a cognitive schema and its relationship to choice of contraceptive method among Polish women.
Eur J Contracept Reprod Health Care
; 24(4): 280-287, 2019 Aug.
Article
in En
| MEDLINE
| ID: mdl-31094585
ABSTRACT
Objectives:
The aim of the study was to examine sexual self-schema in women using different methods of contraception.Methods:
Women (N = 560) aged 18-55 years were divided into two groups those who used hormonal contraception (n = 285) and those who used non-hormonal contraception (n = 275). Participants were assessed using the Sexual Self-Schema Scale (SSSS), the Well-Matched Marriage Questionnaire and the Hospital Anxiety and Depression Scale and were also asked to fill in a structured questionnaire, giving information on their socioeconomic status, reproductive and medical history, sexual behaviours, psychosexual orientation, sexual experience and type of contraception used.Results:
Women in the hormonal group scored lower on romantic, passionate and direct subscales of the SSSS, compared with women in the non-hormonal group. Of the total sample, 35% were classified as positive schematic. Women in the hormonal group were found to be more negative schematic and aschematic as well as less co-schematic compared with women in the non-hormonal group. Furthermore, women in the hormonal group were significantly less religious and perceived their self-evaluated weight to be higher compared with women in the non-hormonal group. Logistic regression revealed that negative schematic (odds ratio [OR] 6.6) and aschematic women (OR 3.7), as well as women with more deliveries (OR 1.6), were more likely to choose hormonal contraception.Conclusion:
A sexual self-schema might be a relevant factor affecting the choice of contraceptive method. All women seeking hormonal contraception who are aschematic or negative schematic should consult with a sexual medicine specialist, because those individuals may have more profound reasons underlying their need for this type of contraception.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Self Concept
/
Sexual Behavior
/
Cognition
/
Contraception
Type of study:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limits:
Adolescent
/
Adult
/
Female
/
Humans
/
Middle aged
Country/Region as subject:
Europa
Language:
En
Journal:
Eur J Contracept Reprod Health Care
Journal subject:
MEDICINA REPRODUTIVA
/
SERVICOS DE PLANEJAMENTO FAMILIAR
Year:
2019
Type:
Article
Affiliation country:
Poland