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Volume 79, Issue 2, Pages 91-97 (February 2009)


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Can I get pregnant from oral sex? Sexual health misconceptions in e-mails to a reproductive health website

L.L. WynnaCorresponding Author Informationemail address, Angel M. Fosterb, James Trussellcd

Received 3 June 2008; received in revised form 29 August 2008; accepted 29 August 2008. published online 20 October 2008.

Abstract 

Background

This study identifies sexual and reproductive health misconceptions contained in e-mails sent to an emergency contraception website.

Study Design

From July 1, 2003, through June 30, 2004, 1134 English-language questions were e-mailed to http://ec.princeton.edu. We performed content analysis on these e-mails and grouped misconceptions into thematic categories.

Results

Of the questions sent during the study period, 27% (n=303, total N=1134) evinced underlying misconceptions about sexual and reproductive health issues. Content analysis revealed five major thematic categories of misconceptions: sexual acts that can lead to pregnancy; definitions of “protected” sex; timing of pregnancy and pregnancy testing; dangers that emergency contraceptives pose to women and fetuses; and confusion between emergency contraception and abortion.

Conclusions

These misconceptions have several possible sources: abstinence-only sexual education programs in the US, the proliferation of medically inaccurate websites, terminology used in public health campaigns, non–evidence-based medical protocols and confusion between emergency contraception and medication abortion in the media.

a Department of Anthropology, Macquarie University, Sydney, NSW 2109, Australia

b Ibis Reproductive Health, Cambridge, MA 02138, USA

c Office of Population Research, Princeton University, Princeton, NJ 08544, USA

d The Hull York Medical School, HU6 7RX Hull, UK

Corresponding Author InformationCorresponding author. Tel.: +61 2 9850 8095; fax: +61 2 9850 9391.

 Support for this research was provided in part by the Center for Health and Wellbeing at Princeton University and the William and Flora Hewlett Foundation at Ibis Reproductive Health.

PII: S0010-7824(08)00450-2

doi:10.1016/j.contraception.2008.08.009


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