Knowledge of and attitudes to the use of long acting reversible contraceptives among Malaysian women

Abstract

Background: Long acting reversible contraceptives (LARCs) are effective methods of contraception which are less likely affected by user adherence compared to other forms of contraception. However uptake remains low in many countries. This study explored knowledge, attitudes and beliefs regarding LARCs among Malaysian women aged 18-50. Methods: A questionnaire was administered to women aged 18-50 years old in Klang Valley, Kuala Lumpur. The questionnaire assessed use of contraception, knowledge of LARC and attitudes to LARC use. Results: The majority of respondents (61.2%) had heard of LARCs. Serious side effects were a concern for a quarter (25.5%) of women and included bleeding, weight gain and permanent infertility. One third believed that other forms of contraception are more reliable and 1 in 4 women were concerned about the involvement of needles and having foreign objects in their body. A quarter of women find it embarrassing to make an appointment for LARC insertion. Younger women were more like to experience this embarrassment. Differences were noted between married and unmarried women as well as between ethnic groups. Discussion: Strategies to increase knowledge of LARC should be investigated as many misconceptions exist. Concern about side effects is of particular concern e.g bleeding among Muslims as this may impact religious practices.