Results of the National Contraception Survey Conducted by Sociedad Espanola de Contracepcion (2020)

Background: The National Contraception Survey conducted by Sociedad Espanola de Contracepcion intends to know the sexual and contraceptive habits of Spanish women of reproductive age. Methods: A descriptive and cross-sectional study with random sample selection was conducted with women aged from 14 to 49 years old in July and August 2020. Results: A total of 1801 women participated in the study, of which 78.7% used some contraception method during their sexual relationships. The most frequently used methods were condoms (31.3%) and combined oral contraceptives (18.5%) at their last sexual encounter. A total of 25.7% used both condoms and pills, especially younger women and those who had no steady partners (p < 0.001). Use of Long-acting Reversible Contraceptives continues to be low, although a slight increase in their use is observed, and they are recommended for 50% of the users who need contraception. Counselling on contraception was provided to 64.3% of the women, mainly by their gynaecologists. Regarding the decision to use a contraceptive method, the one suggested by health professionals was more influential, although this was not the case for women aged less than 20 years old (p < 0.001). A total of 38.4% of the women have used emergency oral contraception at least once and 66.8% of those who do not make continuous use of contraception methods do so out of personal choice. Conclusions: It is necessary to deepen work on counselling and awareness among the population towards the use of efficient contraceptive methods that prevent unplanned pregnancies.

Automated summary

The National Contraception Survey conducted in Spain aimed to understand the sexual and contraceptive habits of Spanish women of reproductive age. The results indicate that condoms and oral contraceptives are the most frequently used methods, but the use of Long-acting Reversible Contraceptives is still low. Counselling on contraception is mainly provided by gynecologists, and the recommendations of health professionals have a strong influence on the choice of contraceptive methods.