Research on informed choice in modern contraceptive method acceptance by young married women is pertinent in the broader context of individual freedom and reproductive rights, especially in countries where women continue to have limited control over their reproductive and contraceptive choices. This study in India asked: (1) is young married women’s acceptance of specific modern contraceptive methods an informed choice? and (2) what are the enablers and barriers to informed choice? The study used data for currently married women aged 15–24 (N = 20,752) from the fourth round of the National Family Health Survey (NFHS-4) conducted in 2015–16. A Method Information Index (MII) was calculated as a measure of informed choice from the percentage of users who responded ‘yes’ to all three questions on: whether they were informed about methods other than the one they received, told about the method-specific side-effects, and advised what to do if they experienced side-effects. Binary logistic regression analysis was carried out to examine the adjusted effect of factors associated with the MII separately for female sterilization, the intrauterine device and the oral contraceptive pill, and a combined MII including all three methods plus injectables. One-fifth of the study women used any modern contraceptive method at the time of survey, of which only 36% had fully informed choice. The likelihood of being informed about the methods was significantly higher among those using the oral contraceptive pill (OR: 1.75, CI 1.58–1.94), IUD (OR: 2.23, CI 1.97–2.52) and injectables (OR: 1.37, CI 0.97–1.94) compared with those who were sterilized. Informed choice varied by region and the socioeconomic profile of the users. Inadequately informed choice violates the reproductive rights of young women and might result in higher post-use health problems, discontinuation of and unmet need for contraceptives, unintended pregnancies, induced abortions and regret, adversely affecting women’s health. Training of health/family planning workers in India about the importance of reproductive rights is urgently required to enhance informed contraceptive choice and improve the health of young married women.

中文翻译：

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现代避孕方法使用的知情选择：印度年轻女性的模式和预测因素

对年轻已婚妇女接受现代避孕方法的知情选择的研究与个人自由和生殖权利的更广泛背景相关，特别是在女性对其生殖和避孕选择的控制仍然有限的国家。印度的这项研究问：（1）年轻已婚妇女接受特定的现代避孕方法是明智的选择吗？(2) 知情选择的促成因素和障碍是什么？该研究使用了 15-24 岁已婚女性的数据（ñ= 20,752) 来自 2015-16 年进行的第四轮全国家庭健康调查 (NFHS-4)。方法信息指数 (MII) 是根据对所有三个问题回答“是”的用户百分比计算的知情选择的衡量标准：他们是否被告知他们收到的方法以外的方法，被告知特定方法副作用，并建议如果他们遇到副作用该怎么办。进行二元逻辑回归分析，以检查与 MII 相关因素分别对女性绝育、宫内节育器和口服避孕药以及包括所有三种方法和注射剂的组合 MII 的调整效果。五分之一的研究女性在调查时使用了任何现代避孕方法，其中只有 36% 有充分知情的选择。使用口服避孕药 (OR: 1.75, CI 1.58–1.94)、宫内节育器 (OR: 2.23, CI 1.97–2.52) 和注射剂 (OR: 1.37, CI 0.97– 1.94) 与那些被绝育的人相比。知情选择因地区和用户的社会经济状况而异。不充分知情的选择侵犯了年轻女性的生殖权利，并可能导致更高的使用后健康问题、避孕药具的停药和未满足的需求、意外怀孕、人工流产和后悔，对女性健康产生不利影响。迫切需要对印度的卫生/计划生育工作者进行关于生殖权利重要性的培训，以加强知情的避孕选择并改善年轻已婚妇女的健康。