Background: Oral contraceptives (OCs) are a unique chronic medication with which a memory slip may result in a threat that could change a person’s life course. Subjective concerns of missed OC doses among women have been addressed infrequently. Anonymized queries to internet search engines provide unique access to concerns and information gaps faced by a large number of internet users. Objective: We aimed to quantitate the frequency of queries by women seeking information in an internet search engine, after missing one or more doses of an OC; their further queries on emergency contraception, abortion, and miscarriage; and their rate of reporting a pregnancy timed to the cycle of missing an OC. Methods: We extracted all English-language queries submitted to Bing in the United States during 2018, which mentioned a missed OC and subsequent queries of the same users on miscarriage, abortion, emergency contraceptives, and week of pregnancy. Results: We identified 26,395 Bing users in the United States who queried about missing OC pills and the fraction that further queried about miscarriage, abortion, emergency contraceptive, and week of pregnancy. Users under the age of 30 years who asked about forgetting an OC dose were more likely to ask about abortion (1.5 times) and emergency contraception (1.7 times) (P<.001 for both), while users at ages of 30-34 years were more likely to query about pregnancy (2.1 times) and miscarriage (5.4 times) (P<.001 for both). Conclusions: Our data indicate that many women missing a dose of OC might not have received sufficient information from their health care providers or chose to obtain it online. Queries about abortion and miscarriage peaking in the subsequent days indicate a common worry of possible pregnancy. These results reinforce the importance of providing comprehensive written information on missed pills when prescribing an OC.

This is the abstract only. Read the full article on the JMIR site. JMIR is the leading open access journal for eHealth and healthcare in the Internet age.

中文翻译：

---

错过口服避孕药的影响的真实证据：互联网搜索引擎查询的分析。

背景：口服避孕药（OCs）是一种独特的慢性药物，记忆力减退可能会导致威胁，从而改变人的一生。很少有人对妇女错过OC剂量的主观关注。对Internet搜索引擎的匿名查询提供了对大量Internet用户所面临的关注和信息空白的独特访问。目的：我们的目标是量化在错过一剂或多剂OC之后女性在互联网搜索引擎中寻求信息的查询频率；他们对紧急避孕，流产和流产的进一步询问；并且他们的怀孕报告率与丢失OC的周期有关。方法：我们提取了2018年在美国提交给Bing的所有英语查询，其中提到了错过的OC，以及随后的同一用户关于流产，流产，紧急避孕药和怀孕一周的询问。结果：我们在美国发现了26395名Bing用户，他们对丢失的OC丸进行了查询，还有一部分人对流产，流产，紧急避孕药和怀孕一周进行了进一步查询。询问忘记服用OC剂量的30岁以下使用者更有可能询问流产（1.5倍）和紧急避孕（1.7倍）（两者均P <.001），而30-34岁的使用者更有可能询问怀孕（2.1倍）和流产（5.4倍）（两者均P <.001）。结论：我们的数据表明，许多错过一剂OC的女性可能没有从其医疗保健提供者那里获得足够的信息，或者选择在线获取该信息。有关随后几天流产和流产高峰的查询表明人们普遍担心可能怀孕。这些结果加强了在处方OC时提供有关漏服药的全面书面信息的重要性。

这仅仅是抽象的。阅读JMIR网站上的全文。JMIR是互联网时代电子健康和医疗保健领域领先的开放获取期刊。