BACKGROUND Today, there are various short- and long-acting contraceptive alternatives available for those who wish to prevent unintended pregnancy. Long-acting reversible contraception are considered effective methods with a high user satisfaction. High-quality information about contraception is essential in order to empower individuals to reach informed decisions based on sufficient knowledge. Use of the Web for information about contraception is widespread, and there is a risk that those who use it for this purpose could come in contact with sources of low quality. OBJECTIVE The overarching aim was to investigate the quality of websites about long-acting reversible contraception. METHODS Swedish client-oriented websites were identified through searches in Google (n = 46 included websites). Reliability and information about long-acting reversible contraceptive choices were assessed by two assessors with the DISCERN instrument, transparency was analyzed with the Journal of the American Medical Association benchmarks, completeness was assessed with inductive content analysis and readability was analyzed with Readability Index. RESULTS The mean DISCERN was 44.1/80 (SD 7.7) for total score, 19.7/40 (SD 3.7) for reliability, 22.1/35 (SD 4.1) for information about long-acting reversible contraceptive choices, and 2.3/5 (SD 1.1) for overall quality. A majority of the included websites had low quality with regard to what sources were used to compile the information (n = 41/46, 89%), when the information was produced (n = 40/46, 87%), and if it provided additional sources of support and information (n = 30/46, 65%). Less than half of the websites adhered to any of the JAMA benchmarks. We identified 23 categories of comprehensiveness. The most frequent was contraceptive mechanism (n = 39/46, 85%) and the least frequent was when contraception may be initiated following an abortion (n = 3/46, 7%). The mean Readability Index was 42.5 (SD 6.3, Range 29-55) indicating moderate to difficult readability levels, corresponding to a grade level of 9. CONCLUSIONS The quality of client-oriented websites about long-acting reversible contraception is poor. There is an undeniable need to support and guide laypersons that intend to use web-based sources about contraceptive alternatives, so that they may reach informed decisions based on sufficient knowledge.

中文翻译：

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有关长效可逆避孕的网站质量：描述性横断面研究。

背景技术现今，对于希望防止意外怀孕的人而言，存在各种短效和长效避孕方法。长效可逆避孕被认为是具有高用户满意度的有效方法。有关避孕的高质量信息对于使个人能够基于足够的知识做出明智的决定至关重要。使用网络获取有关避孕的信息非常普遍，为此目的使用网络的人们可能会接触到质量低下的资源。目的首要目的是调查有关长效可逆避孕的网站的质量。方法通过在Google中搜索确定了瑞典的面向客户的网站（n = 46个包含网站）。两名评估人员使用DISCERN仪器评估了长效可逆避孕选择的可靠性和信息，使用《美国医学会杂志》基准分析了透明度，使用了归纳性含量分析评估了完整性，并通过可读性指数分析了可读性。结果平均DISCERN总得分为44.1 / 80（SD 7.7），可靠性为19.7 / 40（SD 3.7），长效可逆避孕选择的信息为22.1 / 35（SD 4.1），而2.3 / 5（SD 1.1） ）的整体质量。所收录的大多数网站在使用哪些来源来汇编信息时（n = 41 / 46，89％），制作信息的时间（n = 40 / 46，87％）以及是否汇编信息的质量较低。提供了其他支持和信息来源（n = 30 / 46，65％）。不到一半的网站遵守任何JAMA基准。我们确定了23个全面性类别。最常见的是避孕机制（n = 39 / 46，85％），最不常见的是流产后可能开始避孕的情况（n = 3 / 46，7％）。平均可读性指数为42.5（标准差6.3，范围29-55），表明中等至困难的可读性水平，对应等级为9。结论结论面向客户的网站关于长效可逆避孕的质量很差。不可否认，需要支持和指导打算使用基于Web的避孕替代品来源的外行，以便他们可以基于足够的知识做出明智的决定。最常见的是避孕机制（n = 39 / 46，85％），最不常见的是流产后可能开始避孕的情况（n = 3 / 46，7％）。平均可读性指数为42.5（标准差6.3，范围29-55），表明中等至困难的可读性水平，对应等级为9。结论结论面向客户的网站关于长效可逆避孕的质量很差。不可否认，需要支持和指导打算使用基于Web的避孕替代品来源的外行，以便他们可以基于足够的知识做出明智的决定。最常见的是避孕机制（n = 39 / 46，85％），最不常见的是流产后可能开始避孕的情况（n = 3 / 46，7％）。平均可读性指数为42.5（标准差6.3，范围29-55），表明中等至困难的可读性水平，对应等级为9。结论结论面向客户的网站关于长效可逆避孕的质量很差。不可否认，需要支持和指导打算使用基于Web的避孕替代品来源的外行，以便他们可以基于足够的知识做出明智的决定。范围29-55）表示中等至困难的可读性级别，对应于9级级别。结论结论有关长效可逆避孕的面向客户的网站的质量很差。不可否认，需要支持和指导打算使用基于Web的避孕替代品来源的外行，以便他们可以基于足够的知识做出明智的决定。范围29-55）表示中等至困难的可读性级别，对应于9级级别。结论结论有关长效可逆避孕的面向客户的网站的质量很差。不可否认，需要支持和指导打算使用基于Web的避孕替代品来源的外行，以便他们可以基于足够的知识做出明智的决定。