Abstract：
BACKGROUND: Young Australian women from culturally and linguistically diverse (CALD) backgrounds are vulnerable to unwanted pregnancy. We aimed to assess whether an online educational video, co-designed with young CALD women, can increase their contraceptive knowledge, preference for and uptake of long-acting reversible contraception (LARC).
METHODS: Online advertising was used to recruit young CALD women aged 16-25 years. Participants completed the pre-video survey (S1), watched the 13-min co-designed video, then completed a survey immediately afterwards (S2) and 6 months later (S3). Outcomes were analysed using McNemar tests and multivariate logistic regression.
RESULTS: A total of 160 participants watched the video, completed S1 and S2, and 57% of those completed S3. At S1 only 14% rated their knowledge about every contraceptive method as high. Knowledge improved at S2 for all methods (aOR 3.2, 95% CI 2.0 to 5.0) and LARC (aOR 4.7, 95% CI 2.9 to 7.5). Overall method preference for LARC increased from 2.5% (n=4) at S1 to 51% (n=82) at S2. Likelihood of using a LARC increased at S2 (aOR 3.8, 95% CI 2.6 to 5.6). The overall proportion of participants using a LARC increased from 8% at S1 to 11% at S3; however, this increase was not significant (p=0.7).
CONCLUSIONS: The significant increase in knowledge, likelihood of use, and preference for LARC underscores the potential of online video-based contraceptive education to address contraceptive knowledge gaps and challenge misconceptions about LARC held by young women. Combining contraceptive education with supports to LARC access is crucial for empowering young CALD women to make informed contraceptive decisions.
METHODS: Online advertising was used to recruit young CALD women aged 16-25 years. Participants completed the pre-video survey (S1), watched the 13-min co-designed video, then completed a survey immediately afterwards (S2) and 6 months later (S3). Outcomes were analysed using McNemar tests and multivariate logistic regression.
RESULTS: A total of 160 participants watched the video, completed S1 and S2, and 57% of those completed S3. At S1 only 14% rated their knowledge about every contraceptive method as high. Knowledge improved at S2 for all methods (aOR 3.2, 95% CI 2.0 to 5.0) and LARC (aOR 4.7, 95% CI 2.9 to 7.5). Overall method preference for LARC increased from 2.5% (n=4) at S1 to 51% (n=82) at S2. Likelihood of using a LARC increased at S2 (aOR 3.8, 95% CI 2.6 to 5.6). The overall proportion of participants using a LARC increased from 8% at S1 to 11% at S3; however, this increase was not significant (p=0.7).
CONCLUSIONS: The significant increase in knowledge, likelihood of use, and preference for LARC underscores the potential of online video-based contraceptive education to address contraceptive knowledge gaps and challenge misconceptions about LARC held by young women. Combining contraceptive education with supports to LARC access is crucial for empowering young CALD women to make informed contraceptive decisions.
摘要：
背景：来自文化和语言多样性（CALD）背景的年轻澳大利亚妇女容易遭受意外怀孕。我们的目的是评估在线教育视频，与CALD的年轻女性共同设计，可以增加他们的避孕知识，对长效可逆避孕（LARC）的偏好和摄取。
方法：使用网络广告招募16-25岁的CALD年轻女性。参与者完成了视频前调查（S1），观看了13分钟共同设计的视频，然后立即完成调查（S2）和6个月后（S3）。使用McNemar检验和多变量逻辑回归分析结果。
结果：共有160名参与者观看了视频，完成S1和S2，以及完成S3的57%。在S1，只有14％的人认为他们对每种避孕方法的了解程度很高。所有方法（aOR3.2，95%CI2.0至5.0）和LARC（aOR4.7，95%CI2.9至7.5）的知识在S2时提高。LARC的总体方法偏好从S1的2.5%(n=4)增加到S2的51%(n=82)。使用LARC的可能性在S2时增加（aOR3.8，95%CI2.6至5.6）。使用LARC的参与者的总体比例从S1的8%增加到S3的11%；然而，这一增加并不显著(p=0.7).
结论：知识的显着增加，使用的可能性，和对LARC的偏好强调了基于在线视频的避孕教育在解决避孕知识差距和挑战年轻女性对LARC的误解方面的潜力。将避孕教育与支持LARC的使用相结合，对于增强年轻的CALD妇女做出知情的避孕决定至关重要。
方法：使用网络广告招募16-25岁的CALD年轻女性。参与者完成了视频前调查（S1），观看了13分钟共同设计的视频，然后立即完成调查（S2）和6个月后（S3）。使用McNemar检验和多变量逻辑回归分析结果。
结果：共有160名参与者观看了视频，完成S1和S2，以及完成S3的57%。在S1，只有14％的人认为他们对每种避孕方法的了解程度很高。所有方法（aOR3.2，95%CI2.0至5.0）和LARC（aOR4.7，95%CI2.9至7.5）的知识在S2时提高。LARC的总体方法偏好从S1的2.5%(n=4)增加到S2的51%(n=82)。使用LARC的可能性在S2时增加（aOR3.8，95%CI2.6至5.6）。使用LARC的参与者的总体比例从S1的8%增加到S3的11%；然而，这一增加并不显著(p=0.7).
结论：知识的显着增加，使用的可能性，和对LARC的偏好强调了基于在线视频的避孕教育在解决避孕知识差距和挑战年轻女性对LARC的误解方面的潜力。将避孕教育与支持LARC的使用相结合，对于增强年轻的CALD妇女做出知情的避孕决定至关重要。
