Disparities in the prevalence of suicidal ideation according to oral contraceptive pill use among US women: A cross‐sectional study

Author:

Gawronska Julia1ORCID,Cao Chao2,Wang Ruixuan3,Keon Yon Dong45,Rahmati Masoud67,Jewiss Matthew8,Smith Lee1

Affiliation:

1. The Center for Health, Performance and Wellbeing Anglia Ruskin University Cambridge UK

2. Department of Medical Oncology Dana‐Farber Cancer Institute Boston Massachusetts USA

3. Department of Health Services Research, Management and Policy, College of Public Health and Health Professions University of Florida Gainesville Florida USA

4. Department of Pediatrics Kyung Hee University College of Medicine Seoul Republic of Korea

5. Center for Digital Health, Medical Science Research Institute, Kyung Hee University Medical Center Kyung Hee University College of Medicine Seoul Republic of Korea

6. Department of Physical Education and Sport Sciences, Faculty of Literature and Human Sciences Lorestan University Khoramabad Iran

7. Department of Physical Education and Sport Sciences, Faculty of Literature and Humanities Vali‐E‐Asr University of Rafsanjan Rafsanjan Iran

8. Cambridge Center for Sport and Exercise Sciences Anglia Ruskin University Cambridge UK

Abstract

AbstractBackground and AimsThe relationship between oral contraceptive pill (OCP) and suicidal ideation remains unclear. This study aims to estimate the prevalence of suicidal ideation among US women and evaluate their associates overall and according to OCP use status.MethodsData from the National Health and Nutrition Examination Survey (NHANES) 2005−2012 were used to calculate the prevalence and associates of suicidal ideation in women using OCP. Suicidal ideation was assessed using the Patient Health Questionnaire‐9. Overall and OCP‐specific weighted prevalence of suicidal ideation were estimated. Multivariable logistic regressions were used to investigate overall and OCP‐specific associates.ResultsThe prevalence of suicidal ideation was 3.6% with no evident disparity between OCP groups, suggesting that OCP use is not associated with increased prevalence of suicidal ideation. Smoking was inversely associated with suicidal ideation in the former users of OCP. In the overall population, the prevalence of suicidal ideation was greater in those who were: Black or Hispanic, smoking, taking antidepressants, those with lower educational attainment, and women with low and middle income.ConclusionOur findings suggest that OCP use was not associated with increased prevalence of suicidal ideation. Unique associates were identified among different OCP groups.

Publisher

Wiley

Reference50 articles.

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2. American Foundation for Suicide. Suicide statistics.2023. Accessed August 16 2023.https://afsp.org/suicide-statistics/

3. World Health Organization.Suicide. 2023. Accessed August 20 2023.https://www.who.int/news-room/fact-sheets/detail/suicide

4. Suicide, Suicide Attempts, and Suicidal Ideation

5. Centers for Disease Control and Prevention. Current contraceptive status among women aged 15–49: United States 2015–2017.2019. Accessed August 18 2023. https://www.cdc.gov/nchs/products/databriefs/db327.htm

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