Fertility – Contraception – Sexual dysfunction survey FRESH-PEF1202-en Nathalie BAJOS Fertility – Contraception – Sexual dysfunction survey Fécond FRESH-PEF1202-en 1202 FRESH-PEF1202 Nathalie BAJOS Caroline MOREAU INSTITUT NATIONAL DE LA SANTE ET DE LA RECHERCHE MEDICALE (INSERM) Epidemiology France Portal (PEF) INSTITUT NATIONAL DE LA SANTE ET DE LA RECHERCHE MEDICALE (INSERM) INSTITUT NATIONAL D'ETUDES DEMOGRAPHIQUES (INED) null Nathalie;BAJOS Caroline;MOREAU Chronic diseases Sexual and reproductive health Vaccinations elective abortion STIs sexuality Gynaecology and obstetrics Infectious disease medicine Socio-demographic and economic determinants Behavioral determinants The last few decades have been marked by a major paradigm shift in the realm of reproductive health. From an analysis focused on the health of women as mothers, there has been movement toward a perspective focused on the individuals involved in the reproductive process, then to a global approach to sexuality and the associated risks (Bonnet and Guillaume 2004). The concept of sexual and reproductive health as defined by WHO is not limited to the absence of dysfunctions, diseases or health problems (infertility, abortion, sexually transmitted infections (STI), etc.), but refers to a continuous process of physical, psychological and sociocultural well-being associated with sexuality (WHO 2004). Although their treatment is increasingly medical, sexual and reproductive health issues are today viewed within a global and multidisciplinary perspective (Hart and Wellings 2002). It is within this context of growing medicalisation (Conrad 1992, Giami 2002) that this project intends to shed light on current sexual and reproductive health issues in France. In line with the WHO perspective, we propose to study, for the first time in France, sexual and reproductive health as a process resulting from social and medical determinants that structure the representations and practices of women and men, as well as the social, medical and institutional factors that shape the practices of health care professionals. More specifically, the research is intended to analyse: - socialisation to contraception and the transition from the condom to another contraceptive method at the beginning of reproductive life; - the norms and representations related to motherhood/fatherhood and reproductive technologies regarding health practices in this area (medical aid to procreation, contraceptive sterilisation); - contraceptive practices and the conditions of choice of methods at different stages of the life cycle (in particular during the perimenopausal period); - contraceptive failures (and the degree of practical efficacy of the principal methods used) with regard to the side effects of the methods used and the context in which they occur (relationships, preventive and procreative) as well as recourse to emergency contraception in case of badly protected or unprotected sex; - difficulties in conceiving and their treatment: perception of fertility problems, time elapsed, course of treatment (medical and non-medical) and impact on health; - medical monitoring in the realm of sexual and reproductive health, studying the question of access to care, the nature and frequency of gynaecological monitoring for women and gynaecological cancer screening practices. Recourse to treatment for certain specific conditions such as perimenopausal symptoms, sexual dysfunctions and urinary disorders will also be studied null France Individuals General population Male Female Young Adult (19 to 24 years) Adult (25 to 44 years) Middle Aged (45 to 64 years) subjects from 15 to 49 years of age who speak French and live in Metropolitan France Participant-reported health data Health event/morbidity Quality of life/health perception One-time cross-sectional study Other Population database for statistical purposes [1000-10000[ individuals Converting or copying information into a structured record Interview with the participant (including clinical) Observational Study Observational Study 8645, 1000 (doctors) Completed study Embargoed access Include the FECOND group within the authors (with reference to the team members) in order to account for the work provided by the team in the preparation of the data. Send the team a final version of the article, for feedback, before it is submitted to a journal. to note the organisations that financed the survey in every paper submitted The members of the FECOND research project team will have access to the anonymised database (no mention of the place of residence of the individuals questioned, only indirect personal data) throughout the data handling period. The database will be made available to researchers upon request to the research team after a period of 2 years: researchers who wish to use the database should send a study protocol to the scientific supervisors of the FECOND survey. Once the protocol is validated, a member of the survey's scientific team will be designated as a point of contact. The researchers will then have to sign an agreement in which they agree: - not to provide the digital files to any other researcher or research team and not to use them to train students; - to only publish results corresponding to the project submitted to the FECOND team. Access on specific project only