World
How a study on hormonal contraception and breast cancer was distorted
As misinformation about women’s health spreads faster than ever, doctors say new research on the risks of hormonal birth control underscores the challenge of communicating nuance in the social media age.
The study, which was conducted in Sweden and tracked more than 2 million teenage girls and women less than age 50 for more than a decade, found that hormonal contraception remains safe overall, but also found small differences in breast cancer risk based on the hormones used in the formulation.
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In addition, the researchers observed a small, short-term rise in breast cancer diagnoses among current or recent users. Those findings are consistent with prior large studies, including a 2017 Danish registry analysis and a 2023 meta-analysis.
It was published online on October 30 in JAMA Oncology.
Doctors say these study results won’t change how they advise patients and that women should not stop using their birth control.
Still, TikTok is flooded with factually incomplete warnings that contraceptives cause cancer and are as dangerous as smoking. Reproductive health advocates warn that studies like this can easily be taken out of context online and be reduced to a single alarming number.
Case in point: The study reported that women who had used hormonal birth control had about a 24 percent higher rate of breast cancer than women who hadn’t. But because breast cancer is still uncommon in younger women, that works out to an increase from roughly 54 to 67 breast cancer cases per 100,000 women per year – about 13 extra cases per 100,000 women, or about one extra case per 7,800 users of hormonal contraceptives per year.
Co-authors Asa Johansson and Fatemeh Hadizadeh, epidemiologists at Uppsala University, said the rise is modest and short-term, with risk highest during current use and fading within five to 10 years after stopping.
Rachel Fey, interim co-CEO of Power to Decide – a group whose mission is to provide accurate information on sexual health and contraceptive methods – said that kind of nuance is exactly what tends to disappear on social media.
“I get really angry at this because it’s designed to scare people like me away from birth control, which has made my life so much better in so many ways,” she said. “It’s really frustrating … especially when it’s given without context. And then in this era of social media, it can just take off without anybody who knows what they’re talking about providing that context.”
The researchers also found the risk was slightly higher with certain progestins such as desogestrel – found in combined oral contraceptives like Cyred EQ, Reclipsen, Azurette, and Pimtrea – but did not increase with others, such as medroxyprogesterone acetate injections, sold under the brand name Depo‑Provera.
How to interpret the findings
Some experts say the results should be viewed with care because the study counted both invasive breast cancers and early, noninvasive lesions known as in situ tumours, growths that may never become life-threatening. Including these precancerous cases could make the overall risk of clinically significant disease appear higher than it is.
“A substantial proportion of the ‘cases’ would never have progressed to invasive breast cancer,” said Lina S Morch, a senior researcher and team leader at the Danish Cancer Institute. Morch was not associated with the Swedish study. She added that experts should wait for more data separating early-stage and advanced cancers before making new rules or warnings about specific hormones.
The doctor-patient conversation
Even as scientists debate how to interpret the finer points of the data, physicians emphasise that for most patients, the study reinforces what they already discuss in the exam room: That hormonal birth control is broadly safe, and decisions should be tailored to each woman’s needs and values.
Katharine White, chief of Obstetrics and Gynaecology at Boston Medical Center, said this study won’t change how she talks to her patients.
“When counselling patients about their contraceptive options, I focus on their past experiences with birth control, their medical history, and what’s important to them about their birth control method and pregnancy planning (if applicable),” White wrote in an email. “Side effects and risks of methods are already a key part of my counselling about both hormonal and non-hormonal methods.”
Other doctors noted there are other contraceptive options.
Eleanor Bimla Schwarz, chief of General Internal Medicine at Zuckerberg San Francisco General Hospital, said, “For those who prefer hormone-free contraception, the copper IUD offers safe, convenient, highly effective contraception for over a decade after placement, and is rapidly reversible when pregnancy is desired,” referring to a type of long-acting intrauterine device.
Mary Rosser, director of Integrated Women’s Health at Columbia University Irving Medical Center, said this was a large, high-quality study that looked at many types of hormones over many years. But she added that doctors shouldn’t change their advice yet.
Johansson and Hadizadeh stressed that the results should guide shared decision-making, not cause alarm. “It may be reasonable to consider formulations associated with lower observed risk in our data,” they said. They noted that products containing medroxyprogesterone acetate, drospirenone, or levonorgestrel were linked to lower risk, while long-term use of desogestrel-only contraceptives might be best avoided when other options fit.
Keeping the risk in perspective
Hormonal birth control provides many health benefits beyond pregnancy prevention. It can lighten heavy periods, ease pain from endometriosis, and lower the risk of ovarian and uterine cancers for years after stopping. Morch noted that even small risks are worth discussing, but said decisions should be guided by women’s “values and preferences”.
White said it’s important to see the big picture. “The risk of an unintended pregnancy is 85 percent for people who do not use contraception – so any risks of birth control need to be weighed against the risk of an unexpected pregnancy,” she wrote.
KFF Health News is a national newsroom that partners with PolitiFact and produces in-depth journalism about health issues.
World
Australia’s most decorated veteran walks free on bail on war crimes charges related to Afghan deaths
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MELBOURNE, Australia (AP) — Australia’s most decorated living veteran, Ben Roberts-Smith, walked free on bail from a Sydney prison on Friday, 10 days after he was charged with war crimes in the killings of five people while serving in Afghanistan.
Judge Greg Grogin granted Roberts-Smith bail in a Sydney court around five hours earlier, ruling the former Special Air Service Regiment corporal had established exceptional circumstances to justify his release from custody. Prosecutors had opposed bail and argued there was a risk that Roberts-Smith would flee Australia or interfere with witnesses and evidence.
Roberts-Smith, 47, was arrested on April 7 and charged with five counts of war crime murder involving the deaths of five Afghans in Uruzgan province in 2009 and 2012.
AUSTRALIA’S MOST DECORATED LIVING SOLDIER CHARGED AMID FIERCE DEBATE OVER WAR CRIMES ALLEGATIONS
SYDNEY, AUSTRALIA – JUNE 07: Ben Roberts-Smith departs the Federal Court of Australia in Sydney on June 07, 2021 in Sydney, Australia. Ben Roberts-Smith is suing three Fairfax newspapers for defamation over reports he committed war crimes while serving in the Australian Special Air Services in Afghanistan. Ben Roberts-Smith is Australia’s most decorated living soldier and a Victoria Cross recipient. (Sam Mooy / Getty Images)
Australian law defines war crime murder as the intentional killing in a context of armed conflict of a person who is not taking an active part in the hostilities, such as a civilian, prisoner of war or a wounded soldier.
Roberts-Smith was driven away from Sydney’s Silverwater Correctional Complex late Friday apparently wearing the same clothes he wore when police escorted him from a commercial airliner at Sydney Airport last week, news media images showed.
Roberts-Smith was awarded both the Victoria Cross and Medal of Gallantry for his service in Afghanistan and is only the second Australian veteran of the Afghanistan campaign to be charged with a war crime.
The charges follow a military report released in 2020 that found evidence elite SAS and commando regiment troops unlawfully killed 39 Afghan prisoners, farmers and other noncombatants. Around 40,000 Australian military personnel served in Afghanistan between 2001 and 2021, of whom 41 were killed.
Similar allegations against Roberts-Smith were found credible in a civil court case in 2023 when a judge rejected his claims that newspaper articles defamed him.
AUSTRALIA’S MOST DECORATED WAR VETERAN APPEALS COURT RULING THAT BLAMED HIM FOR UNLAWFUL KILLING OF AFGHANS
At that trial, Roberts-Smith testified he had never killed an unarmed Afghan and denied ever committing a war crime. He claimed he has the victim of spiteful fellow soldiers’ lies and of others’ envy of his medals.
Corporal Ben Roberts-Smith VC, MG attends a Victoria Cross and George Cross Association Reunion Service at St. Martin-in-the-Fields Church on May 30, 2012 in London, England. (Max Mumby / Indigo / Getty Images)
But while the civil court found the war crimes allegations were mostly proven on a balance of probabilities, the war crime murder charges would have to be proved in a criminal court to a higher standard of beyond reasonable doubt.
Roberts-Smith is accused of personally shooting dead two victims. He allegedly ordered subordinates to shoot the other three victims.
In opposing bail, prosecutor Simon Buchen described the charges against Roberts-Smith as “among the most serious known to the criminal law.”
Buchen said Roberts-Smith had been “on the cusp of relocating overseas” without telling authorities when he became aware that prosectors were considering charges.
Roberts-Smith had made “advanced plans to relocate overseas. Consideration was being given to moving to various destinations overseas,” Buchen told the court.
Roberts-Smith faces a potential maximum sentence of life in prison on each conviction. He has yet to enter pleas.
JUDGE RULES AUSTRALIA’S MOST DECORATED WAR VETERAN UNLAWFULLY KILLED POWS, COMMITTED WAR CRIMES IN AFGHANISTAN
Defense lawyer Slade Howell told the bail hearing Roberts-Smith’s case “may properly be described as exceptional in the sense that it is out of the ordinary.”
“The use of domestic courts to prosecute alleged war crimes committed by a highly decorated Australian soldier deployed overseas repeatedly by the Australian government to fight a war on its behalf is unprecedented and is uncharted legal territory of the common law of this country,” Howell said.
FILE – Ben Roberts-Smith arrives at the Federal Court in Sydney on June 9, 2021. Australia’s most decorated living war veteran lodged an appeal on Tuesday, July 11, 2023, against a civil court ruling that blamed him for the unlawful killings of four Afghans. (AP Photo/Rick Rycroft, File) (AP Photo/Rick Rycroft, File)
Howell also said Roberts-Smith’s “proceedings will be beset by a multitude of delays, many of which are peculiar to these proceeding.”
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Potential delays could arise if prosecutors decide to charge one or more of Roberts-Smith’s fellow veterans, some of whom now live overseas, Howell said.
Roberts-Smith took part in the bail hearing by video link from prison and spoke only when asked by the judge to confirm that he could see and hear proceedings.
World
Swedish rights groups slam ‘honest living’ criteria for migrants
Sweden’s government has faced growing criticism over its plans to require migrants to adhere to “honest living,” with rights groups and legal experts saying the proposed measure is discriminatory.
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Sweden’s government, which came to power in 2022 on pledges to get tough on immigration and crime, is trying to rapidly push through a slew of reforms ahead of legislative elections in September.
If approved by parliament, the “honest living” measure would come into force on 13 July.
Under the proposed change, the Migration Agency will consider, when granting or renewing non-EU citizens’ residence permits, whether applicants have at any time posed a threat to public order or security, had extremist sympathies or links to groups advocating violence, or committed minor offences punishable by fines.
Other factors may include going into debt “without any intention or effort to repay,” organised begging, committing welfare fraud or working off the books.
Those found not adhering to the “honest living” standard could face deportation.
“The consequences will be very serious” for migrants affected by the reform, John Stauffer, a legal adviser for the human rights organisation Civil Rights Defenders, told the AFP news agency.
Even a person’s statements, although they in themselves should not be considered as proof of a lack of “honest living,” may indicate links to “violent extremism,” Ludvig Aspling, a spokesman for the anti-immigration Sweden Democrats which props up the minority right-wing government, said when the plans were announced.
“This creates a system where people, depending on their legal status and whether they are citizens or have residence permits, have different rights in our society, especially when it comes to freedom of expression,” Stauffer said.
“If you are a citizen, you have broad and strongly-protected freedom of expression. If you are not a citizen, then you will have freedom of expression, but it will not be as strong,” he explained.
Unpredictable processing
The proposal would make it easier to revoke immigrants’ residence permits.
“It is not a human right to stay in Sweden. It is important to remember that,” Migration Minister Johan Forssell told AFP.
“If you come to Sweden and you’re not a citizen, it’s almost like being a guest in someone’s home. Then you should show that you want to become part of the country. That you make an effort, that you pull your weight, that you work,” Forssell said.
The government has not yet published a definitive list of actions or behaviours that would constitute a violation of the “honest living” requirement.
The Swedish Refugee Law Centre, an organisation that provides legal assistance to asylum seekers, says the new considerations will make the process for residence permits unpredictable.
“This can also create a sense of insecurity when you don’t really know how your actions in different situations might be assessed,” Elias Nygren, a lawyer working for the organisation, told AFP.
Some organisations worry that certain types of activism may also be considered a breach of “honest living.”
“We organise trainings in civil disobedience, that is, in non-violence and the principles that guide our actions. We are finding that this question comes up more and more often,” Frida Bengtsson, head of Greenpeace Sweden, told AFP.
“Many people are dropping out because they hesitate to take action due to the current uncertainty. They don’t really dare take that risk,” she added.
In a satirical op-ed published in newspaper Dagens Nyheter, Swedish writer Gellert Tamas suggested some members of government take a closer look at their own past.
Some of them, he argued, would be candidates for deportation, starting with the migration minister himself.
“Johan Forssell has ‘clear links to an organisation promoting violence’,” he wrote, citing the wording in the draft of the bill, “because of his son’s former membership in the openly Nazi group Aktivklubb Sverige.”
In July 2025, it emerged in the media that Forssell’s then 16-year-old son was a member of Aktivklubb Sverige, which the minister said he had not been aware of.
“Forssell’s defence, that ‘this was about a deeply remorseful 15-year-old, who just turned 16,’ would hardly have impressed in an assessment into honest living,” Tamas said.
Taking control of migration
Sweden’s Prime Minister told Euronews last year that there was an “absolute need to get control on migration.”
He reiterated his proposal to significantly increase the amount of money Sweden offers to migrants as a financial incentive to leave the country.
The current grant is €900 per adult. However, this initiative has had limited success so far. In 2023, only one out of 70 applications was approved, according to the Swedish Migration Agency.
To reverse this trend, a new government proposal would raise the amount to €32,000, an increase of 3,400%.
Sweden began revamping its asylum policy in 2015, moving to a much stricter stance on application processing after the country hosted record numbers of asylum seekers, more than 160,000 people, from Afghanistan, Iraq and Syria.
World
Video: Lebanon-Israel Cease-Fire Goes Into Effect
new video loaded: Lebanon-Israel Cease-Fire Goes Into Effect
transcript
transcript
Lebanon-Israel Cease-Fire Goes Into Effect
A 10-day cease-fire went into effect at midnight Thursday in Lebanon. The truce was brokered by the U.S. government and announced by President Trump.
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“It’s very exciting because it’s 48 years. We’re going to be meeting with Bibi Netanyahu, as you know, and the president of Lebanon. And I had a great talk with both of them today. They’re going to be having a cease-fire. And that will include Hezbollah.”
By Jackeline Luna
April 16, 2026
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