TY - JOUR
T1 - Contraceptive discontinuation attributed to method dissatisfaction in the United States
AU - Moreau, Caroline
AU - Cleland, Kelly
AU - Trussell, James
N1 - Funding Information:
The authors would like to thank L.L. Wynn for her valuable comments. Caroline Moreau gratefully acknowledges the financial support of the Philippe Foundation and NICHD during the analysis and writing of this article.
PY - 2007/10
Y1 - 2007/10
N2 - Background: This study examines contraceptive discontinuation due to method dissatisfaction among women in the United States. Study Design: The study population, drawn from the 2002 National Survey of Family Growth, consisted of 6724 women (15-44 years of age) who had ever used a reversible contraceptive method. We first estimated the overall proportion of women who had ever discontinued their contraceptive due to dissatisfaction. We then calculated method-specific discontinuation risks due to dissatisfaction and analyzed the reasons for dissatisfaction given by women who had ever stopped using Norplant, Depo-Provera, oral contraceptives or condoms. Results: Overall, 46% of women had ever discontinued at least one method because they were unsatisfied with it. Dissatisfaction-related discontinuation risks varied widely by method: the diaphragm and cervical cap showed the highest proportions of such discontinuation (52%), followed by long-acting hormonal methods (42%). Oral contraceptives were associated with an intermediate risk of dissatisfaction-related discontinuation (29%), while condoms had the lowest risk (12%). Conclusion: A broader understanding of women's concerns and experiences using contraception could help health care providers redesign counseling strategies to improve contraceptive continuation.
AB - Background: This study examines contraceptive discontinuation due to method dissatisfaction among women in the United States. Study Design: The study population, drawn from the 2002 National Survey of Family Growth, consisted of 6724 women (15-44 years of age) who had ever used a reversible contraceptive method. We first estimated the overall proportion of women who had ever discontinued their contraceptive due to dissatisfaction. We then calculated method-specific discontinuation risks due to dissatisfaction and analyzed the reasons for dissatisfaction given by women who had ever stopped using Norplant, Depo-Provera, oral contraceptives or condoms. Results: Overall, 46% of women had ever discontinued at least one method because they were unsatisfied with it. Dissatisfaction-related discontinuation risks varied widely by method: the diaphragm and cervical cap showed the highest proportions of such discontinuation (52%), followed by long-acting hormonal methods (42%). Oral contraceptives were associated with an intermediate risk of dissatisfaction-related discontinuation (29%), while condoms had the lowest risk (12%). Conclusion: A broader understanding of women's concerns and experiences using contraception could help health care providers redesign counseling strategies to improve contraceptive continuation.
KW - Contraceptive discontinuation
KW - Contraceptive dissatisfaction
KW - Contraceptive failure
KW - Population based survey
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U2 - 10.1016/j.contraception.2007.06.008
DO - 10.1016/j.contraception.2007.06.008
M3 - Article
C2 - 17900435
AN - SCOPUS:34648843179
SN - 0010-7824
VL - 76
SP - 267
EP - 272
JO - Contraception
JF - Contraception
IS - 4
ER -