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.
contraceptive discontinuation method dissatisfaction United States, oral contraceptive discontinuation side effects reasons, Depo-Provera Norplant discontinuation rates dissatisfaction, contraceptive method satisfaction women NSFG survey, reversible contraceptive discontinuation risk by method type, hormonal contraception discontinuation counseling strategies, Moreau Trussell contraceptive discontinuation dissatisfaction, oral contraceptive versus condom discontinuation rates comparison, contraceptive side effects patient experience satisfaction, National Survey Family Growth contraceptive use patterns
PMID 17900435 17900435 DOI 10.1016/j.contraception.2007.06.008 10.1016/j.contraception.2007.06.008
Cite this article
Moreau, C., Cleland, K., & Trussell, J. (2007). Contraceptive discontinuation attributed to method dissatisfaction in the United States. Contraception, 76(4), 267-272. https://doi.org/10.1016/j.contraception.2007.06.008
Moreau C, Cleland K, Trussell J. Contraceptive discontinuation attributed to method dissatisfaction in the United States. Contraception. 2007;76(4):267-272. doi:10.1016/j.contraception.2007.06.008
Moreau, C., et al. "Contraceptive discontinuation attributed to method dissatisfaction in the United States." Contraception, vol. 76, no. 4, 2007, pp. 267-272.
Keywords
Contraceptive Agents
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