Original research article Contraceptive discontinuation attributed to method dissatisfaction in the United States

Original research article Contraceptive discontinuation attributed to method dissatisfaction in the United States
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原创研究文章美国因方法不满而停止避孕

DOI:
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发表时间:
2007
期刊:
影响因子:
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通讯作者:
J. Trussell
J. Trussell
中科院分区:
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文献类型:
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作者:
C. Moreau;K. Cleland;J. Trussell

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背景:本研究调查了美国妇女因避孕方法不满意而中止避孕的情况。研究设计:研究人群来自2002年全国家庭增长调查,包括6724名曾经使用可逆避孕方法的妇女(15-44岁)。我们首先估计了因不满意而停止避孕的妇女的总体比例。然后,我们计算了因不满意而导致的方法特异性停药风险,并分析了曾经停止使用Norplant、Depo-Provera、口服避孕药或避孕套的妇女给出的不满意原因。结果:总体而言,46%的女性因为不满意而停止了至少一种方法。与不满意相关的停药风险因方法而异:隔膜和宫颈帽的停药比例最高(52%),其次是长效激素方法(42%)。口服避孕药与满意度相关的停药风险中等(29%),而避孕套的风险最低(12%)。结论:更广泛地了解妇女使用避孕的问题和经验,可以帮助卫生保健提供者重新设计咨询策略,以提高避孕的连续性。
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 dissatisfactionrelated 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.
1988-1995 年美国安全套使用趋势的决定因素。
DOI: --
发表时间: 1999
期刊: Family planning perspectives.
影响因子: --
作者:
Bankole,A;Darroch,JE;Singh,S
通讯作者: Singh,S
DOI: --
发表时间: 2002
期刊: Perspectives on sexual and reproductive health.
影响因子: --
作者:
Ramstrom,KarenC;Baron,AnnaE;Crane,LoriA;Shlay,JudithC
通讯作者: Shlay,JudithC
DOI: 10.2307/2991641
发表时间: 1999-03-01
期刊: FAMILY PLANNING PERSPECTIVES
影响因子: --
作者:
Trussell, J;Vaughan, B
通讯作者: Vaughan, B