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Contraceptive discontinuation attributed to method dissatisfaction in the United States.

Abstract : 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.
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Contributor : Caroline Moreau <>
Submitted on : Thursday, May 7, 2009 - 11:58:17 AM
Last modification on : Wednesday, October 14, 2020 - 4:09:14 AM




Caroline Moreau, Kelly Cleland, James Trussell. Contraceptive discontinuation attributed to method dissatisfaction in the United States.. Contraception, Elsevier, 2007, 76 (4), pp.267-72. ⟨10.1016/j.contraception.2007.06.008⟩. ⟨inserm-00382100⟩



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