A qualitative analysis of women's explanations for changing contraception: the importance of non-contraceptive effects

Wigginton, Britta; Harris, Melissa L.; Lucke, Jayne

doi:10.1136/jfprhc-2015-101184

Cited by 28 publications

(18 citation statements)

References 22 publications

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“…Healthcare provider needs to discuss the issues related to the use of contraceptives, and allow women to choose any contraceptive method accordingly. 12 The use of contraceptives is acceptable in Islam only if the method does not cause any harm to the health of mother. Islam permits abortion only if the pregnancy may cause harm to the mother, otherwise abortion is not permitted.…”

Section: Introductionmentioning

confidence: 99%

Cultural, social and demographic determinants of seeking family planning knowledge, and practice among a Sudanese community

Abdulmageed

Elnimeri²

2018

Int J Community Med Public Health

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Background: About 214 million women in the reproductive age in the developing countries who need to prevent and plan for their pregnancy are not using methods of modern contraceptives. The aim of this study was to investigate the socio-demographic and cultural elements that inform the health-seeking behavior towards family planning among Sudanese women in Sharq-Alneel locality in the Sudan-Africa. Furthermore, the study aimed to identify individuals within Sudanese families, who predominantly interfered with the decision of the women in using of contraceptives for family planning.Methods: A cross-sectional community based study was conducted in September-2017 to February-2018 using structured questionnaire to 576 Sudanese women age of 15-49 years from 4 administrative units. A multistage cluster sampling technique was adopted. Binary and multinomial logistic regression models were used to analyze the results using SPSS version 22.Results: Women respondents were (57.1%), and (42.9%) from rural and urban areas respectively. Women (89.3%) of respondents were married for more than five years. A 381 (66%) women respondents were not using contraception at the time of the study. Women in rural areas were 0.9 less likely to obtain information from other sources than from PHC. There was significant association (p<0.001) between women’s educational level and awareness about contraception.Conclusions: Women use of contraception in Sharq-Alneel was low. Barrier to contraception use for majority of women was that they believe their healths are at risk for using modern contraceptives. There was also high prevalence of respondents’ husbands refused the use of contraceptives.

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Section: Introductionmentioning

confidence: 99%

Cultural, social and demographic determinants of seeking family planning knowledge, and practice among a Sudanese community

Abdulmageed

Elnimeri²

2018

Int J Community Med Public Health

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“…Concern about side effects is frequently reported by women as their primary reason for COC dissatisfaction and discontinuation, including concern about side effects related to EE and consideration of switching contraception to reduce exposure to hormones [11,12,[15][16][17]. In a realworld clinical practice study of women in Spain, 21.1% of women discontinued COC use for treatment-related reasons, including poor cycle control, side effects, method failure and 'other' [18].…”

Section: Differences and Similarities In Relation To Other Studiesmentioning

confidence: 99%

“…NOMAC/E2 may help address an ongoing need for COC formulations that support treatment continuation, given that concerns about the use of synthetic hormones and associated side effects are frequently reported by women as reasons for COC discontinuation [11,12]. Women have expressed a preference for COC based on natural estrogen, following contraceptive counselling, primarily because of fear of synthetic hormones or a desire for decreased bleeding associated with E2-based COC [13].…”

Section: Introductionmentioning

confidence: 99%

Treatment continuation and satisfaction in women using combined oral contraception with nomegestrol acetate and oestradiol: a multicentre, prospective cohort study (BOLERO)

Cagnacci

Bastianelli

Neri

et al. 2018

The European Journal of Contraception & Reproductive Health

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Objective: The aim of the study was to examine treatment continuation and satisfaction over 1 year among women receiving nomegestrol acetate (NOMAC)/oestradiol (E2) combined oral contraception (COC) in real-world clinical practice. Methods: The 17b-Estradiol and Nomegestrol Acetate (BOLERO) Study is an observational, noninterventional, prospective, multicentre cohort study of premenopausal women (aged 18-50 years) who received prescription NOMAC/E2 (2.5 mg/1.5 mg) for contraception during routine clinical practice. Assessments were carried out at enrolment and at 3, 6 and 12 months. Probability of treatment continuation through 12 months (primary outcome) was examined using Kaplan-Meier survival analysis. Secondary outcomes included treatment satisfaction, menstrual cycle-related symptoms, libido and adverse events (AEs). Results: Of 298 enrolled women, 292 were evaluable. The probability of NOMAC/E2 continuation through 12 months was 73.7% (95% confidence interval [CI] 68.0%, 78.5%). Satisfaction with NOMAC/E2 increased from 56.9% (37/65) of women at initial evaluation to 89.2% (58/65) of women at 12 months. Physician ratings at 12 months showed satisfactory to very satisfactory in 84.0% (168/200) of women. Libido was not affected. Menstrual cycle-related symptoms significantly declined from enrolment (6.04 ± 4.32) to 3 months (3.25 ± 3.05) and 12 months (2.62 ± 2.74; p < .0001). Treatment-related AEs were reported by 38.7% (113/292) of women. Conclusion: The real-world experience of women receiving NOMAC/E2 indicated very good treatment continuation, high satisfaction and significantly improved menstrual cycle-related symptoms.

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“…The study by Wigginton et al 5. in this journal issue focuses on the reasoning of women in contraceptive decision-making, and highlights several very interesting but perhaps overlooked points.…”

mentioning

confidence: 99%

Commentary on ‘A qualitative analysis of women's explanations for changing contraception: the importance of non-contraceptive effects’

Inoue

2016

J Fam Plann Reprod Health Care

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A qualitative analysis of women's explanations for changing contraception: the importance of non-contraceptive effects

Abstract: While cessation of various contraceptives due to unwanted side-effects is a well-known phenomenon, this analysis provides evidence of the changing of contraception for its non-contraceptive effects and reframes the notion of 'side-effects'.

Cited by 28 publications

References 22 publications

Cultural, social and demographic determinants of seeking family planning knowledge, and practice among a Sudanese community

Cultural, social and demographic determinants of seeking family planning knowledge, and practice among a Sudanese community

Treatment continuation and satisfaction in women using combined oral contraception with nomegestrol acetate and oestradiol: a multicentre, prospective cohort study (BOLERO)

Commentary on ‘A qualitative analysis of women's explanations for changing contraception: the importance of non-contraceptive effects’

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