Adherence to dual-method contraceptive use

Peipert, Jeffrey F.; Zhao, Qiuhong; Meints, Laura; Peipert, Benjamin J.; Redding, Colleen A.; Allsworth, Jenifer E.

doi:10.1016/j.contraception.2011.01.023

Cited by 31 publications

(60 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While our findings are consistent with a growing body of literature in the general population linking mental illness to inconsistent contraceptive use [24,25,[31][32][33][34], prior studies among Veterans report conflicting findings [21,22]. One study examining predictors of poor adherence using national N= 9780 women, except as noted above.…”

Section: Discussionsupporting

confidence: 65%

Contraceptive adherence among women Veterans with mental illness and substance use disorder

et al. 2015

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 65%

Contraceptive adherence among women Veterans with mental illness and substance use disorder

et al. 2015

View full text Add to dashboard Cite

“…The purpose of this analysis was to evaluate the impact LARC initiation had on condom use as well as rates of incident STIs. Our data, consistent with previously published studies, reaffirms that consistent condom use and dual contraceptive method use are low (5, 10, 11, 21) regardless of which additional contraceptive method is being used. Data from the 2006–2008 NSFG survey found 7.3% of women using any contraceptive method reported dual-method use at their most recent intercourse in the previous 12 months (10).…”

Section: Commentssupporting

confidence: 92%

“…Clinicians have long recommended dual protection with an effective contraceptive method along with condom use. Poor adherence to these recommendations poses a challenge to reliable prevention of both STIs and pregnancy (5–7, 10, 11). Several studies have suggested that rates of dualmethod use among LARC users is lower than among users of other short acting reversible methods (10, 12–15).…”

Section: Introductionmentioning

confidence: 99%

Condom use and incident sexually transmitted infection after initiation of long-acting reversible contraception

McNicholas

Klugman

Zhao

et al. 2017

American Journal of Obstetrics and Gynecology

Self Cite

View full text Add to dashboard Cite

Background: Use of more effective contraception may lead to less condom use and increased incidence of sexually transmitted infection. Objective: The objective of this study was to compare changes in condom use and incidence of sexually transmitted infection acquisition among new initiators of long-acting reversible contraceptives to those initiating non-long acting reversible contraceptive methods. Study Design: This is a secondary analysis of the Contraceptive CHOICE Project. We included two sample populations of 12-month continuous contraceptive users. The first included users with complete condom data (baseline, 3, 6, and 12 months) (long-acting reversible contraceptive users: n=2371; other methods: n=575). The second included users with 12-month sexually transmitted infection data (long-acting reversible contraceptive users: n=2102; other methods: n=592). Self-reported condom use was assessed at baseline and at 3, 6, and 12 months following enrollment. Changes in condom use and incident sexually transmitted infection rates were compared using chi-square tests. Risk factors for sexually transmitted infection acquisition were identified using multivariable logistic regression. Results: Few participants in either group reported consistent condom use across all survey time points and with all partners (long-acting reversible contraceptive users: 5.2%; other methods: 11.3%, P<0.001). There was no difference in change of condom use at 3, 6 and 12 months compared to baseline condom use regardless of method type (p=0.65). A total of 94 incident sexually transmitted infections were documented, with long-acting reversible contraceptive users accounting for a higher proportion (3.9% vs. 2.0%; P=0.03). Initiation of a long-acting reversible contraceptive method was associated with increased sexually transmitted infection incidence (OR 2.0, 95% CI: 1.07, 3.72). Conclusions: Long-acting reversible contraceptive initiators reported lower rates of consistent condom use, but did not demonstrate a change in condom use when compared to pre-initiation behaviors. Long-acting reversible contraceptive users were more likely to acquire a sexually transmitted infection in the 12 months following initiation.

show abstract

“…The reported prevalence of dual method use among American women ranges from 7% to 38%. [2][3][4][5][6][7] A handful of studies on dual protection have been conducted in Sub-Saharan Africa, where both HIV and unwanted pregnancy are critical public health challenges. In South Africa and Botswana studies, dual method use at last sex ranged from 4% to 28%.…”

mentioning

confidence: 99%

Use of Dual Protection Among Female Sex Workers in Swaziland [

Yam

Mnisi²,

Mabuza³

et al. 2013

IPSRH

View full text Add to dashboard Cite

Female sex workers are at high risk of both HIV infection and unintended pregnancy. Although programs and policies targeting female sex workers emphasize HIV prevention and condom promotion, they typically pay limited attention to the family planning needs of these women.Correct and consistent condom use is highly effective at preventing HIV and other STIs, but condoms are not the most effective contraceptive method.1 In contrast, nonbarrier modern contraceptive methods (such as oral contraceptives, injectables and sterilization) are highly effective at preventing pregnancy, but confer no protection against STIs. For protection against both unwanted pregnancy and STIs, one option is a dual method approach: consistent use of condoms in conjunction with a more effective nonbarrier method. However, for many women-particularly female sex workers, who have frequent sex with multiple partners-the use of two methods for every sex act may be burdensome and unrealistic. For these women, a more feasible dual protection strategy might be a singlemethod approach: consistent condom use alone. Most dual protection research has taken place in developed countries, where contraceptive prevalence is relatively high. The reported prevalence of dual method use among American women ranges from 7% to 38%. 2-7 A handful of studies on dual protection have been conducted in Sub-Saharan Africa, where both HIV and unwanted pregnancy are critical public health challenges. In South Africa and Botswana studies, dual method use at last sex ranged from 4% to 28%. [8][9][10][11] However, a limitation of most research on dual protection is the focus on method use at last sex, rather than consistency of simultaneous condom and other contraceptive use at each coital act. These "last sex" measures of dual method use may not reflect optimal dual protection against both pregnancy and disease.Little is known about the dual protection strategies employed by female sex workers, and measurement of their contraceptive behaviors is complicated by the fact that their condom use varies across partners. Specifically, female sex workers use condoms less consistently with more intimate, noncommercial partners than with paying clients. [12][13][14] In addition, their reported condom use at last sex or with their most recent partner likely will not accu-

show abstract

Adherence to dual-method contraceptive use

Cited by 31 publications

References 24 publications

Contraceptive adherence among women Veterans with mental illness and substance use disorder

Contraceptive adherence among women Veterans with mental illness and substance use disorder

Condom use and incident sexually transmitted infection after initiation of long-acting reversible contraception

Use of Dual Protection Among Female Sex Workers in Swaziland [

Contact Info

Product

Resources

About