Association Between Patients’ Perceptions of the Sexual Acceptability of Contraceptive Methods and Continued Use Over Time

Higgins, Jenny A.; Kramer, Renee D.; Everett, Bethany G.; Wright, Kelsey; Turok, David K.; Sanders, Jessica N.

doi:10.1001/jamainternmed.2021.1439

Cited by 4 publications

(3 citation statements)

References 6 publications

(10 reference statements)

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“…However, we underscore the importance of attending to how early sexual-related experiences with these methods may be associated with clients’ satisfaction with their methods and longer-term contraceptive use. In related analyses of these same data ( Higgins et al, n.d. ), those reporting sexual detractions due to their methods were significantly more likely than others to have discontinued their method by six months. In fact, their perceived sexual impact at one month more strongly predicted discontinuation at six months than more commonly established factors such as physical side effects or bleeding changes.…”

Section: Discussionmentioning

confidence: 90%

Sexual Functioning, Satisfaction, and Well-Being Among Contraceptive Users: A Three-Month Assessment From the HER Salt Lake Contraceptive Initiative

Higgins¹,

Kramer

Wright

et al. 2021

The Journal of Sex Research

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Few large, longitudinal studies document multiple contraceptive methods' effects on sexual functioning, satisfaction, and well-being. We leveraged data from the HER Salt Lake Contraceptive Initiative, a prospective cohort study with patient surveys at baseline, one month, and three months. Surveys assessed bleeding changes, contraceptive-related side effects, sexual functioning and satisfaction, and perceptions of methods' impact on sexual well-being. Individuals in the final sample (N = 2,157) initiated either combined oral contraceptives, levonorgestrel intrauterine devices (IUDs), copper IUDs, implants, injectables, or vaginal rings. Across methods, participants exhibited minimal changes in sexual function (Female Sexual Function Index-6 scores) or satisfaction (New Scale of Sexual Satisfaction scores) over three months. However, many perceived contraception-related changes to sexual well-being. Half (51%) reported their new method had made their sex life better; 15% reported it had made their sex life worse. Sexual improvements were associated with decreased vaginal bleeding, fewer side effects, and IUD use. Negative sexual impacts were associated with physical side effects (e.g., bloating and breast tenderness), increased bleeding, and vaginal ring use. In conclusion, contraceptive users did not experience major changes in sexual functioning or satisfaction over three months, but they did report subjective sexual changes, mostly positive, due to their method.

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Section: Discussionmentioning

confidence: 90%

Sexual Functioning, Satisfaction, and Well-Being Among Contraceptive Users: A Three-Month Assessment From the HER Salt Lake Contraceptive Initiative

Higgins¹,

Kramer

Wright

et al. 2021

The Journal of Sex Research

Self Cite

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“…30,31,39 Previous analyses of these data showed that patients value sexualrelated preferences as strongly as safety and side effects 22 and that perceived sexual acceptability of contraception is a strong predictor of continuation. 24,25 Results from this study underscore the importance of patients' sexual experiences of birth control in shaping their likelihood of continuation and their satisfaction with their method over time.…”

Section: Results In the Context Of What Is Knownmentioning

confidence: 75%

A prospective analysis of the relationship between sexual acceptability and contraceptive satisfaction over time

Kramer

Higgins

Everett

et al. 2022

American Journal of Obstetrics and Gynecology

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“…The literature includes studies that analyze the factors associated with the choice of contraceptive in relation to the sexual life of women. These studies highlight variables such as the subjective characteristics of the woman, and the availability and ease of use of the method (3)(4)(5).…”

Section: Introductionmentioning

confidence: 99%

A reliable and valid tool to assess the sexual acceptability of contraceptive methods

Lahoz-Pascual,

Jurado-Lopez,

Juárez-Vela

et al. 2024

Front. Public Health

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IntroductionAdequate identification of the sexual acceptability of contraceptive methods is key for designing health promotion interventions, assessing their impacts, and increasing their effectiveness. This study aimed to develop and validate a questionnaire to explore the preferences of women depending on their epidemiological characteristics and their partner relationships—the Sexual Acceptability of Contraceptive Methods Questionnaire [in Spanish, Aceptabilidad Sexual de los Métodos Anticonceptivos (ASMA)].MethodsPsychometric validation was conducted using Exploratory Factorial Analysis (EFA) and confirmatory factor analysis (CFA). The reliability of the final version of the questionnaire was explored using Cronbach’s alpha and McDonald omega to estimate internal consistency.ResultsA three-factor model was identified. Factor 1 (explaining 28.32% of the model) corresponds to questions concerning the use and placement of the contraceptive and includes 6 items; Factor 2 (explaining 24.23%) corresponds to other factors that affect the relationship such as bleeding and side effects of the contraceptive method and includes 10 items; and Factor 3 (explaining 18.94%) corresponds to the couple relationship and includes 8 items.Conclusion and implicationsThe ASMA questionnaire provides a valid and reliable tool for assessing the sexual acceptability of various contraceptive methods. This instrument gathers data that provide information on various aspects of women’s sexuality, health, education, and beliefs, all of which can determine the preference for one contraceptive method over another. Moreover, the tool can help to identify profiles of women who have different preferences when selecting a particular method.

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Association Between Patients’ Perceptions of the Sexual Acceptability of Contraceptive Methods and Continued Use Over Time

Cited by 4 publications

References 6 publications

Sexual Functioning, Satisfaction, and Well-Being Among Contraceptive Users: A Three-Month Assessment From the HER Salt Lake Contraceptive Initiative

Sexual Functioning, Satisfaction, and Well-Being Among Contraceptive Users: A Three-Month Assessment From the HER Salt Lake Contraceptive Initiative

A prospective analysis of the relationship between sexual acceptability and contraceptive satisfaction over time

A reliable and valid tool to assess the sexual acceptability of contraceptive methods

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