Contraceptive Discontinuation among Married Women in the United States

Abstract

Using data from the 1982 National Survey of Family Growth (NSFG), this analysis reports differentials in contraceptive discontinuation among married women aged 15-44 years in the United States. The total discontinuation rate is broken down into change to no method (termination) or to a different method (a method switch), and rates are obtained for specific methods. In addition, sociodemographic differences in risks associated with each type of discontinuation are shown. Discontinuation rates are compared to use-failure rates to provide a more comprehensive understanding of the implications of discontinuation for contraceptive efficacy.

Condom use among female commercial sex workers in Nevada's legal brothels.

“…49 To change attitudes about condoms, health care providers need to communicate to their clients that regular condom use may lead to condom mastery. It has been a common finding in medicine that experienced users are more likely to have healthier outcomes through more efficient use of the resource in question.50…”

Contraceptive switching among currently married women in the United States

“…It thus provides a partial analysis of the extended use-failure rate but does not show the effects of switching. A number of studies have therefore supplemented contraceptive usefailure rates with life table measures of contraceptive discontinuation (Grady et al, 1983;Grady et al, 1988;Hammerslough, 1984;Vaughan et al, 1980).…”

“…They usually include only the single event of switching to no method, while treating switching to another method as an unobserved competing risk (Hammerslough, 1984;Vaughan et al, 1980), or include all discontinuations together without distinguishing between the methods used next (Grady et al, 1983;Vaughan et al, 1980). Grady et al (1988) provide a partial analysis of method discontinuation rates, by separating 'no method' and 'another method' destinations, but the type of method adopted by those who change methods remains unobserved.…”

“…Intervals interrupted by a period of no intercourse are considered continuous, but these periods contribute no exposure to the interval during that time. More details about construction of the data are given by Grady et al (1988).…”

Concepts of compliance: Understandings and approaches

“…Other possible signs of poor compliance such as spotting and bleeding may not be recognised and cannot exclusively be linked to inconsistent pill taking, and method discontinuation often goes unreported. 23 Despite difficulties with accurate assessment, various estimates of the frequency of non-compliance have been made. These are complicated by problems of definition, variation in the groups studied, and differing treatments and methods of assessment.…”