The Effect of Pack Supply on Oral Contraceptive Pill Continuation

White, Katharine O.; Westhoff, Carolyn

doi:10.1097/aog.0b013e3182289eab

Cited by 40 publications

(40 citation statements)

References 14 publications

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“…Unfortunately most warning notes on the pill packages do not address or acknowledge about mood changes adequately while this is an important issue for ensuring that women will continue to use pills in order to prevent at least unwanted pregnancies [16,17]. In fact, discontinuity of oral contraceptive pills might jeopardize women’s health in general and reproductive health in particular [18,19]. A study from the USA found that 33% of oral contraceptive pills users discontinued using pills 6 months after the start due its side effects and 33% of these side effects were emotional and behavioral [4].…”

Section: Discussionmentioning

confidence: 99%

Factors predicting mood changes in oral contraceptive pill users

et al. 2013

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BackgroundOver 100 million women worldwide are using oral contraceptives pills (OCP) and mood changes were being as the primary reason for OCP discontinuation. The purpose of this study was to determine the prevalence and predicting factors of mood changes in oral contraceptive pills users.MethodsThis was a cross-sectional study of 500 women aged 15–49 years old using low dose (LD) pills attending family planning centers in Ahwaz, Iran. Data were collected via face-to-face interviews using a structured questionnaire including items on demographic, self-efficacy and mood change. Both univarate and multiple logistic regression analyses were performed to assess the relationship between reported mood change and the independent variables.ResultsIn all 406 women reported that they did experience OCP side effects. Of these, 37.7% of women (n =153) reported mood changes due to OCP use. The results of multiple logistic regression revealed that place of living (OR =2.57, 95% CI = 1.06-6.20, p =0.03), not receiving information on OCP side effects (OR =1.80, 95% CI = 1.15-2.80, p =0.009), and lower self-efficacy (OR = 0.87, 95% CI = 0.80-0.94, p =0.001) were significant predictors of mood changes.ConclusionThe findings from this study indicated that the prevalence of reported mood changes due to OCP use among Iranian women appeared to be consistent with other studies. In addition the findings showed that receiving information on OCP side effects from health care workers and self-efficacy were important predicting factors for mood changes. Indeed implementing educational programs and improving self-efficacy among women are recommended.

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Section: Discussionmentioning

confidence: 99%

Factors predicting mood changes in oral contraceptive pill users

et al. 2013

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“…The methods and results of the larger study are reported elsewhere [41]. Columbia University Institutional Review Board approved this research.…”

Section: Methodsmentioning

confidence: 99%

Influence of depressed mood and psychological stress symptoms on perceived oral contraceptive side effects and discontinuation in young minority women

et al. 2012

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Background We examined the influence of depressed mood and psychological stress on oral contraceptive (OC) side effects and discontinuation. Study Design We administered standard psychological instruments to 354 young women (13–24 years) beginning a six-month OC continuation intervention trial and questions on OC side effects and use at six months. Logisitic regression determined the relationships between psychological conditions, perceived OC side effects and continuation rates. Results Baseline depressed mood (21%) and stress (19%) and six-month mood (25%) and weight changes (57%) were relatively common. Only 38% continued OCs at six months. Depressed mood (OR 2.27, CI 1.25–4.15, p=0.007) and stress (OR 2.07, CI 1.12–3.82, p=0.02) were associated with perceived OC-related moodiness; depressed mood was associated with perceived weight loss (OR 1.89, CI 1.01–3.55, p=0.05). Depressed mood (OR 0.54, CI 0.29–0.99, p=0.04), stress (OR 0.48, CI 0.25–0.91, p=0.03) and perceived weight change (OR 0.60, CI 0.38–0.94, p=0.03) all reduced the likelihood of OC continuation. Conclusion Young women with adverse psychological symptoms are at risk for perceived OC side effects and discontinuation.

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“…46 White and Westhoff conducted a randomized trial in which they compared supplying three versus seven packs. 47 They found that the odds of continuing OCPs at 6 months were 60% higher among young adult women who received the longer supply. The impact of the longer supply was more pronounced among women younger than 18 years, who were sevenfold more likely to continue at 6 months.…”

Section: Pack Supplymentioning

confidence: 99%

Strategies to improve compliance among oral contraceptive pill users: a review of the literature

Choi¹,

Dempsey

2014

OAJC

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Oral contraceptive pills (OCPs) remain the most commonly used reversible birth control method. Failure to adhere to daily pill taking and gaps in use are common and contribute to the risk of unintended pregnancy among OCP users. OCP compliance is influenced by a complex interplay of cognitive, behavioral, logistic, clinical, and social factors. This review outlines the evidence base for strategies that have been studied for their impact on OCP compliance.

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The Effect of Pack Supply on Oral Contraceptive Pill Continuation

Abstract: I.

Cited by 40 publications

References 14 publications

Factors predicting mood changes in oral contraceptive pill users

Factors predicting mood changes in oral contraceptive pill users

Influence of depressed mood and psychological stress symptoms on perceived oral contraceptive side effects and discontinuation in young minority women

Strategies to improve compliance among oral contraceptive pill users: a review of the literature

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