Young Women's Contraceptive Decision Making: Do Preferences for Contraceptive Attributes Align with Method Choice?

Marshall, Cassondra; Guendelman, Sylvia; Mauldon, Jane; Nuru-Jeter, Amani

doi:10.1363/48e10116

Cited by 30 publications

(27 citation statements)

References 32 publications

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“…Health care providers have a key role to play in helping their patients make fully informed choices about contraceptive methods, as patients themselves indicate that they put a lot of stock in the opinions of their doctors (38). Accordingly, surveillance activities should move toward documenting both actual and preferred method use to reveal the extent to which a gap exists between these two metrics (39).…”

Section: Discussionmentioning

confidence: 99%

Use of contraception among reproductive-aged women in the United States, 2014 and 2016

Kavanaugh

Pliskin

2020

F&S Reports

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To examine current levels, correlates of, and changes in contraceptive use among reproductive-age women in the United States between 2014 and 2016. Design: We conducted simple and multivariable logistic regression analyses to identify associations between user characteristics and contraceptive use, with specific attention to methods requiring a visit to a health care provider. Setting: Not applicable. Patient(s): All self-identified female respondents to the surveys. Secondary analysis of two rounds of the National Survey of Family Growth, an in-home, nationally representative survey of people ages 15-44 years (2013-2015) and 15-49 years (2015-2017). Intervention(s): None. Main Outcome Measure(s): Current use of a contraceptive method, including use of individual methods and grouped method use in 2016, and change in use from 2014. Result(s): Contraceptive use remained steady between 2014 and 2016 among sexually active females not seeking pregnancy (88%). Among users, use of long-acting reversible contraceptive (LARC) methods increased from 14% to 18%, as use of short-acting reversible contraceptive (SARC) methods fell from 32% to 28%. Implant use among 15-to 19-year-olds rose from 6% to 16% and represents one of the largest increases observed. Access to sexual and reproductive health care was strongly associated with use of all LARC and SARC methods except for the implant (adjusted odds ratios ranged from 3.21 to 13.53). Conclusion(s): Contraceptive users are shifting primarily among the most and moderately effective method groups, and not from contraceptive nonuse to use. Reductions in access to sexual and reproductive health care could have implications for individuals' ability to use their preferred contraceptive methods. (Fertil Steril Rep Ò 2020;1:83-93. Ó2020 by American Society for Reproductive Medicine.

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Section: Discussionmentioning

confidence: 99%

Use of contraception among reproductive-aged women in the United States, 2014 and 2016

Kavanaugh

Pliskin

2020

F&S Reports

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“…16,20,21 Many teens report effectiveness as a priority; however, this does not always translate into choosing the most effective method. 22 Other non-contraceptive priorities include the desire for regular monthly, lighter or no bleeding, improvement of acne, avoidance of a foreign body, or ability to stop their method independently. 23 Adolescents' fears play a role in decision-making and should be addressed.…”

Section: Influences On Contraceptive Decision Makingmentioning

confidence: 99%

“…Effectiveness, reversibility, safety, non-contraceptive benefits and side effects are important attributes and should be discussed when teens are choosing a contraceptive method. 22,32,33 It is also important to inform young persons that the implant doesn't prevent sexually transmitted infections and to recommend the use of condoms with sexual intercourse.…”

Section: Which Features Of the Eng Implant Are Most Important To Discmentioning

confidence: 99%

Best Practices for Counseling Adolescents about the Etonogestrel Implant

Berlan

Richards

Vieira

et al. 2020

Journal of Pediatric and Adolescent Gynecology

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Among young persons, ease of use, high efficacy, and high acceptability makes the etonogestrel (ENG) contraceptive implant an important choice for this age group. Adolescent-friendly, patient-centered counseling considers the patient's cognitive development, the influence of friends and family, as well as their own preferences and values. Age appropriate language, graphics and models are useful to explain contraceptive options and relevant side effects. Effectiveness, reversibility, safety, non-contraceptive benefits, and side effects are important attributes and should be discussed when teens are choosing a contraceptive method. This review describes suggested best practices for counseling adolescents about the ENG implant so they can make informed, prudent decisions about using this contraceptive method.

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“…Benzer olarak başka bir çalışmada üreme çağındaki kadınların %10'undan azında bu yöntemlerin kullanıldığı bildirilmiş, fakat uygun AP danışmanlığı ile bu oranın arttırılarak istenmeyen gebeliklerin önlenebileceği ve düşükleri azaltacağı vurgulanmıştır [12]. [20][21][22][23][24]. Bir çalışmada sosyoekonomik düzeyi düşük kadınlarda yetersiz AP danışmanlık hizmetine bağlı olarak istenmeyen gebeliklerin arttığı, AP danışmanlık hizmeti alan kadınlarda bu oranın azaldığı bildirilmiştir [25].…”

Section: İstatistik Analizunclassified

Aile Planlaması Danışmanlık Hizmetinin Kadınların Kontraseptif Yöntem Tercihine Etkisi: Bir Tersiyer Merkez Deneyimi

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Karaçor

et al. 2020

Jinekoloji-Obstetrik Ve Neonatoloji Tıp Dergisi

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Aim: Everyone has the right to decide whether or not to have children, when to have children; to achieve effective and reliable family planning (FP) methods equally; and to receive FP counseling services. The aim of this study is to investigate the effects of women's characteristics and FP counseling service on women's choice of FP method. Material and Methods: This cross-sectional observational study was conducted with 18-45 year aged healthy volunteers who admitted to the Family Planning Unit of the Gynecology and Obstetrics Clinic of a tertiary center. A questionnaire including questions about FP counseling services and method preferences was applied to women. Pre and post counseling preferences were compared. Results: The median gravidity and the median number of living children of 334 women who participated in the study were both found 3, while the median time has passed 12 months since their last birth. Among the methods that women consider to prefer before counseling, copper intrauterine device (IUD) was the most common, condom in the second place, combined oral contraceptive (POP) in the third place, while the frequency of choice of copper IUD increased and the frequency of choice of other methods decreased. Women reported that they thought the method was safer as the most important factor affecting method preference after FP counseling. Another important finding of the study is that, as the number of living children increases, women prefer methods that provide longterm protection more frequently. However, 95.2% of the women preferred the method recommended by the FP counselling staff. Conclusion: FP counseling service has a significant impact on women's preferences. The availability and accessibility of these services will facilitate women's choice of contraceptive methods that are suitable for their characteristics and health status.

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Young Women's Contraceptive Decision Making: Do Preferences for Contraceptive Attributes Align with Method Choice?

Abstract: Most women desire a very effective method for pregnancy prevention, but it is unclear how this translates to their contraceptive use. The associations between women's preferred contraceptive attributes and method choice warrant further attention.

Cited by 30 publications

References 32 publications

Use of contraception among reproductive-aged women in the United States, 2014 and 2016

Use of contraception among reproductive-aged women in the United States, 2014 and 2016

Best Practices for Counseling Adolescents about the Etonogestrel Implant

Aile Planlaması Danışmanlık Hizmetinin Kadınların Kontraseptif Yöntem Tercihine Etkisi: Bir Tersiyer Merkez Deneyimi

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