Contraceptive discontinuation and switching in urban Istanbul region in Turkey.
Adolescent
Adult
Attitude to Health
Contraception
/ psychology
Contraception Behavior
/ statistics & numerical data
Contraceptive Agents
/ therapeutic use
Cross-Sectional Studies
Family Characteristics
Family Planning Services
Female
Humans
Intrauterine Devices
/ statistics & numerical data
Marriage
/ statistics & numerical data
Pregnancy
Pregnancy, Unplanned
Surveys and Questionnaires
Turkey
Women's Health
/ statistics & numerical data
Young Adult
Turkey
contraceptive discontinuation
contraceptive use episode
method failure
Journal
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
ISSN: 1879-3479
Titre abrégé: Int J Gynaecol Obstet
Pays: United States
ID NLM: 0210174
Informations de publication
Date de publication:
Jul 2021
Jul 2021
Historique:
revised:
04
11
2020
received:
24
07
2020
accepted:
04
01
2021
pubmed:
7
1
2021
medline:
29
6
2021
entrez:
6
1
2021
Statut:
ppublish
Résumé
To evaluate rates of contraceptive discontinuation and method switching and examine their determinants in Istanbul, Turkey, because discontinuation of modern contraception leading to unintended pregnancy is a public health concern. We conducted a cross-sectional household survey between March and June 2018 among 4224 married women of reproductive age (16-44 years). Information on contraceptive use and discontinuation for the 31 months preceding the survey was recorded in a monthly calendar. Using single and multiple decrement life-table methods, we calculated the overall discontinuation and the cause-specific discontinuation rates. The 12-month overall discontinuation rate was 12.32%. Intrauterine devices had the lowest discontinuation rate (7.12%). The most common reasons for discontinuation were the desire to become pregnant (6.56%) and method failure (2.76%). One in three episodes of discontinuation was not followed by method switching (32.16%). Age, education, and the method type were predictive of contraceptive discontinuation. To reduce method failure, women should be provided with information about method effectiveness, correct use of methods, and what to do if they anticipate their method failed (e.g., emergency contraception). Programs should focus on improving knowledge about discontinuation and method failure. Contraceptive counseling should also emphasize timely switching to an effective method after discontinuation.
Substances chimiques
Contraceptive Agents
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
133-141Informations de copyright
© 2021 International Federation of Gynecology and Obstetrics.
Références
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