Journal article
Factors influencing women's selection of combined hormonal contraceptive methods after counselling in 11 countries: results from a subanalysis of the CHOICE study.
- Bitzer J * Frauenklinik, Universitätsspital Basel , Basel , Switzerland.
- Cupanik V
- Fait T
- Gemzell-Danielsson K
- Grob P
- Oddens BJ
- Pawelczyk L
- Unzeitig V
- 2013-08-15
Published in:
- The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception. - 2013
Adolescent
Adult
Age Factors
Attitude of Health Personnel
Choice Behavior
Contraception Behavior
Contraceptive Devices, Female
Contraceptives, Oral, Combined
Contraceptives, Oral, Hormonal
Cross-Sectional Studies
Directive Counseling
Educational Status
Europe
Female
Humans
Interpersonal Relations
Israel
Male
Patient Education as Topic
Pregnancy
Pregnancy, Unplanned
Residence Characteristics
Sex Factors
Transdermal Patch
Young Adult
English
OBJECTIVES
To investigate which characteristics of women and healthcare professionals (HCPs) were associated with changing to another combined hormonal contraceptive (CHC) method after contraceptive counselling.
METHODS
CHOICE was a cross-sectional survey in which 18,787 women were counselled about combined hormonal contraceptives, during which their contraceptive methods preferred both prior to and after counselling were recorded. In this subanalysis, characteristics associated with changing the method after counselling were determined using logistic regression models.
RESULTS
The probability of intending to change from the pill to another method was associated with being older; university-educated; being in a steady relationship; a prior unintended pregnancy; a younger HCP or one who recommended methods other than the pill. Changing to the patch was associated with a female HCP or a HCP who recommended the patch or an injectable. Changing to the ring was associated with being over 21 years; university-educated; being in a relationship; previous hormonal method use; and counselling by a female HCP, a HCP < 60 years old, or a HCP who recommended the ring or an implant. The country of residence influenced these changes in a complex pattern.
CONCLUSIONS
Women's choice of CHC methods after contraceptive counselling are influenced by their age, educational background, relationship status, prior unplanned pregnancies and country of residence, as well as age, gender and preferences of their HCP.
To investigate which characteristics of women and healthcare professionals (HCPs) were associated with changing to another combined hormonal contraceptive (CHC) method after contraceptive counselling.
METHODS
CHOICE was a cross-sectional survey in which 18,787 women were counselled about combined hormonal contraceptives, during which their contraceptive methods preferred both prior to and after counselling were recorded. In this subanalysis, characteristics associated with changing the method after counselling were determined using logistic regression models.
RESULTS
The probability of intending to change from the pill to another method was associated with being older; university-educated; being in a steady relationship; a prior unintended pregnancy; a younger HCP or one who recommended methods other than the pill. Changing to the patch was associated with a female HCP or a HCP who recommended the patch or an injectable. Changing to the ring was associated with being over 21 years; university-educated; being in a relationship; previous hormonal method use; and counselling by a female HCP, a HCP < 60 years old, or a HCP who recommended the ring or an implant. The country of residence influenced these changes in a complex pattern.
CONCLUSIONS
Women's choice of CHC methods after contraceptive counselling are influenced by their age, educational background, relationship status, prior unplanned pregnancies and country of residence, as well as age, gender and preferences of their HCP.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.3109/13625187.2013.819077
- PMID 23941311
- Persistent URL
- https://sonar.ch/global/documents/17513
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