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Satisfaction and Discontinuation of Contraception by Contraceptive Method Among University Women

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Abstract

This study examined the association between contraceptive method and satisfaction and discontinuation. Few studies have examined these issues in the university setting and how they may potentially impact unintended pregnancy rates. This study examined data from 172 college women aged 18–36 years enrolled in the Study on Contraceptive Knowledge in Students, a cross-sectional study conducted at a large, public university. Logistic regression was used to model the association between current type of contraceptive method used (non-coital dependent vs. coital dependent) and satisfaction as well as previous type of contraceptive method used and discontinuation of that method. Nearly 80% of contracepting women currently used a non-coital dependent method. After adjustment for age, race, and location where contraception was obtained, current non-coital dependent users were significantly more likely to be satisfied with their contraceptive method compared to women using coital dependent methods (OR = 4.73, 95% CI: 1.64, 13.63). After adjustment for age, race, and history of pregnancy, women who used non-coital dependent methods of contraception were 91% less likely to have discontinued their method compared to women who used coital dependent methods (OR = 0.09, 95% CI: 0.04, 0.20). Healthcare workers and public health professionals can counsel women on using contraceptive methods that best suit their needs. By doing so, patient satisfaction and consistent contraceptive use may improve and lead to a decrease in unintended pregnancies.

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References

  1. Healthy People 2010. http://www.healthypeople.gov/. Accessed March 17, 2010.

  2. Brown, S. S., & Eisenberg, L. (Eds.). (1995). The best intentions: Unintended pregnancy and the well-being of children and families (p. 81). Washington (DC): National Academies Press.

    Google Scholar 

  3. Martinez, G. M., Mosher, W. D., Abma, J. C., & Jones, J. (2005). Fertility, family planning, and reproductive health of U.S. women: Data from the 2002 National Survey of Family Growth. National Center for Health Statistics. Vital Health Statistics, 23(25), 1–160.

    Google Scholar 

  4. Finer, L. B., & Henshaw, S. K. (2006). Disparities in the rates of unintended pregnancy in the United States, 1994 and 2001. Perspectives on Sexual and Reproductive Health, 38, 90–96.

    Article  PubMed  Google Scholar 

  5. Trussell, J. (2007). The cost of unintended pregnancy in the United States. Contraception, 75, 168–170.

    Article  PubMed  Google Scholar 

  6. Mosher, W. D., Martinez, G. M., Chandra, A., Abma, J. C., & Wilson, S. J. (2004). Use of contraception and use of family planning services in the United States: 1982–2002. Advance data from vital and health statistics; no. 350. Hyattsville, Maryland: National Center for Health Statistics.

    Google Scholar 

  7. Henshaw, S. K. (1998). Unintended pregnancy in the United States. Family Planning Perspectives, 30:24–29, 36.

    Google Scholar 

  8. Radius, S. M., Joffe, A., & Gall, M. (1991). Barrier versus oral contraceptive use: A study of female college students. Journal of American College Health, 40, 83–85.

    Article  PubMed  CAS  Google Scholar 

  9. Latman, N. S., & Latman, A. I. (1995). Behavioral risk of HIV/AIDS in the university student community. Sexually Transmitted Diseases, 22, 104–109.

    Article  PubMed  CAS  Google Scholar 

  10. Galavotti, C., & Schnell, D. J. (1994). Relationship between contraceptive method choice and beliefs about HIV and pregnancy prevention. Sexually Transmitted Diseases, 21, 5–7.

    Article  PubMed  CAS  Google Scholar 

  11. Simkins, L. (1995). Risk of HIV transmission in sexual behaviors of college students. Psychological Reports, 76, 787–799.

    PubMed  CAS  Google Scholar 

  12. Corbett, P. O., Mitchell, C. P., Taylor, J. S., & Kemppainen, J. (2006). Emergency contraception: knowledge and perceptions in a university population. Journal of the American Academy of Nurse Practitioners, 18, 161–168.

    Article  PubMed  Google Scholar 

  13. Vahratian, A., Patel, D. A., Wolff, K., & Xu, X. (2008). College students’ perceptions of emergency contraception provision. Journal of Womens Health, 17, 103–111.

    Article  Google Scholar 

  14. Brening, R., Dalve-Endres, A. M., & Patrick, K. (2003). Emergency contraception pills (ECPs): Current trends in United States college health centers. Contraception, 67, 449–456.

    Article  PubMed  Google Scholar 

  15. Rosenfeld, J., Zahorik, P., Saint, W., & Murphy, G. (1993). Women’s satisfaction with birth control. Journal of Family Practice, 36, 169–173.

    PubMed  CAS  Google Scholar 

  16. Oddens, B. (1999). Women’s satisfaction with birth control: A population survey of physical and psychological effects of oral contraceptives, intrauterine devices, condoms, natural family planning and sterilization among 1466 women. Contraception, 59, 277–286.

    Article  PubMed  CAS  Google Scholar 

  17. Moreau, C., Cleland, K., & Trussell, J. (2007). Contraceptive discontinuation attributed to method dissatisfaction in the United States. Contraception, 76, 267–272.

    Article  PubMed  Google Scholar 

  18. Brunner Huber, L. R., & Ersek, J. L. (2009). Contraceptive use among sexually active university students. Journal of Womens Health, 18, 1063–1070.

    Article  Google Scholar 

  19. Nelson, D. E., Holtzman, D., Bolen, J., Stanwyck, C. A., & Mack, K. A. (2001). Reliability and validity of measures from the behavioral risk factor surveillance system (BRFSS). Sozial- und Praventivmedizin, 46(Suppl 1), S3–S42.

    PubMed  Google Scholar 

  20. Maldonado, G., & Greenland, S. (1993). Simulation study of confounder-selection strategies. American Journal of Epidemiology, 138, 923–926.

    PubMed  CAS  Google Scholar 

  21. Huber, L. R., Hogue, C., Stein, A., Drews, C., Zieman, M., King, J., et al. (2006). Contraceptive use and discontinuation: Findings from the contraceptive history, initiation, and choice study. American Journal of Obstetrics and Gynecology, 194, 1290–1295.

    Article  PubMed  Google Scholar 

  22. Aladag, N., Filiz, M., Topsever, P., Apaydin, P., & Gorpelioglu, S. (2006). Satisfaction among women: Differences between current users of barrier (male condom) and non-barrier methods. The European Journal of Contraception and Reproductive Health Care, 11(2), 81–88.

    Article  Google Scholar 

  23. Frost, J. J., Singh, S., & Finer, L. B. (2007). Factors associated with contraceptive use and nonuse, United States, 2004. Perspectives on Sexual and Reproductive Health, 39, 90–99.

    Article  PubMed  Google Scholar 

  24. Hale, R. W., Char, D. F. B., Nagy, K., & Stockert, N. (1993). Seventeen-year review of sexual and contraceptive behavior on a college campus. American Journal of Obstetrics and Gynecology, 168, 1833–1838.

    PubMed  CAS  Google Scholar 

  25. Simon, D. A., Roach, J. P., & Dimitrievich, E. (2003). Assessment of knowledge and practice of high risk sexual behavior at a private Midwestern university. South Dakota Journal of Medicine, 56, 265–269.

    PubMed  Google Scholar 

  26. Hickey, M. T. (2009). Female college students’ knowledge, perceptions, and use of emergency contraception. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 38, 399–405.

    Article  PubMed  Google Scholar 

  27. Svanberg, A. S., Lampic, C., Karlström, P., & Tydén, T. (2006). Attitudes toward parenthood and awareness of fertility among postgraduate students in Sweden. Gender Medicine, 3, 187–195.

    Article  Google Scholar 

  28. Healthy People 2020, proposed objectives. http://www.healthypeople.gov. Accessed March 17, 2010.

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Acknowledgments

This work was supported, in part, by funds provided by The University of North Carolina at Charlotte. We also thank Michael Cato, Dean Sorenson, and Tara Hunter for their assistance with this project.

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Authors and Affiliations

  1. Department of Public Health Sciences, The University of North Carolina at Charlotte, Charlotte, NC, USA

    Jennifer L. Ersek, Larissa R. Brunner Huber, Michael E. Thompson & Jan Warren-Findlow

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  1. Jennifer L. Ersek
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  2. Larissa R. Brunner Huber
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  3. Michael E. Thompson
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  4. Jan Warren-Findlow
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Correspondence to Jennifer L. Ersek.

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Ersek, J.L., Brunner Huber, L.R., Thompson, M.E. et al. Satisfaction and Discontinuation of Contraception by Contraceptive Method Among University Women. Matern Child Health J 15, 497–506 (2011). https://doi.org/10.1007/s10995-010-0610-y

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  • DOI: https://doi.org/10.1007/s10995-010-0610-y

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