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Association between experience of specific side-effects and contraceptive switching and discontinuation in Uganda: results from a longitudinal study.
Zimmerman, Linnea A; Sarnak, Dana O; Karp, Celia; Wood, Shannon N; Ahmed, Saifuddin; Makumbi, Fredrick; Kibira, Simon P S.
Afiliación
  • Zimmerman LA; Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA. linnea.zimmerman@jhu.edu.
  • Sarnak DO; Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
  • Karp C; Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
  • Wood SN; Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
  • Ahmed S; Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
  • Makumbi F; Department of Epidemiology and Biostatistics, School of Public Health, Makerere University, Kampala, Uganda.
  • Kibira SPS; Department of Community Health and Behavioural Sciences, School of Public Health, Makerere University, Kampala, Uganda.
Reprod Health ; 18(1): 239, 2021 Nov 27.
Article en En | MEDLINE | ID: mdl-34838097
Research has shown that experiencing side-effects is related to stopping use of contraception, even when women wish to avoid pregnancy. Most research, however, does not differentiate between distinct side-effects, such as increased bleeding or changes to sexual experience, and instead combined all into "side-effects or health concerns". We used data from 560 women in Uganda, who were interviewed twice, 1 year apart, to see if women who reported different side-effects at the first interview were more likely to stop using contraception or switch to a different contraceptive method than women who did not report experiencing side-effects. We found that increased or decreased menstrual bleeding was associated with a higher odds of contraceptive discontinuation and switching, Contraceptive discontinuation or switching was not different by women's reporting of vaginal dryness/reduced libido or physical discomfort, such as cramping. It is important to understand what side-effects are likely to motivate stopping or switching contraception so that education and counseling can inform women of side-effects they may experience, help them choose the best method based on what side-effects they deem important, and if necessary, aid in switching contraceptive methods.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Anticonceptivos / Dispositivos Anticonceptivos Tipo de estudio: Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Female / Humans País/Región como asunto: Africa Idioma: En Revista: Reprod Health Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Anticonceptivos / Dispositivos Anticonceptivos Tipo de estudio: Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Female / Humans País/Región como asunto: Africa Idioma: En Revista: Reprod Health Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido