Predictors of contraceptive switching and discontinuation within the first six months of use among HER Salt Lake study participants
American Journal of Obstetrics and Gynecology Dec 22, 2018
Simmons RG, et al. - Researchers examined the participants enrolled in the intervention cohorts of the HER Salt Lake Contraceptive Initiative (Utah, U.S.) to assess the characteristics associated with early contraceptive method switching or discontinuation (<6 months of initiation). Available methods of contraception were: non-hormonal behavioral methods (male/female condoms, withdrawal, diaphragms, cervical caps, and fertility-awareness), short-acting methods (pill, patch, ring, and injectable) and long-acting methods (intrauterine devices and contraceptive implants). At six-months, continuation of their baseline method was reported in 2,583 (70.0%) women, at least one period of discontinuation was reported in 367 (10%), switching to a different method was reported by 459 (12.4%), and 6-month follow-up was not provided by 279 (7.6%). Discontinuation was observed in correlation with the selection of a short-acting method, report of Hispanic ethnicity and non-white race, and having any future pregnancy plans, even years out. Discontinuation was less frequent among participants with some college education. Outcomes thus suggest that early contraceptive method switching and discontinuation are frequent even with removal of contraceptive access barriers.
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