Hormonal contraceptive use in Ghana: the role of method attributes and side effects in method choice and continuation

Background and purpose: The Indonesian Demographic Health Survey of 2012 indicated that the prevalence of contraceptive use in Bali Province has decreased compared to 2007. In addition, the proportion of the use an intrauterine device (IUD) also continues to decline. To increase number of IUD acceptors is to promote post-placental intrauterine device (PPIUCD), however the acceptance remains low. This study aims to determine factors associated with acceptance of post-placental intrauterine device in Denpasar.Methods: Study was cross sectional with a total of 100 respondents selected by consecutive sampling. Respondents were mothers who had gave birth in January-February 2016 at Wangaya General Hospital and three health centers (Dauh Puri Sub Health Center, East Denpasar I and South Denpasar IV). Data were collected by interview in hospital and health center. Chi square test was conducted for bivariate analysis and multivariate using logistic regression.Results: Proportion of PPIUCD acceptance was 35%. Multivariate analysis indicated that PPIUCD acceptance was associated with perception of benefits (AOR=10.39; 95% CI: 2.792-38.56), perception of low side effects (AOR=5.288; 95%CI: 1.085-25.761), role of health workers (AOR=7.1; 95%CI: 1.781-28.60) and support of the husband (AOR=12.020; 95% CI=2.888-50.01).Conclusion: Variables associated with PPIUCD acceptance were perception of low side effects, perception of benefits, role of health workers and husband support.

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Side effects and discontinuation of oral contraceptive use in southern Brazil

Journal of Biosocial Science ◽

10.1017/s0021932000016230 ◽

1986 ◽

Vol 18 (3) ◽

pp. 261-271 ◽

Cited By ~ 5

Author(s):

Barbara Janowitz ◽

Thomas T. Kane ◽

Jose Maria Arruda ◽

Deborah L. Covington ◽

Leo Morris

Keyword(s):

Oral Contraceptive ◽

Side Effects ◽

Oral Contraceptives ◽

Contraceptive Use ◽

Married Women ◽

Medical Attention ◽

Southern Brazil ◽

Oral Contraceptive Use ◽

Contraceptive Prevalence

SummaryThe subsequent contraceptive behaviour following reported side effects in users of oral contraceptives in the southern region of Brazil is examined in relation to discontinuation of pill use, changing to other methods, termination of contraceptive use, the role of the physician in influencing a woman's decision to discontinue pill use, and discontinuation according to the type of problem experienced.In 2904 currently married women, aged 15–44, almost 75% reported that they had used the pill at some time, and of these 45.6% were still doing so. Women who reported problems with the pill were less likely to be current users (25%) than the women who did not (65%). However, overall contraceptive prevalence was about the same in both groups. Women who stop using oral contraceptives are more likely to be using traditional methods than women in the general population, especially if they want more children. Termination of pill use varies little according to the type of problem reported. Women with problems who sought medical attention were more likely to stop using the pill and so were women advised to stop by their physician, but the major factor affecting discontinuation was the reported experience of a problem.

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Men’s perceived partner commitment and mate guarding: The moderating role of partner’s hormonal contraceptive use.

Evolutionary Behavioral Sciences ◽

10.1037/ebs0000087 ◽

2017 ◽

Vol 11 (2) ◽

pp. 173-186 ◽

Cited By ~ 4

Author(s):

Juliana E. French ◽

Andrea L. Meltzer ◽

Jon K. Maner

Keyword(s):

Contraceptive Use ◽

Mate Guarding ◽

Hormonal Contraceptive ◽

Moderating Role

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Supplemental Material for Men’s Perceived Partner Commitment and Mate Guarding: The Moderating Role of Partner’s Hormonal Contraceptive Use

Evolutionary Behavioral Sciences ◽

10.1037/ebs0000087.supp ◽

2017 ◽

Keyword(s):

Contraceptive Use ◽

Mate Guarding ◽

Hormonal Contraceptive ◽

Moderating Role

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Contraceptive discontinuation and non-use in Santarém, Brazilian Amazon

Cadernos de Saúde Pública ◽

10.1590/s0102-311x2009000900016 ◽

2009 ◽

Vol 25 (9) ◽

pp. 2021-2032 ◽

Cited By ~ 6

Author(s):

Álvaro de Oliveira D'Antona ◽

Jessica Andrea Chelekis ◽

Maria Fernanda Lirani de Toledo D'Antona ◽

Andrea Dalledone Siqueira

Keyword(s):

Side Effects ◽

Health Services ◽

Contraceptive Use ◽

Hormonal Contraception ◽

Brazilian Amazon ◽

Hormonal Contraceptive ◽

Health Centers ◽

The Past ◽

Contraceptive Discontinuation ◽

The Relationship

In this paper we discuss the causes of non-adherence to reversible contraceptives, especially hormonal methods, among women in rural Santarém in the Brazilian Amazon. The analysis is based on questionnaires with 398 women and visits to health centers. We consider the motives reported by women who: never used contraception; used some method in the past; and who at the time of the survey were using a different method from the ones they used in the past. The results indicate a rejection of hormonal contraception and a preference for female sterilization, an option possibly influenced by the characteristics of health services in the region. The side effects of hormonal contraceptive use reported by part of the interviewees contribute to a generalized fear of the side effects even among women who have never used such methods. To improve women's health services in the Amazon, we recommend further studies of the relationship between reported side effects and available services and prescriptions, as well as an analysis of women's discourse and perceptions.

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Relationship of Contraceptive Use Depo Provera with The Side Effects On Acceptance in Nulle Health Center

Timorese Journal of Public Health ◽

10.35508/tjph.v2i2.2841 ◽

2020 ◽

Vol 2 (2) ◽

pp. 73-85

Author(s):

Maria Iknasia Natasya Cangdra ◽

Tadeus A Ragaletha ◽

Amelya Betsalonia Sir

Keyword(s):

Blood Pressure ◽

Data Analysis ◽

Side Effects ◽

Health Center ◽

Contraceptive Use ◽

Hormonal Contraceptive ◽

Contraceptive Methods ◽

Injectable Contraceptive ◽

Depo Provera ◽

Cycle Disorders

Contraception is an effort to prevent the onsany of pregnancy that is temporary and can be permanent. One of the contraceptive methods that is in demand by the public is the hormonal contraceptive method, namely the injectable contraceptive Depo Provera. Hormonal contraceptive methods are considered one method with high effectiveness, but on the other hand hormonal contraceptives especially those containing progesterone have some side effects such as menstrual cycle disorders, spotting, increased blood pressure and weight gain. This study aims to find out the relationship between the use of injectable contraceptive Depo Provera with the occurrence of side effects on the acceptance in Nulle publick health center South Central Timor Regency in 2020. This type of research is quantitative research using a cross sectional study approach. The sample in this study was 95 acceptances spread across 8 villages that became the working area of Nulle Health Center. The data analysis used is univariate analysis and bivariate analysis using Chi-square test. The characteristics of the majority of respondents aged 21-30 years and 31-40 years were 42.9%, not working 55.6%, high school education 54.0% and parity 1-2 people as much as 49.2%. The results of the data analysis showed there is a relationship between the use of injectable contraceptive Depo Provera with side effects in the form of menstrual cycle disorders (ρ-value = 0.004), spotting (ρ-value = 0.006) and increase in weight (ρ-value = 0.010) while unrelated side effects are an increase in blood pressure (ρ-value = 0.423). Advice for health officials especially in the field of maternal and child health and family planning to increase the frequency of counseling/information to acceptors, especially injectable contraceptive acceptors Depo Provera regarding the side effects of contraceptive use and other factors that can influence the onsling of such side effects by utilizing health promotion media, so that the acceptor can have a good information/understanding of the contraceptive used.

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Prevalence of hormonal contraceptive use and reported side effects of the menstrual cycle and hormonal contraceptive use in powerlifting and rugby

The Physician and Sportsmedicine ◽

10.1080/00913847.2021.2024774 ◽

2022 ◽

Author(s):

David Nolan ◽

Kirsty J. Elliott-Sale ◽

Brendan Egan

Keyword(s):

Side Effects ◽

Menstrual Cycle ◽

Contraceptive Use ◽

Hormonal Contraceptive

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Association between experience of specific side-effects and contraceptive switching and discontinuation in Uganda: results from a longitudinal study

Reproductive Health ◽

10.1186/s12978-021-01287-5 ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Linnea A. Zimmerman ◽

Dana O. Sarnak ◽

Celia Karp ◽

Shannon N. Wood ◽

Saifuddin Ahmed ◽

...

Keyword(s):

Side Effects ◽

Contraceptive Use ◽

Hormonal Contraceptive ◽

Population Based ◽

Baseline Survey ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Middle Income ◽

Individualized Care ◽

Significant Difference

Abstract Background There is substantial evidence that contraceptive side-effects are a major deterrent to consistent use of contraception but few studies in low- or middle-income countries explore the role of specific side-effects on contraceptive use dynamics. This study used population-based, longitudinal data to explore the effect of specific side-effects on contraceptive continuation, discontinuation, and switching in Uganda. Methods Data for this study come from two rounds of survey data collection in Uganda: PMA2020’s sixth cross-sectional survey and a follow-up survey conducted 1 year later. The main outcomes of interest were discontinuation and switching among users of hormonal contraceptive methods (implants, injectables and oral pill) and the IUD at baseline (n = 560). Multivariable logistic regressions assessed the association of experiencing specific side-effects (more bleeding, less bleeding, irregular bleeding, increased dryness/reduced libido, and physical discomfort) with discontinuation and switching 1 year later, adjusting for socio-demographic characteristics, type of method, and length of use. We also examined the differential effects of side-effects between discontinuation and switching risks. Results About 23% of hormonal and IUD contraceptive users reported experiencing side-effects at baseline survey. Overall, discontinuation and switching were higher among injectables and pill users, compared to IUD and implants users. Reporting more bleeding or less bleeding increased the odds of discontinuation and switching by 2.74 (95% CI 1.00–7.51) and 1.86 (1.04–3.34), respectively. There was no significant difference in discontinuation and switching by side-effects. Conclusions Greater attention should be paid to understanding the unique contributions of side-effects to contraceptive behavior using population-based data. While about a quarter of women reported experiencing side effects, those who experienced bleeding specific side effects were at higher risk of contraceptive discontinuation and switching. Providing greater individualized care that includes information and counseling about common side-effects, how they may impact daily life, and how tolerable these effects may be is necessary.

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