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Contraception. 2007 Oct;76(4):267-72. Epub 2007 Aug 28.

Contraceptive discontinuation attributed to method dissatisfaction in the United States.

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1
Office of Population Research, Princeton University, Wallace Hall, Princeton, NJ 08544, USA. cmoreau@princeton.edu

Abstract

BACKGROUND:

This study examines contraceptive discontinuation due to method dissatisfaction among women in the United States.

STUDY DESIGN:

The study population, drawn from the 2002 National Survey of Family Growth, consisted of 6724 women (15-44 years of age) who had ever used a reversible contraceptive method. We first estimated the overall proportion of women who had ever discontinued their contraceptive due to dissatisfaction. We then calculated method-specific discontinuation risks due to dissatisfaction and analyzed the reasons for dissatisfaction given by women who had ever stopped using Norplant, Depo-Provera, oral contraceptives or condoms.

RESULTS:

Overall, 46% of women had ever discontinued at least one method because they were unsatisfied with it. Dissatisfaction-related discontinuation risks varied widely by method: the diaphragm and cervical cap showed the highest proportions of such discontinuation (52%), followed by long-acting hormonal methods (42%). Oral contraceptives were associated with an intermediate risk of dissatisfaction-related discontinuation (29%), while condoms had the lowest risk (12%).

CONCLUSION:

A broader understanding of women's concerns and experiences using contraception could help health care providers redesign counseling strategies to improve contraceptive continuation.

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