BACKGROUND: Contraceptive efficacy and side effects are primary concerns of women when choosing a contraceptive method. STUDY DESIGN: This cross-sectional multicenter study was designed to assess the reasons for selecting the contraceptive pill, the skin patch or the vaginal ring in 9700 women, aged 18-49 years, who consulted their doctors for starting or re-initiating combined hormonal contraception. A self-administered questionnaire regarding the reasons for the selection made and for the refusal of the remaining two methods was completed. RESULTS: The vaginal ring showed the highest acceptance (46%) compared with the pill (39%) and the skin patch (15%), particularly in women aged 35-39 years. The ring and the skin patch were mainly preferred because of the lower probability of inadvertent omission (62% of cases), convenience, and monthly or weekly frequency of use. The pill was preferred because of its proven efficacy (60% of cases) and ease of use. The acceptance of the skin patch increased with age and the pill was mostly accepted only by women in the youngest age groups. CONCLUSIONS: Convenience, frequency of use and lower probability of inadvertent omission were the primary determinants of contraceptive choice rather than the women's profile.
BACKGROUND: Contraceptive efficacy and side effects are primary concerns of women when choosing a contraceptive method. STUDY DESIGN: This cross-sectional multicenter study was designed to assess the reasons for selecting the contraceptive pill, the skin patch or the vaginal ring in 9700 women, aged 18-49 years, who consulted their doctors for starting or re-initiating combined hormonal contraception. A self-administered questionnaire regarding the reasons for the selection made and for the refusal of the remaining two methods was completed. RESULTS: The vaginal ring showed the highest acceptance (46%) compared with the pill (39%) and the skin patch (15%), particularly in women aged 35-39 years. The ring and the skin patch were mainly preferred because of the lower probability of inadvertent omission (62% of cases), convenience, and monthly or weekly frequency of use. The pill was preferred because of its proven efficacy (60% of cases) and ease of use. The acceptance of the skin patch increased with age and the pill was mostly accepted only by women in the youngest age groups. CONCLUSIONS: Convenience, frequency of use and lower probability of inadvertent omission were the primary determinants of contraceptive choice rather than the women's profile.
Authors: Priya Srinivasan; Jining Zhang; Chuong T Dinh; Ryan S Teller; Janet M McNicholl; Patrick F Kiser; Betsy C Herold; James M Smith Journal: J Med Primatol Date: 2017-08 Impact factor: 0.667
Authors: Priya Srinivasan; Jining Zhang; Amy Martin; Kristin Kelley; Janet M McNicholl; Robert W Buckheit; James M Smith; Anthony S Ham Journal: Antimicrob Agents Chemother Date: 2016-06-20 Impact factor: 5.191
Authors: Mireille Merckx; Gilbert G Donders; Pascale Grandjean; Tine Van de Sande; Steven Weyers Journal: Eur J Contracept Reprod Health Care Date: 2011-12 Impact factor: 1.848
Authors: Christian Egarter; Brigitte Frey Tirri; Johannes Bitzer; Vyacheslav Kaminskyy; Björn J Oddens; Vera Prilepskaya; Arie Yeshaya; Maya Marintcheva-Petrova; Steven Weyers Journal: BMC Womens Health Date: 2013-02-28 Impact factor: 2.809