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Compliance and other issues in contraception.

R T Burkman1

  • 1Department of Obstetrics and Gynecology, Baystate Medical Center, Springfield, Massachusetts, USA.

International Journal of Fertility and Women'S Medicine
|November 24, 1999
PubMed
Summary

Millions of women in the US are not using contraception, increasing unintended pregnancy risks. Improving contraceptive compliance requires addressing patient factors and system-level access.

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Area of Science:

  • Reproductive Health
  • Behavioral Science
  • Public Health

Background:

  • Approximately 5% of US women (3 million) are at risk of unintended pregnancy due to non-contraceptive use.
  • Teenagers exhibit the highest unintended pregnancy rates, while women over 40 most often terminate pregnancies.
  • Existing health behavior models offer insights, yet contraceptive compliance remains suboptimal.

Purpose of the Study:

  • To review factors influencing contraceptive compliance.
  • To identify areas for improving contraceptive use and reducing unintended pregnancies.
  • To highlight the need for research on novel approaches to enhance contraceptive compliance.

Main Methods:

  • Literature review of existing theories and models of health behavior change.
  • Analysis of current data on contraceptive compliance and influencing factors.
  • Identification of potential system-level improvements and research gaps.

Main Results:

  • Contraceptive compliance is significantly influenced by method side effects, patient beliefs, and preferences.
  • Systemic issues like access to care and provider-patient interactions are key areas for improvement.
  • There is a notable lack of research testing new strategies to boost contraceptive compliance.

Conclusions:

  • Improving contraceptive compliance necessitates a multi-faceted approach addressing individual patient needs and healthcare system enhancements.
  • Further research is crucial to develop and evaluate innovative interventions for better contraceptive uptake and consistent use.
  • Addressing barriers to contraceptive use is vital for reducing unintended pregnancies and improving reproductive health outcomes.

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