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Published on: April 7, 2023
Probability of contraceptive continuation and its determinants
1Biostatistics Department, High Institute of Public Health, Alexandria University, Egypt.
Summary
This study found that most women continue using contraception for at least 6 months. Older women with children were more likely to continue, while side-effects were a key reason for stopping contraceptive use.
Area of Science:
- Reproductive Health
- Public Health
- Family Planning
Background:
- Contraceptive continuation is crucial for family planning and reproductive health.
- Understanding discontinuation factors is essential for improving contraceptive services.
Purpose of the Study:
- To assess contraceptive continuation rates.
- To identify factors associated with contraceptive discontinuation among women in Alexandria.
Main Methods:
- Retrospective study analyzing women's health records.
- Calculation of contraceptive continuation rates at 6, 12, and 24 months.
- Identification of reasons for discontinuation and predictors.
Main Results:
- Continuation rates were 88/100 at 6 months, 75/100 at 12 months, and 56/100 at 24 months.
- Primary discontinuation reasons: side-effects/health concerns (30.4%), accidental pregnancy/personal reasons (6.4%), desire for pregnancy (5.4%).
- Older women and those with more children showed higher continuation rates.
Conclusions:
- Side-effects, health concerns, woman's age, and contraceptive method significantly predict discontinuation.
- Informed counseling on methods and side-effects is vital, especially in the first two years of use.
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