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Contraceptive method type and satisfaction, confidence in use, and switching intentions
Julia R Steinberg1, Daniel Marthey2, Liyang Xie2
1Department of Family Science, University of Maryland College Park, College Park, MD, United States; Maryland Population Research Center, University of Maryland College Park, College Park, MD, United States.
Contraception
|February 23, 2021
Summary
Women using intrauterine contraception (IUC) show very low intentions to switch methods. High satisfaction and confidence in correct use also predict lower switching intentions for reversible contraception.
Area of Science:
- Reproductive Health
- Contraception Research
- Behavioral Science
Background:
- Understanding factors influencing contraceptive switching is crucial for improving method continuation.
- Contraceptive method type, user satisfaction, and confidence in correct use are potential determinants of switching intentions.
Purpose of the Study:
- To investigate the independent associations of contraceptive method type, satisfaction, and confidence with switching intentions.
- To identify key factors predicting women's likelihood of continuing their current reversible contraceptive method.
Main Methods:
- A probability-based sample survey of 1,077 women (ages 18-44) in Delaware and Maryland.
- Binomial logistic regression analysis adjusting for sociodemographic and reproductive health covariates.
- Contraceptive methods categorized into coitally-dependent, pills/patches/rings, injections, implants, and intrauterine contraception (IUC).
Main Results:
- Women using IUC demonstrated significantly lower intentions to switch compared to those using implants, pills, patches, rings, or coitally-dependent methods.
- Higher levels of satisfaction with the contraceptive method and greater confidence in correct use were independently associated with very low switching intentions.
Conclusions:
- Intrauterine contraception (IUC) use is independently associated with very low switching intentions, beyond user satisfaction.
- High satisfaction and confidence in correct use are significant predictors of contraceptive method continuation.
- Factors beyond satisfaction, such as ease of use or pre-existing low switching intentions, may contribute to IUC continuation.
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