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Published on: January 12, 2018
Trajectories of method dissatisfaction among Kenyan women using modern, reversible contraception: A prospective
Claire W Rothschild1, Barbra A Richardson2, Brandon L Guthrie3
1Department of Epidemiology, University of Washington, Seattle, WA, United States.
Objectives:
Evidence on method dissatisfaction among current contraceptive users is sparse. Group-based trajectory modeling presents a novel approach to describing method dissatisfaction.
Study Design:
In a cohort of Kenyan women using modern contraception, we identified group-based trajectories of method dissatisfaction over 24 weeks since clinic visit.
Results:
Among 947 women, four trajectories were identified: consistent satisfaction (71%), increasing dissatisfaction (18%), decreasing dissatisfaction (8%), and consistent dissatisfaction (3%).
Discussion:
Method dissatisfaction was common in a cohort of Kenyan women. Group-based trajectory models describe distinct and changing experiences of contraceptive use. Deeper understanding of trajectories of contraceptive experience may be useful for advancing person-centered family planning care that addresses users' changing preferences and challenges.
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