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Contraceptive Use Measured in a National Population-Based Approach: Cross-Sectional Study of Administrative Versus
Juliette Congy1, Delphine Rahib2, Céline Leroy3
1Sexual and Reproductive Health and Rights Unit, Institut National d'Etudes Démographiques, Aubervilliers, France.
JMIR Public Health and Surveillance
|July 22, 2024
Summary
Health administrative data offer a promising, cost-effective method for monitoring prescribed contraception use, especially in diverse populations. This approach provides detailed insights comparable to traditional surveys for oral contraceptives, IUDs, and implants.
Area of Science:
- Public Health
- Reproductive Health
- Health Informatics
Background:
- Monitoring prescribed contraception use is vital for public health, typically relying on infrequent population surveys.
- Existing surveys have limitations in follow-up frequency and sample size for studying specific subgroups, such as low-income populations.
- Health administrative data present an innovative, potentially less costly alternative for tracking contraceptive use.
Purpose of the Study:
- To evaluate the potential of health administrative data for studying prescribed contraceptive use.
- To compare contraceptive use patterns derived from health administrative data with those from population-based survey data.
Main Methods:
- Utilized French health administrative data (n=14,788,124) and the 2016 Health Barometer Survey (n=4285) for women aged 15-49.
- Contraceptive use was recorded objectively in administrative data and self-declared in survey data.
- Prevalence was estimated for all prescribed contraceptives and by type (oral contraceptives, IUDs, implants), analyzed by age.
Main Results:
- Health administrative data included a higher proportion of low-income women (11%) compared to survey data (7%).
- Overall contraceptive prevalence was similar: 47.6% in administrative data vs. 50.5% in survey data.
- Prevalence for oral contraceptives (26.9% vs. 27.7%), IUDs (17.7% vs. 19.6%), and implants (3% vs. 3.2%) showed comparable trends across both data sources.
Conclusions:
- Health administrative data demonstrate similar overall trends in contraceptive use (oral contraceptives, IUDs, implants) compared to survey data.
- The high quality and volume of data in administrative sources enable detailed subgroup analysis.
- Health administrative data are a promising resource for population-based contraception monitoring, informing reproductive and sexual health policies.
Keywords:
IUDadministrative databirth controlcontraceptioncontraceptivecontraceptive prevalencehealth dataimplantintrauterine devicemonitoringoral contraceptivespopulation-based surveyprevalencepublic health issueMore Related Videos
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