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Women's patterns of contraceptive use

P S Matteson1, J W Hawkins

  • 1Northeastern University, Graduate School of Nursing, Boston, Massachusetts, USA.

Health Care for Women International
|December 31, 1997
PubMed
Summary

Women

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Area of Science:

  • Reproductive Health
  • Women's Health
  • Contraception Research

Background:

  • Understanding women's contraceptive choices is crucial for effective reproductive healthcare.
  • Previous research suggested linear or predictable patterns in contraceptive method switching.
  • This study investigates actual contraceptive use patterns over a significant period.

Purpose of the Study:

  • To examine individualized patterns of contraceptive method choice and use among women.
  • To analyze reasons for switching contraceptive methods.
  • To determine if method destinations can be predicted from prior use.

Main Methods:

  • Retrospective analysis of medical records from 800 women over 15 years.
  • Examination of reported method choices, reasons for changes, and demographic variables.
Keywords:
Acceptors--womenAmericasContraceptionContraceptive Method Switching--determinantsContraceptive Methods Chosen--determinantsContraceptive UsageDeveloped CountriesFamily PlanningFamily Planning ProgramsNorth AmericaNorthern AmericaResearch MethodologyResearch ReportRetrospective StudiesStudiesUnited States

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  • Data included 1,889 method choices across 16 different contraceptive methods.

    • Main Results:

    • Seventy-five percent of women switched contraceptive methods at least once.
    • Oral contraceptives and condoms were the most frequently initiated methods.
    • Contraceptive use patterns were highly individualized and not linear or predictive.
    • Method switching destinations could not be predicted based on previous method usage.

    Conclusions:

    • Women's contraceptive use is highly individualized and complex.
    • Predictive models for contraceptive switching based on prior use are not supported by this data.
    • Further research is needed to understand the nuances of long-term contraceptive decision-making.