Factors that influence the choice of contraceptives in women
DOI:
https://doi.org/10.32385/rpmgf.v38i1.13142Keywords:
Family planning, Contraceptive method, Family physician, Contraception, Family medicineAbstract
Introduction: The choice of contraceptive method in women of childbearing age is accompanied by a set of fears and constraints.
Objectives: To identify factors that influence the choice of contraceptive method, in a group of women of childbearing age and discuss possible strategies to be used by the family physician, aiming at an informed choice.
Methods: Firstly, a literature review was performed by searching the PubMed electronic database, limited to the period between 2010 and 2019, using the key: ‘contraception’ OR ‘family planning’ AND ‘selection criteria’. Subsequently, an observational and descriptive study was conducted in September 2019 in three Family Health Units in central Portugal. Women of childbearing age, with scheduled family planning consultation, were the target population. The sample was randomly selected (n=127). These women answered a questionnaire that allowed the collection of personal data such as age, marital status, and prior pregnancies, as well as their quantitative assessment against a list of factors that could influence their decision about the choice of a contraceptive method.
Results: The oral hormonal contraceptive was the most used method (57.5%), while the effectiveness (78%) and safety of the method (78.7%) were considered very important factors. Less prominently, women reported the following factors: ease of use (59.8%), preventing irregular blood loss (55.9%), protecting against sexually transmitted diseases (54.3%), accessibility (53.5%), and avoiding side effects (53.5%). Regarding the opinion of third parties, only the opinion of the doctor was considered very important for 59.1% of them.
Conclusion: This study allowed the identification of a set of factors considered relevant for women of childbearing age when choosing a contraceptive method. These results may help family physicians direct their approach, answering their questions and concerns so that later they can make their individual decision on which method to use.
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References
Pacheco A, Costa AR, Lanhoso A, Santos AT, Rodrigues C, Rebelo C, et al. Consenso sobre contraceção 2020 [Internet]. Lisboa: Sociedade Portuguesa da Contraceção; 2020. Available from: https://www.spdc.pt/images/SPDC_Consensos_2020_27Nov_Final_web_versao_livro_digital.pdf
Órfão A, Leça A, Henriques A, Calado B, Branco J, Vicente L, et al. Saúde reprodutiva, planeamento familiar. Lisboa: DGS; 2008.
Águas F, Bombas T, Silva DP. Avaliação das práticas contracetivas das mulheres em Portugal [Evaluation on portuguese women contraceptive practice]. Acta Obstet Ginecol Port. 2016;10(3):184-92. Portuguese
Penaforte MC, Silva LR, Esteves AP, Silva RF, Santos IM, Silva MD. Conhecimento, uso e escolha dos métodos contraceptivos por um grupo de mulheres de uma unidade básica de saúde em Teresópolis, RJ [Knowledge, use and choice of contraceptive methods by a group of women at a basic health unit in Teresópolis, RJ]. Cogitare Enferm. 2010;15(1):124-30. Portuguese
Halpern V, Lopez LM, Grimes DA, Stockton LL, Gallo MF. Strategies to improve adherence and acceptability of hormonal methods of contraception. Cochrane Database Syst Rev. 2013;(10):CD004317.
Dehlendorf C, Henderson JT, Vittinghoff E, Grumbach K, Levy K, Schmittdiel J, et al. Association of the quality of interpersonal care during family planning counseling with contraceptive use. Am J Obstet Gynecol. 2016;215(1):78.e1-9.
Dehlendorf C, Levy K, Kelley A, Grumbach K, Steinauer J. Women’s preferences for contraceptive counseling and decision making. Contraception. 2013;88(2): 250-6.
Wyatt KD, Anderson RT, Creedon D, Montori VM, Bachman J, Erwin P, et al. Women’s values in contraceptive choice: a systematic review of relevant attributes included in decision aids. BMC Womens Health. 2014;14(1):28.
Zunta RS, Barreto ES. Planejamento familiar: critérios para escolha do método contraceptivo [Family planning: criteria for choice of contraceptive method]. J Health Sci Inst. 2014;32(2):173-8.
Lopez LM, Steiner M, Grimes DA, Hilgenberg D, Schulz KF. Strategies for communicating contraceptive effectiveness. Cochrane Database Syst Rev. 2013;(4):CD006964.
Madden T, Secura GM, Nease RF, Politi MC, Peipert JF. The role of contraceptive attributes in women’s contraceptive decision making. Am J Obstet Gynecol. 2015;213(1):46.e1-e6.
Mansour D. International survey to assess women’s attitudes regarding choice of daily versus nondaily female hormonal contraception. Int J Womens Health. 2014;6:367-75.
Garbers S, Meserve A, Kottke M, Hatcher R, Chiasson MA. Tailored health messaging improves contraceptive continuation and adherence: results from a randomized controlled trial. Contraception. 2012;86(5):536-42.
Lopez LM, Grey TW, Tolley EE, Chen M. Brief educational strategies for improving contraception use in young people. Cochrane Database Syst Rev. 2016;3(3):CD012025.
Lyons S, Arcara J, Deardorff J, Gomez AM. Financial strain and contraceptive use among women in the United States: differential effects by age. Womens Health Issues. 2019;29(2):153-60.
Egarter C, Tirri BF, Bitzer J, Kaminskyy V, Oddens BJ, Prilepskaya V, et al. Women’s perceptions and reasons for choosing the pill, patch, or ring in the CHOICE study: a cross-sectional survey of contraceptive method selection after counseling. BMC Womens Health. 2013;13:9.
Pariona MIC. Factores que influyen en la elección de métodos anticonceptivos modernos y naturales en las mujeres en edad reproductiva de la comunidad de Coricocha del distrito de Vilca, departamento de Huancavelica [dissertation]. Pillco Marca, Peru: Universidad Nacional Hermilio Valdizán; 2017.
Gomard M. Facteurs influençant l’utilisation de la contraception à Mayotte: enquête auprès des femmes consultant en dispensaire [dissertation]. Toulouse: Université Paul Sabatier-Toulouse III; 2017.
Donnelly KZ, Foster TC, Thompson R. What matters most? The content and concordance of patients’ and providers’ information priorities for contraceptive decision making. Contraception. 2014;90(3):280-7.
Bitzer J, Gemzell-Danielsson K, Roumen F, Marintcheva-Petrova M, van Bakel B, Oddens BJ. Factors influencing women’s selection of combined hormonal contraceptive methods after counselling in 11 countries. Eur J Contracept Reprod Health Care. 2012;17(1):65-78.
Claringbold L, Sanci L, Temple-Smith M. Factors influencing young women’s contraceptive choices. Aust J Gen Pract. 2019;48(6):389-94.
Hulme J, Dunn S, Guilbert E, Soon J, Norman W. Barriers and facilitators to family planning access in Canada. Healthc Policy. 2015;10(33):48-63.
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