Document Detail

Contraceptive discontinuation and unintended pregnancy: an imperfect relationship.
MedLine Citation:
PMID:  21757420     Owner:  NLM     Status:  MEDLINE    
CONTEXT: Contraceptive discontinuation is a common event that may be associated with low motivation to avoid pregnancy. If this is the case, a substantial proportion of pregnancies that follow discontinuation will be reported as intended.
METHODS: Demographic and Health Survey data from six countries (Bangladesh, the Dominican Republic, Kazakhstan, Kenya, the Philippines and Zimbabwe) over the period 1999-2003 were used to explore the proportions of pregnancies women reported as intended or unintended following various contraceptive behaviors. Multivariate logistic regression analysis was used to examine the characteristics of women who reported births as intended when they followed contraceptive failure or discontinuation for reasons other than a desire for pregnancy.
RESULTS: The proportion of births reported as intended following contraceptive failure ranged from 16% in Bangladesh to 54% in Kazakhstan, and the proportion reported as intended following discontinuation for reasons other than a desire for pregnancy ranged from 37% in Kenya to 51% in Kazakhstan. In at least half the countries, associations were found between selected women's characteristics and their reports that births following either contraceptive failure or discontinuation were intended: Factors that were positively associated were women's age and the time elapsed between contraceptive discontinuation and the index conception; factors that were negatively associated were increasing number of living children and reporting method failure as opposed to method discontinuation.
CONCLUSION: These findings suggest that underlying variation in the motivation to avoid pregnancy is an important factor in contraceptive discontinuation.
Siân Curtis; Emily Evens; William Sambisa
Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  International perspectives on sexual and reproductive health     Volume:  37     ISSN:  1944-0405     ISO Abbreviation:  Int Perspect Sex Reprod Health     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-07-15     Completed Date:  2011-11-07     Revised Date:  2014-02-05    
Medline Journal Info:
Nlm Unique ID:  101504990     Medline TA:  Int Perspect Sex Reprod Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  58-66     Citation Subset:  IM    
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MeSH Terms
Contraception / psychology,  utilization*
Contraception Behavior / psychology,  statistics & numerical data*
Developing Countries
Dominican Republic
Health Surveys
Logistic Models
Medication Adherence / psychology,  statistics & numerical data*
Middle Aged
Multivariate Analysis
Pregnancy, Unplanned*
Young Adult
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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