Probability of contraceptive continuation and its determinants.
Probability of contraceptive continuation and factors associated with discontinuation were assessed in a retrospective study of women's records in Alexandria. Contraceptive continuation rates were 88/100, 75/100 and 56/100 women at 6, 12 and 24 months respectively. Reasons for discontinuation included side-effects and health concerns (30.4%), accidental pregnancy and personal reasons (6.4%) and desire for pregnancy (5.4%). Women who were older and who had several children were most likely to continue contraceptive use. Three significant predictors of discontinuation were side-effects and health concerns, age of the woman and contraceptive method. Women should be fully informed of the contraceptive methods available and their side-effects, and counselling programmes should be offered, particularly during the first 2 years of use.
Mahdy
N H
NH
Biostatistics Department, High Institute of Public Health, Alexandria University, Egypt.
el-Zeiny
N A
NA
D000328:Adult; D000367:Age Factors; D001294:Attitude to Health; D003267:Contraception / Q000009:adverse effects / Q000379:methods / Q000523:psychology* / Q000706:statistics & numerical data*; D003268:Contraception Behavior / Q000523:psychology* / Q000706:statistics & numerical data*; D004534:Egypt; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D015993:Life Tables; D010298:Parity; D011237:Predictive Value of Tests; D011247:Pregnancy; D016016:Proportional Hazards Models; D012189:Retrospective Studies; D012959:Socioeconomic Factors; D014504:Urban Health / Q000706:statistics & numerical data; D014930:Women / Q000523:psychology*