title: Satisfaction and discontinuation of contraception by contraceptive method among university women.
abstract: This study examined the association between contraceptive method and satisfaction and discontinuation. Few studies have examined these issues in the university setting and how they may potentially impact unintended pregnancy rates. This study examined data from 172 college women aged 18-36 years enrolled in the Study on Contraceptive Knowledge in Students, a cross-sectional study conducted at a large, public university. Logistic regression was used to model the association between current type of contraceptive method used (non-coital dependent vs. coital dependent) and satisfaction as well as previous type of contraceptive method used and discontinuation of that method. Nearly 80% of contracepting women currently used a non-coital dependent method. After adjustment for age, race, and location where contraception was obtained, current non-coital dependent users were significantly more likely to be satisfied with their contraceptive method compared to women using coital dependent methods (OR = 4.73, 95% CI: 1.64, 13.63). After adjustment for age, race, and history of pregnancy, women who used non-coital dependent methods of contraception were 91% less likely to have discontinued their method compared to women who used coital dependent methods (OR = 0.09, 95% CI: 0.04, 0.20). Healthcare workers and public health professionals can counsel women on using contraceptive methods that best suit their needs. By doing so, patient satisfaction and consistent contraceptive use may improve and lead to a decrease in unintended pregnancies.
authors.affiliation: Department of Public Health Sciences, The University of North Carolina at Charlotte, Charlotte, NC, USA. jennifer.ersek@carolinashealthcare.org
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Ersek
authors.forename: Larissa R
authors.initials: LR
authors.lastname: Brunner Huber
authors.forename: Michael E
authors.initials: ME
authors.lastname: Thompson
authors.forename: Jan
authors.initials: J
authors.lastname: Warren-Findlow
mesh_terms: D000293:Adolescent; D000328:Adult; D003258:Consumer Behavior; D003267:Contraception / Q000145:classification / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D009657:North Carolina; D055815:Young Adult