title: Factors predicting mood changes in oral contraceptive pill users.
abstract: BACKGROUND
  Over 100 million women worldwide are using oral contraceptives pills (OCP) and mood changes were being as the primary reason for OCP discontinuation. The purpose of this study was to determine the prevalence and predicting factors of mood changes in oral contraceptive pills users.
  
  
  METHODS
  This was a cross-sectional study of 500 women aged 15-49 years old using low dose (LD) pills attending family planning centers in Ahwaz, Iran. Data were collected via face-to-face interviews using a structured questionnaire including items on demographic, self-efficacy and mood change. Both univarate and multiple logistic regression analyses were performed to assess the relationship between reported mood change and the independent variables.
  
  
  RESULTS
  In all 406 women reported that they did experience OCP side effects. Of these, 37.7% of women (n =153) reported mood changes due to OCP use. The results of multiple logistic regression revealed that place of living (OR =2.57, 95% CI = 1.06-6.20, p =0.03), not receiving information on OCP side effects (OR =1.80, 95% CI = 1.15-2.80, p =0.009), and lower self-efficacy (OR = 0.87, 95% CI = 0.80-0.94, p =0.001) were significant predictors of mood changes.
  
  
  CONCLUSIONS
  The findings from this study indicated that the prevalence of reported mood changes due to OCP use among Iranian women appeared to be consistent with other studies. In addition the findings showed that receiving information on OCP side effects from health care workers and self-efficacy were important predicting factors for mood changes. Indeed implementing educational programs and improving self-efficacy among women are recommended.
authors.affiliation: Department of Health Education, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran. Hidarnia@modares.ac.ir.
authors.forename: Ghodratollah
authors.initials: G
authors.lastname: Shakerinejad
authors.forename: Alireza
authors.initials: A
authors.lastname: Hidarnia
authors.forename: Mohammad Esmaeil
authors.initials: ME
authors.lastname: Motlagh
authors.forename: Khodabakhsh
authors.initials: K
authors.lastname: Karami
authors.forename: Shamsoddin
authors.initials: S
authors.lastname: Niknami
authors.forename: Ali
authors.initials: A
authors.lastname: Montazeri
mesh_terms: D000293:Adolescent; D000328:Adult; D003276:Contraceptives, Oral / Q000009:adverse effects*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007492:Iran; D016015:Logistic Models; D008875:Middle Aged; D019964:Mood Disorders / Q000139:chemically induced*; D017060:Patient Satisfaction; D020377:Self Efficacy; D011795:Surveys and Questionnaires
chemical_list: D003276:Contraceptives, Oral
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