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Predictors of combined hormone contraception choice between Czech and Slovak women


Authors: T. Fait
Authors‘ workplace: Gynekologicko-porodnická klinika 1. LF UK a VFN, Praha, přednosta prof. MUDr. A. Martan, DrSc.
Published in: Ceska Gynekol 2011; 76(3): 190-193

Overview

Objective:
The aim of the project was to evaluate criterias for women’s contraception application way choice.

Design:
Non-interventional, multicentric, prospective project.

Setting:
Dept. of Obstetrics and Gynecology, 1st Faculty of Medicine, Charles University Prague.

Methods:
The choice of application way of combined hormone contraception was evaluate in group of 1944 women in 183 centers before and after doctor’s consultation. Women’s opinions, knowledges and socio-demografic predictors were corelated with final decision.

Results:
The most important factor choice of application way is minding that application is easy. It elevates probability of final choice by 65% for combined oral contraception and by 90% for path and vaginal ring. Vote for vaginal ring and patch is growing with age.

Conclusions:
Easibility of application, efficacy and cycle control are the most important predictors for contraception choice. The biggest fears are connected with adverse events for pills and low frequency of usage in population for patch and ring.

Key words:
combined hormonal contraception, pill, vaginal ring, patch, CHOICE project, criteria for choice.


Sources

1. Draper, L. Working women and contraception. AAOHN J, 2006, 54, p. 2304-2311.

2. Fait, T. Význam konzultace při výběru kombinované hormonální antikoncepce – výsledky studie CHOICE v České a Slovenské republice. Čes Gynek, 2011, 76, 2, s. 140-144.

3. Fiebig, DG., Knox, S., Vinex, R., et al. Preferences for new and existing contraceptive products. Health Econ, 2010, Epub ahead of print.

4. Lete, I., Doval, JL., Perez-Campos, E., et al. Factors affecting women’s selection of a combined hormonal contraceptive method: the TEAM-06 Spanish cross-sectional study. Contraception, 2007, 76, p. 77-83.

5. Lopez, LM, Steiner, MJ., Grimes, DA., Schulz, KF. Strategies for communication contraceptive effectiveness. Cochrane Database Syst Rev, 2008, 16, 2, CD006964.

6. May, WL., Johonson, WD. A SAS macro for constructing simultaneous confidence intervals for multinomial proportions. Computer methods and programs. Biomedicine, 1997, 53, p. 153-162.

7. Skouby, SO. Contraceptive use and behavior in the 21st century: a comprehensive study across five European countries. Eur J Contracept Reprod Health Care, 2004, 9, 2, p. 57-68.

8. Urdl, W., Apter, D., Alperstein, A., et al. Contraceptive efficacy, compliance and beyondfactors related to satisfaction with once-weekly transdermal compared with oral contraception. Eur J Obstet Gynecol Reprod Biol, 2005, 121, p. 202-210.

Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine

Article was published in

Czech Gynaecology

Issue 3

2011 Issue 3

Most read in this issue
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