Contraceptive switch and abandonment among women using the pill, condoms and injectables in Brazil: The European Journal of Contraception & Reproductive Health Care: Vol 0, No 0
Abstract
Purpose
The aim of our study was to assess the covariates of contraceptive switching and abandonment in Brazilian women stratified by oral pills, condoms and injectables.
Materials and Methods
Women attending primary health care services in three Brazilian mid- to large-sized cities were interviewed face-to-face about their contraceptive practices (n= 2,051). Data were collected using a contraceptive calendar. The analysis included estimates using Kaplan-Meier multiple regression of life-table probabilities and discrete-time hazards modeling transition from one method to another or to no method.
Results
In 3,280 contraceptive use segments, we observed that the five-year contraceptive switching rate ranged from 34.9% among injectable users to 56.1% among pill users. Of particular concern were the high dropout rates, which ranged from 50.9% among injectable users to 77.4% among pill users. Covariates of procedure switching and abandonment varied by procedure type, but age, race/ethnicity, religion and relationship status should be highlighted as key elements of discontinuation.
Conclusion
Switching and abandoning the contraceptive method is often the result of contraceptive use. Understanding the factors that shape women’s decisions to continue or stop using a contraceptive method can help tailor comprehensive contraceptive counseling that meets their reproductive expectations and needs. when starting to use a method.
SHORT CONDENSATION
Discontinuing contraception in women who need contraception can make it difficult to achieve their fertility goals, which can lead to unintended pregnancy.
Disclosure statement
The authors report no potential conflicts of interest.
Additional information
Funding
This work was supported by the Fundação de Amparo à Pesquisa do Estado de São Paulo/FAPESP [grant number 2014/02447-5]and Conselho Nacional de Desenvolvimento Científico e Tecnológico/CNPq [grant number 440577/2014-4].
