A risk scoring tool for predicting Kenyan women at high risk of contraceptive discontinuation
| Autor: | Jennifer A. Unger, Grace John-Stewart, Tom Omurwa, Brandon L. Guthrie, Claire W. Rothschild, John Kinuthia, Alison L. Drake, Barbra A. Richardson, Peninah Kithao, Erica M Lokken, James Mukabi |
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| Rok vydání: | 2020 |
| Předmět: |
Framingham Risk Score
business.industry Proportional hazards model lcsh:Public aspects of medicine Obstetrics and Gynecology lcsh:RA1-1270 Risk management tools Discontinuation Intrauterine device lcsh:Gynecology and obstetrics Confidence interval Article LMIC Contraception Reproductive Medicine Family planning Medicine Risk score business Prospective cohort study lcsh:RG1-991 Demography Unmet need |
| Zdroj: | Contraception: X Contraception: X, Vol 2, Iss, Pp 100045-(2020) |
| ISSN: | 2590-1516 |
| Popis: | Objective: We developed and validated a pragmatic risk assessment tool for identifying contraceptive discontinuation among Kenyan women who do not desire pregnancy. Study design: Within a prospective cohort of contraceptive users, participants were randomly allocated to derivation (n = 558) and validation (n = 186) cohorts. Risk scores were developed by selecting the Cox proportional hazards model with the minimum Akaike information criterion. Predictive performance was evaluated using time-dependent receiver operating characteristic curves and area under the curve (AUC). Results: The overall contraceptive discontinuation rate was 36.9 per 100 woman-years (95% confidence interval [CI] 30.3–44.9). The predictors of discontinuation selected for the risk score included use of a short-term method or copper intrauterine device (vs. injectable or implant), method continuation or switch (vs. initiation) |
| Databáze: | OpenAIRE |
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