Predictors of non-use of intrauterine contraception among women aged 18–49 years in a general practice setting in the UK
| Autor: | Lesley Hoggart, Mike Parker, Susan Walker, Victoria Louise Newton |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
media_common.quotation_subject Context (language use) Sample (statistics) Fertility Logistic regression Intrauterine device 03 medical and health sciences 0302 clinical medicine Nursing medicine UK 030212 general & internal medicine intrauterine system Original Research media_common general practice 030219 obstetrics & reproductive medicine business.industry Odds ratio intrauterine device Irregular periods Family medicine intrauterine contraception medicine.symptom business Qualitative research |
| Zdroj: | Open Access Journal of Contraception |
| ISSN: | 1179-1527 |
| DOI: | 10.2147/oajc.s116994 |
| Popis: | Objectives Our research examined the barriers to the uptake of intrauterine contraception (IUC) by women in a general practice (GP) setting in the UK. This study reports predictors of non-use of IUC in this context. Design We used a mixed method Qual/Quant approach in which the initial qualitative research provides a framework for subsequent larger quantitative surveys. Utilizing findings derived from 30 qualitative interviews, a quantitative survey was developed and distributed to a pragmatic sample of 1,195 women, aged 18–49 years, who were recruited through 32 participating GP practices in an area of England, UK. Outcome measures were percentage of attributes or responses in the sample and use or non-use of IUC. Results were analyzed using descriptive statistical analysis and binary logistic regression, using use/non-use as a binary response variable. Results Attitudinal variables, which were the strongest predictors of non-use of IUC, were an adverse opinion on long-acting aspect of IUC (odds ratio [OR]=8.34), disliking the thought of IUC inside the body (OR=3.138), concerns about IUC causing difficulties becoming pregnant in the future (OR=2.587), concerns about womb damage (OR=2.224), having heard adverse opinions about levonorgestrel-releasing intrauterine system (Mirena®) (OR=2.551), having an adverse opinion of having light, irregular periods (OR=2.382) and, having an adverse opinion of having no periods (OR=2.018). Conclusion Concerns about the long-acting nature of IUC and persisting concerns about the safety of IUC may act as barriers to its use. Information for women, tailored to specifically address these concerns, is needed. Implications Clinicians should provide more reassurance and information to potential users of IUC to increase their confidence about the possibility of removing IUC early or on request. They should also specifically seek to alleviate concerns about internal damage, damage to the womb, or damage to future fertility from using the methods. Video abstract |
| Databáze: | OpenAIRE |
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