A risk scoring tool for predicting Kenyan women at high risk of contraceptive discontinuation

Autor: Claire W. Rothschild, Barbra A. Richardson, Brandon L. Guthrie, Peninah Kithao, Tom Omurwa, James Mukabi, Erica M Lokken, Grace John-Stewart, Jennifer A. Unger, John Kinuthia, Alison L. Drake
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Contraception: X, Vol 2, Iss , Pp 100045- (2020)
Druh dokumentu: article
ISSN: 2590-1516
DOI: 10.1016/j.conx.2020.100045
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),
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