Association between experience of specific side-effects and contraceptive switching and discontinuation in Uganda: results from a longitudinal study

Plain English summary Research has shown that experiencing side-effects is related to stopping use of contraception, even when women wish to avoid pregnancy. Most research, however, does not differentiate between distinct side-effects, such as increased bleeding or changes to sexual experience, and...

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Autores principales:	Linnea A. Zimmerman, Dana O. Sarnak, Celia Karp, Shannon N. Wood, Saifuddin Ahmed, Fredrick Makumbi, Simon P. S. Kibira
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Contraceptive side-effects Contraceptive continuation Contraceptive switching Longitudinal Menstrual bleeding Sexual experience Gynecology and obstetrics RG1-991
Acceso en línea:	https://doaj.org/article/99433b4ac1854d68b1355308447f9c45
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spelling	oai:doaj.org-article:99433b4ac1854d68b1355308447f9c452021-11-28T12:28:50ZAssociation between experience of specific side-effects and contraceptive switching and discontinuation in Uganda: results from a longitudinal study10.1186/s12978-021-01287-51742-4755https://doaj.org/article/99433b4ac1854d68b1355308447f9c452021-11-01T00:00:00Zhttps://doi.org/10.1186/s12978-021-01287-5https://doaj.org/toc/1742-4755Plain English summary Research has shown that experiencing side-effects is related to stopping use of contraception, even when women wish to avoid pregnancy. Most research, however, does not differentiate between distinct side-effects, such as increased bleeding or changes to sexual experience, and instead combined all into “side-effects or health concerns”. We used data from 560 women in Uganda, who were interviewed twice, 1 year apart, to see if women who reported different side-effects at the first interview were more likely to stop using contraception or switch to a different contraceptive method than women who did not report experiencing side-effects. We found that increased or decreased menstrual bleeding was associated with a higher odds of contraceptive discontinuation and switching, Contraceptive discontinuation or switching was not different by women’s reporting of vaginal dryness/reduced libido or physical discomfort, such as cramping. It is important to understand what side-effects are likely to motivate stopping or switching contraception so that education and counseling can inform women of side-effects they may experience, help them choose the best method based on what side-effects they deem important, and if necessary, aid in switching contraceptive methods.Linnea A. ZimmermanDana O. SarnakCelia KarpShannon N. WoodSaifuddin AhmedFredrick MakumbiSimon P. S. KibiraBMCarticleContraceptive side-effectsContraceptive continuationContraceptive switchingLongitudinalMenstrual bleedingSexual experienceGynecology and obstetricsRG1-991ENReproductive Health, Vol 18, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Contraceptive side-effects Contraceptive continuation Contraceptive switching Longitudinal Menstrual bleeding Sexual experience Gynecology and obstetrics RG1-991
spellingShingle	Contraceptive side-effects Contraceptive continuation Contraceptive switching Longitudinal Menstrual bleeding Sexual experience Gynecology and obstetrics RG1-991 Linnea A. Zimmerman Dana O. Sarnak Celia Karp Shannon N. Wood Saifuddin Ahmed Fredrick Makumbi Simon P. S. Kibira Association between experience of specific side-effects and contraceptive switching and discontinuation in Uganda: results from a longitudinal study
description	Plain English summary Research has shown that experiencing side-effects is related to stopping use of contraception, even when women wish to avoid pregnancy. Most research, however, does not differentiate between distinct side-effects, such as increased bleeding or changes to sexual experience, and instead combined all into “side-effects or health concerns”. We used data from 560 women in Uganda, who were interviewed twice, 1 year apart, to see if women who reported different side-effects at the first interview were more likely to stop using contraception or switch to a different contraceptive method than women who did not report experiencing side-effects. We found that increased or decreased menstrual bleeding was associated with a higher odds of contraceptive discontinuation and switching, Contraceptive discontinuation or switching was not different by women’s reporting of vaginal dryness/reduced libido or physical discomfort, such as cramping. It is important to understand what side-effects are likely to motivate stopping or switching contraception so that education and counseling can inform women of side-effects they may experience, help them choose the best method based on what side-effects they deem important, and if necessary, aid in switching contraceptive methods.
format	article
author	Linnea A. Zimmerman Dana O. Sarnak Celia Karp Shannon N. Wood Saifuddin Ahmed Fredrick Makumbi Simon P. S. Kibira
author_facet	Linnea A. Zimmerman Dana O. Sarnak Celia Karp Shannon N. Wood Saifuddin Ahmed Fredrick Makumbi Simon P. S. Kibira
author_sort	Linnea A. Zimmerman
title	Association between experience of specific side-effects and contraceptive switching and discontinuation in Uganda: results from a longitudinal study
title_short	Association between experience of specific side-effects and contraceptive switching and discontinuation in Uganda: results from a longitudinal study
title_full	Association between experience of specific side-effects and contraceptive switching and discontinuation in Uganda: results from a longitudinal study
title_fullStr	Association between experience of specific side-effects and contraceptive switching and discontinuation in Uganda: results from a longitudinal study
title_full_unstemmed	Association between experience of specific side-effects and contraceptive switching and discontinuation in Uganda: results from a longitudinal study
title_sort	association between experience of specific side-effects and contraceptive switching and discontinuation in uganda: results from a longitudinal study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/99433b4ac1854d68b1355308447f9c45
work_keys_str_mv	AT linneaazimmerman associationbetweenexperienceofspecificsideeffectsandcontraceptiveswitchinganddiscontinuationinugandaresultsfromalongitudinalstudy AT danaosarnak associationbetweenexperienceofspecificsideeffectsandcontraceptiveswitchinganddiscontinuationinugandaresultsfromalongitudinalstudy AT celiakarp associationbetweenexperienceofspecificsideeffectsandcontraceptiveswitchinganddiscontinuationinugandaresultsfromalongitudinalstudy AT shannonnwood associationbetweenexperienceofspecificsideeffectsandcontraceptiveswitchinganddiscontinuationinugandaresultsfromalongitudinalstudy AT saifuddinahmed associationbetweenexperienceofspecificsideeffectsandcontraceptiveswitchinganddiscontinuationinugandaresultsfromalongitudinalstudy AT fredrickmakumbi associationbetweenexperienceofspecificsideeffectsandcontraceptiveswitchinganddiscontinuationinugandaresultsfromalongitudinalstudy AT simonpskibira associationbetweenexperienceofspecificsideeffectsandcontraceptiveswitchinganddiscontinuationinugandaresultsfromalongitudinalstudy
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Association between experience of specific side-effects and contraceptive switching and discontinuation in Uganda: results from a longitudinal study

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