Adherence to Oral Contraception in Young Women: Beliefs, Locus of Control, and Psychological Reactance

Background: There is a high dropout rate of oral contraceptive pills (OCP), mainly due to a lack of adherence to treatment. The aim of this study was to identify the psychological processes and attitudes toward medication involved in adherence to OCP, depending on the prescription, to avoid unintend...

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Autores principales:	Ascensión Fumero, Rosario J. Marrero, Wenceslao Peñate, Juan M. Bethencourt, Pedro Barreiro
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	hormonal oral medication adherent patient internal–external control reacting beliefs concerning Medicine R
Acceso en línea:	https://doaj.org/article/ec59826860064f65abb76c1e72ff5dae
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spelling	oai:doaj.org-article:ec59826860064f65abb76c1e72ff5dae2021-11-11T16:27:22ZAdherence to Oral Contraception in Young Women: Beliefs, Locus of Control, and Psychological Reactance10.3390/ijerph1821113081660-46011661-7827https://doaj.org/article/ec59826860064f65abb76c1e72ff5dae2021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11308https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Background: There is a high dropout rate of oral contraceptive pills (OCP), mainly due to a lack of adherence to treatment. The aim of this study was to identify the psychological processes and attitudes toward medication involved in adherence to OCP, depending on the prescription, to avoid unintended pregnancies (AUP) or gynecological problems (GP). Methods: This cross-sectional study was conducted by asking 689 young women in the fertile period, mean age 23.41 (SD = 5.90), to complete questionnaires related to attitudes, beliefs, psychological reactance, locus of control, and adherence to contraceptive medication. Descriptive analyses and a binary logistic regression were performed. Results: The results confirmed that different beliefs and psychological processes were involved in adherence to oral contraception, based on women’s reasons for taking contraceptive medication. More psychological processes were involved in non-adherence in the AUP group than in the GP group. Psychological reactance contributed most to explaining non-adherence in women who used the OCP to prevent unintended pregnancies. Conversely, women with gynecological problems reported difficulties in adherence, mainly due to their beliefs about contraceptive pills. Conclusions: These findings indicate that attitudes toward medication and psychological processes can play an important role in adherence to OCP, including reasons for using the pill. Identifying the psychological factors and beliefs linked with contraception could guide health professionals to provide counseling to women, thus increasing their adherence to medication and maximizing their health and well-being.Ascensión FumeroRosario J. MarreroWenceslao PeñateJuan M. BethencourtPedro BarreiroMDPI AGarticlehormonal oralmedicationadherent patientinternal–external controlreactingbeliefs concerningMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11308, p 11308 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	hormonal oral medication adherent patient internal–external control reacting beliefs concerning Medicine R
spellingShingle	hormonal oral medication adherent patient internal–external control reacting beliefs concerning Medicine R Ascensión Fumero Rosario J. Marrero Wenceslao Peñate Juan M. Bethencourt Pedro Barreiro Adherence to Oral Contraception in Young Women: Beliefs, Locus of Control, and Psychological Reactance
description	Background: There is a high dropout rate of oral contraceptive pills (OCP), mainly due to a lack of adherence to treatment. The aim of this study was to identify the psychological processes and attitudes toward medication involved in adherence to OCP, depending on the prescription, to avoid unintended pregnancies (AUP) or gynecological problems (GP). Methods: This cross-sectional study was conducted by asking 689 young women in the fertile period, mean age 23.41 (SD = 5.90), to complete questionnaires related to attitudes, beliefs, psychological reactance, locus of control, and adherence to contraceptive medication. Descriptive analyses and a binary logistic regression were performed. Results: The results confirmed that different beliefs and psychological processes were involved in adherence to oral contraception, based on women’s reasons for taking contraceptive medication. More psychological processes were involved in non-adherence in the AUP group than in the GP group. Psychological reactance contributed most to explaining non-adherence in women who used the OCP to prevent unintended pregnancies. Conversely, women with gynecological problems reported difficulties in adherence, mainly due to their beliefs about contraceptive pills. Conclusions: These findings indicate that attitudes toward medication and psychological processes can play an important role in adherence to OCP, including reasons for using the pill. Identifying the psychological factors and beliefs linked with contraception could guide health professionals to provide counseling to women, thus increasing their adherence to medication and maximizing their health and well-being.
format	article
author	Ascensión Fumero Rosario J. Marrero Wenceslao Peñate Juan M. Bethencourt Pedro Barreiro
author_facet	Ascensión Fumero Rosario J. Marrero Wenceslao Peñate Juan M. Bethencourt Pedro Barreiro
author_sort	Ascensión Fumero
title	Adherence to Oral Contraception in Young Women: Beliefs, Locus of Control, and Psychological Reactance
title_short	Adherence to Oral Contraception in Young Women: Beliefs, Locus of Control, and Psychological Reactance
title_full	Adherence to Oral Contraception in Young Women: Beliefs, Locus of Control, and Psychological Reactance
title_fullStr	Adherence to Oral Contraception in Young Women: Beliefs, Locus of Control, and Psychological Reactance
title_full_unstemmed	Adherence to Oral Contraception in Young Women: Beliefs, Locus of Control, and Psychological Reactance
title_sort	adherence to oral contraception in young women: beliefs, locus of control, and psychological reactance
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/ec59826860064f65abb76c1e72ff5dae
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Adherence to Oral Contraception in Young Women: Beliefs, Locus of Control, and Psychological Reactance

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