Predictors of contraceptive switching and discontinuation within the first 6 months of use among Highly Effective Reversible Contraceptive Initiative Salt Lake study participants.

摘要: Background Nearly half of women will switch or discontinue using their selected contraceptive method in the first year. Research on early switching discontinuation provides important clinical and public health insights, although few studies have assessed associated factors, particularly among longitudinal cohorts. Objective The current study explores attributes with ( Materials Methods Highly Effective Reversible Contraceptive Initiative Salt Lake participants access to no-cost contraception for 3 years. This includes both initial selection ability methods without cost. available included following: nonhormonal behavioral (male/female condoms, withdrawal, diaphragms, cervical caps, fertility awareness); short-acting (pill, patch, ring, injectable); long-acting (intrauterine devices implants). Participants completed surveys at baseline 1, 3, 6 months. We collected data participant demographics, continuation, switching, discontinuation, as well factors these changes, including established measures pregnancy intention ambivalence reasons discontinuing. conducted descriptive statistics, univariable, multivariable Poisson regression analyses assess predictors switching. also χ2 compare reported stopping between switchers discontinuers. Results At months, 2,583 (70.0%) continuation method, 367 (10%) least 1 period 459 (12.4%) a different 279 (7.6%) did not provide 6-month follow-up. Factors (incidence rate ratio [IRR], 2.49; 95% confidence interval [CI], 1.97, 3.12), report Hispanic ethnicity (IRR, 1.45; CI, 1.12, 1.89) nonwhite race 1.48; 1.08, 2.02), having any future plans, even years out. some college education were less likely 0.73; 0.57, 0.94). Selecting was increased likelihood 2.29, 1.87, 2.80), 2 more children 1.37; 1.74). Women if they parents’ insurance 0.74; 0.56, 0.99). Among who switched methods, 36.9% reversible 31.7% hormonal 31.1% such condom use. Of providing reason stopping, 454 (73.2%) side effects discontinuing method. Conclusion Early are frequent outcomes These changes common removal barriers.