Beyond safety and efficacy: sexuality-related priorities and their associations with contraceptive method selection

摘要: Abstract Objectives Sexuality-related preferences have been understudied in contraceptive selection and uptake. Investigators endeavored to assess among patients selecting new methods at family planning clinics evaluate the degree which two sexuality-related are (a) valued (b) associated with method selection. Study design Data were derived from HER Salt Lake Contraceptive Initiative, a longitudinal cohort nested quasi-experimental, observational study enrolling 18–45-year-old four health centers County. At time of their choice, participants reported importance nine factors selection, including preferences: method's lack impact on libido its sexual interruption. Analyses involved multinomial logistic regression selected as outcome, main explanatory variables, range controls covariates. Results Among 2188 individuals seeking methods, most frequently cited quite or extremely important safety (98%), effectiveness (94%), not interrupting sex (81%), impacting (81%) side effects (80%). Less included partner acceptability (46%), hormones (39%), friend recommendation (29%) alignment religious beliefs (11%). Multivariate models documented no significant associations between sexual-related priorities Conclusions Many seekers rank alongside efficacy very important, but align people's priorities. Implications Since endorse (impact libido, interruption) efficacy, research, counseling care should attend sexuality.