Abstract
Study Objective
To examine what predicts low personal acceptability of 4 different contraceptive methods
among young women.
Design
Cross-sectional survey.
Setting
Urban adolescent contraception clinic in Colorado.
Participants
Female clinic patients ages 13-24 initiating contraception from August 2011 to April 2012.
Interventions and Main Outcome Measures
Survey participants reported their personal acceptability for oral contraceptive pills,
depot medroxyprogesterone, contraceptive implants, and intrauterine devices on a scale
from 0 (low) to 10 (high). Responses of 0-4 were categorized as low personal acceptability.
Demographic characteristics, reproductive history, and perceived contraceptive satisfaction
of friends and family members were incorporated into multivariable and hierarchical
logistic regression models to determine distinct predictors of low personal acceptability
for each method.
Results
Surveys were completed by 1067 women. Participants' mean age was 20 (±2.6) years.
Half (552/1067) were white, 26% (277/1067) Hispanic, and 8.5% (91/1067) black. Of
participants who were aware of oral contraceptive pills 52% (535/1037) reported low
acceptability of this method compared with 74% (645/876) of those aware of depot medroxyprogesterone.
Fewer reported low acceptability of intrauterine devices (37% or 303/825) or implant
(43% or 356/839), although fewer overall participants had heard of these methods.
Each method had unique predictors of low personal acceptability, however, for all
method models, significant predictors included knowing someone who had become pregnant
while using that method or having a friend who dislikes that method.
Conclusion
Young women in this study with low personal acceptability of the 4 most common contraceptive
methods had distinct demographic and reproductive health characteristics. Perceived
negative experiences of friends and family members using contraception appeared most
influential.
Key Words
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Article info
Publication history
Published online: November 30, 2017
Footnotes
Dr Hoopes received a Young Investigator Grant supported by Bayer and the North American Society for Pediatric and Adolescent Gynecology. Dr Akers has funding for an investigator-initiated study from Bayer Healthcare and the Society of Family Planning and funding from The John Templeton Foundation. Dr Teal reports she has served on scientific advisory boards of Actavis and Bayer Healthcare, and serves on a Data Monitoring Board for a study funded by Merck and Co. The University of Colorado Department of Obstetrics and Gynecology has received research funding from Bayer, Agile Therapeutics, Merck and Co, and Medicines360. No authors have additional conflicts of interest to disclose.
Identification
Copyright
© 2017 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc.
