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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
4
|
| pubmed:dateCreated |
1988-11-21
|
| pubmed:abstractText |
Using data from the 1982 National Survey of Family Growth (NSFG), this analysis reports differentials in contraceptive discontinuation among married women aged 15-44 years in the United States. The total discontinuation rate is broken down into change to no method (termination) or to a different method (a method switch), and rates are obtained for specific methods. In addition, sociodemographic differences in risks associated with each type of discontinuation are shown. Discontinuation rates are compared to use-failure rates to provide a more comprehensive understanding of the implications of discontinuation for contraceptive efficacy.
|
| pubmed:keyword |
http://linkedlifedata.com/resource/pubmed/keyword/Americas,
http://linkedlifedata.com/resource/pubmed/keyword/Blacks,
http://linkedlifedata.com/resource/pubmed/keyword/Contraception,
http://linkedlifedata.com/resource/pubmed/keyword/Contraception Continuation,
http://linkedlifedata.com/resource/pubmed/keyword/Contraception Failure,
http://linkedlifedata.com/resource/pubmed/keyword/Contraception Termination,
http://linkedlifedata.com/resource/pubmed/keyword/Contraceptive Methods Chosen,
http://linkedlifedata.com/resource/pubmed/keyword/Contraceptive Usage--changes,
http://linkedlifedata.com/resource/pubmed/keyword/Cultural Background,
http://linkedlifedata.com/resource/pubmed/keyword/Demographic Analysis,
http://linkedlifedata.com/resource/pubmed/keyword/Demographic Factors,
http://linkedlifedata.com/resource/pubmed/keyword/Developed Countries,
http://linkedlifedata.com/resource/pubmed/keyword/Ethnic Groups,
http://linkedlifedata.com/resource/pubmed/keyword/Family Planning,
http://linkedlifedata.com/resource/pubmed/keyword/Family Planning, Behavioral Methods,
http://linkedlifedata.com/resource/pubmed/keyword/Life Table Method,
http://linkedlifedata.com/resource/pubmed/keyword/North America,
http://linkedlifedata.com/resource/pubmed/keyword/Northern America,
http://linkedlifedata.com/resource/pubmed/keyword/Population,
http://linkedlifedata.com/resource/pubmed/keyword/Population Characteristics,
http://linkedlifedata.com/resource/pubmed/keyword/Research Methodology,
http://linkedlifedata.com/resource/pubmed/keyword/Rhythm Method, Calendar,
http://linkedlifedata.com/resource/pubmed/keyword/United States,
http://linkedlifedata.com/resource/pubmed/keyword/Whites
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:issn |
0039-3665
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
19
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
227-35
|
| pubmed:dateRevised |
2006-11-15
|
| pubmed:otherAbstract |
PIP: This study examines 2292 contraceptive use-intervals of 1505 currently married women, aged 15-44, obtained from the Cycle III National Survey of Family Growth. The use-intervals occurred between January 1979 and August 1982, and the analysis is limited to the 1st 12 months of exposed use. From this data a discrete-time, piece-wise exponential hazards model is used to construct 2 destination-specific models from which cumulative 12-month probabilities of stopping all method use and of switching methods can be estimated. The change model was affected only by current method type, duration of use, and race; the use-discontinuation model was affected by age and education as well. A high proportion of discontinuation was to no method, ranging from 41.6% among condom users to 82.9% among rhythm users. Rhythm users showed the lowest (2.8%) probability of switching to another method. Total discontinuation rates for other nonpermanent methods were 25.7% for the pill, 21.4% for the IUD, 28.6% for the condom, 29.5% for the diaphragm, and 45.4% for spermicides. Spermicide discontinuers were more likely to adopt other methods than were the pill, IUD, condom, or diaphragm discontinuers. Black women had a lower risk of changing methods than white women, but they were much more likely to stop all method use. These findings suggest either that black women find no acceptable alternative methods or that they are more willing to accept an unintended pregnancy. Younger women and less educated women were more likely to stop method use, but neither education nor age affected switching. With the exception of the rhythm method, discontinuation rates and use-failure rates were positively correlated. However, pill and IUD discontinuation were probably more related to side effects than to failure. The only variable that affected discontinuation rates but had no effect on the risk of contraceptive use-failure was race. Black women had high rates of method abandonment even of highly reliable methods.
|
| pubmed:meshHeading |
pubmed-meshheading:3176095-Actuarial Analysis,
pubmed-meshheading:3176095-Adolescent,
pubmed-meshheading:3176095-Adult,
pubmed-meshheading:3176095-African Americans,
pubmed-meshheading:3176095-Contraception,
pubmed-meshheading:3176095-Contraceptive Devices,
pubmed-meshheading:3176095-European Continental Ancestry Group,
pubmed-meshheading:3176095-Female,
pubmed-meshheading:3176095-Humans,
pubmed-meshheading:3176095-Natural Family Planning Methods,
pubmed-meshheading:3176095-Patient Dropouts,
pubmed-meshheading:3176095-Risk Factors,
pubmed-meshheading:3176095-United States
|
| pubmed:articleTitle |
Contraceptive discontinuation among married women in the United States.
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| pubmed:affiliation |
Battelle Human Affairs Research Centers, Seattle, WA 98105.
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| pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, Non-P.H.S.
|