Impact of contraception counseling on choice of combined hormonal methods in Colombia
Objective. Determine the impact of informed contraceptive counseling on choice of contraceptive method. Methods. Multicenter descriptive study using before-and-after evaluation in nine cities in Colombia. Women considering use of self-administered combined hormonal methods at the time of consultatio...
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Pan American Health Organization
2015
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ir-10336-232282022-05-02T12:37:21Z Impact of contraception counseling on choice of combined hormonal methods in Colombia Impacto de la asesoría sobre anticoncepción en la selección de métodos hormonales combinados en Colombia Sánchez P.G. Lozano F. Velásquez A. Marrugo M. Torres L. Contraceptive use Decision making Employment Hormone Standardization Womens health Colombia Oral contraceptive agent Tablet Adolescent Adult Clinical trial Colombia Consumer attitude Contraceptive behavior Counseling Decision making Drug self administration Family planning Female Human Intravaginal drug administration Middle aged Motivation Multicenter study Oral drug administration Psychology Tablet Transdermal patch Young adult Adolescent Adult Choice behavior Colombia Consumer behavior Contraception behavior Counseling Family planning services Female Humans Middle aged Motivation Self administration Tablets Transdermal patch Young adult Colombia Contraception Contraceptive agents Contraceptive devices Decision making oral intravaginal oral oral hormonal combined Administration Administration Contraceptives Contraceptives Objective. Determine the impact of informed contraceptive counseling on choice of contraceptive method. Methods. Multicenter descriptive study using before-and-after evaluation in nine cities in Colombia. Women considering use of self-administered combined hormonal methods at the time of consultation were invited to participate. They were asked about contraceptive method use and preference, following signing of informed consent. Later, they were given standardized medical advice on contraception and then asked again about contraceptive preference and reasons for their choice. Results. The study enrolled 858 women. At the beginning of the study, 538 (62.7%) women were using the combined pill and 281 (32.8%) were not using any contraceptive method. Before receiving counseling, women showed a preference for the pill (62.7%), followed by the intravaginal ring (28.4%), and transdermal patch (14%). After counseling, preferences were as follows: pill (40.8%), intravaginal ring (31.5%), and transdermal patch (11.3%). After counseling, 32.5%, 26.8%, and 7.5% of those considering the pill, patch, and ring, respectively, changed their intended choice. Region of origin, employment status, desire to conceive a child in the future, and having a stable relationship showed a statistical relationship to choice of method. However, age, number of children, and level of education were not determining factors. Conclusions. Medical advice has an impact on choice of self-administered combined hormonal contraceptives, which helps women to use the method of their choice and improves adherence to the method in accordance with its particular conditions. 2015 2020-05-26T00:00:29Z info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 16805348 10204989 https://repository.urosario.edu.co/handle/10336/23228 eng info:eu-repo/semantics/openAccess application/pdf Pan American Health Organization instname:Universidad del Rosario |
institution |
EdocUR - Universidad del Rosario |
collection |
DSpace |
language |
Inglés (English) |
topic |
Contraceptive use Decision making Employment Hormone Standardization Womens health Colombia Oral contraceptive agent Tablet Adolescent Adult Clinical trial Colombia Consumer attitude Contraceptive behavior Counseling Decision making Drug self administration Family planning Female Human Intravaginal drug administration Middle aged Motivation Multicenter study Oral drug administration Psychology Tablet Transdermal patch Young adult Adolescent Adult Choice behavior Colombia Consumer behavior Contraception behavior Counseling Family planning services Female Humans Middle aged Motivation Self administration Tablets Transdermal patch Young adult Colombia Contraception Contraceptive agents Contraceptive devices Decision making oral intravaginal oral oral hormonal combined Administration Administration Contraceptives Contraceptives |
spellingShingle |
Contraceptive use Decision making Employment Hormone Standardization Womens health Colombia Oral contraceptive agent Tablet Adolescent Adult Clinical trial Colombia Consumer attitude Contraceptive behavior Counseling Decision making Drug self administration Family planning Female Human Intravaginal drug administration Middle aged Motivation Multicenter study Oral drug administration Psychology Tablet Transdermal patch Young adult Adolescent Adult Choice behavior Colombia Consumer behavior Contraception behavior Counseling Family planning services Female Humans Middle aged Motivation Self administration Tablets Transdermal patch Young adult Colombia Contraception Contraceptive agents Contraceptive devices Decision making oral intravaginal oral oral hormonal combined Administration Administration Contraceptives Contraceptives Sánchez P.G. Lozano F. Velásquez A. Marrugo M. Torres L. Impact of contraception counseling on choice of combined hormonal methods in Colombia |
description |
Objective. Determine the impact of informed contraceptive counseling on choice of contraceptive method. Methods. Multicenter descriptive study using before-and-after evaluation in nine cities in Colombia. Women considering use of self-administered combined hormonal methods at the time of consultation were invited to participate. They were asked about contraceptive method use and preference, following signing of informed consent. Later, they were given standardized medical advice on contraception and then asked again about contraceptive preference and reasons for their choice. Results. The study enrolled 858 women. At the beginning of the study, 538 (62.7%) women were using the combined pill and 281 (32.8%) were not using any contraceptive method. Before receiving counseling, women showed a preference for the pill (62.7%), followed by the intravaginal ring (28.4%), and transdermal patch (14%). After counseling, preferences were as follows: pill (40.8%), intravaginal ring (31.5%), and transdermal patch (11.3%). After counseling, 32.5%, 26.8%, and 7.5% of those considering the pill, patch, and ring, respectively, changed their intended choice. Region of origin, employment status, desire to conceive a child in the future, and having a stable relationship showed a statistical relationship to choice of method. However, age, number of children, and level of education were not determining factors. Conclusions. Medical advice has an impact on choice of self-administered combined hormonal contraceptives, which helps women to use the method of their choice and improves adherence to the method in accordance with its particular conditions. |
format |
Artículo (Article) |
author |
Sánchez P.G. Lozano F. Velásquez A. Marrugo M. Torres L. |
author_facet |
Sánchez P.G. Lozano F. Velásquez A. Marrugo M. Torres L. |
author_sort |
Sánchez P.G. |
title |
Impact of contraception counseling on choice of combined hormonal methods in Colombia |
title_short |
Impact of contraception counseling on choice of combined hormonal methods in Colombia |
title_full |
Impact of contraception counseling on choice of combined hormonal methods in Colombia |
title_fullStr |
Impact of contraception counseling on choice of combined hormonal methods in Colombia |
title_full_unstemmed |
Impact of contraception counseling on choice of combined hormonal methods in Colombia |
title_sort |
impact of contraception counseling on choice of combined hormonal methods in colombia |
publisher |
Pan American Health Organization |
publishDate |
2015 |
url |
https://repository.urosario.edu.co/handle/10336/23228 |
_version_ |
1740172135037403136 |
score |
12,131701 |