Factors Associated with Contraceptive Satisfaction in Adolescent Women Using the IUD - 01/01/15
Abstract |
Study Objective |
To estimate satisfaction and to identify factors contributing to an adolescent woman's satisfaction with the levonorgestrel-containing or copper intrauterine device (IUD).
Design |
Adolescent women presenting to an urban clinic within 1 month of IUD insertion completed survey questionnaires about prior use of contraception, gynecologic/obstetric history, and a pain scale. Participants were contacted at 3 and 6 months post-insertion to complete surveys regarding satisfaction with the IUD, their menstrual bleeding patterns, and pain and cramping due to the IUD. Chi-square test, Fisher exact test, and logistic regression were used for analysis.
Setting |
Mount Sinai Adolescent Health Center in New York City.
Participants |
Seventy-nine adolescent women aged 15-24 y.
Interventions |
None.
Main Outcome Measure |
Satisfaction was measured at 3 and 6 months post-IUD insertion as a 10-point Likert item.
Results |
82% and 76% percent of participants were available for follow-up at 3 and 6 months, respectively. Satisfaction with the IUD was high overall with 75.4% (49/65) of participants choosing a satisfaction rating of eight or higher on the 10-point scale at 3 months and 76.7 % (46/60) at 6 months. Prior history of pregnancy and selecting the levonorgestrel containing IUD were predictive of higher satisfaction at 3 months, but not at 6 months. Parity and prior use of contraceptive methods were not predictive of satisfaction.
Conclusion |
The finding of high satisfaction across participants supports the current recommendation for the IUD as a first-line contraceptive for adolescents. Nulliparous young women and those who are naïve to contraception should be considered as candidates for the IUD.
Le texte complet de cet article est disponible en PDF.Key Words : Intrauterine device, IUD, IUS, Adolescent, Satisfaction, Contraception
Plan
| During the time frame in which the study was conducted the author was completing a fellowship at the Mount Sinai Adolescent Health Center in New York, NY. |
Vol 28 - N° 1
P. 38-42 - février 2015 Retour au numéro
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