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Early discontinuation of long-acting reversible contraceptives at four government hospitals, Addis Ababa, Ethiopia
OBJECTIVE: Given high unmet need for contraception in Ethiopia, this study aimed to determine prevalence and factors associated with early discontinuation of long-acting reversible contraceptives (LARC). METHODS: This institution-based cross-sectional study was conducted with 389 participants using...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10360256/ https://www.ncbi.nlm.nih.gov/pubmed/37480045 http://dx.doi.org/10.1186/s40834-023-00238-8 |
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author | Sisay, Adane Teshome, Abel Bizuneh, Hailemichael D.Compton, Sarah |
author_facet | Sisay, Adane Teshome, Abel Bizuneh, Hailemichael D.Compton, Sarah |
author_sort | Sisay, Adane |
collection | PubMed |
description | OBJECTIVE: Given high unmet need for contraception in Ethiopia, this study aimed to determine prevalence and factors associated with early discontinuation of long-acting reversible contraceptives (LARC). METHODS: This institution-based cross-sectional study was conducted with 389 participants using exit interviews with clients presenting for removal of LARC at the family planning clinic of four government hospitals in Addis Ababa. SPSS version 26 was used for analysis. Descriptive statistics, bivariate, and multivariate logistic regression were computed. RESULT: Among the 389 clients, 236 (60.7%) discontinued early. In multivariate regression, lack of pre-insertion counseling on side effects (AOR = 3.5, p = 0. 000; 95% C.I = 1.8—6.8), presence of side effects (AOR = 1.9, p = 0. 017; 95% C.I = 1. 1- 3.4), history of abortion (AOR = 3.5, p = 0. 001; 95% C.I = 1. 6- 7.4); and no prior contraception use (AOR = 2.9, p = 0. 000; 95% C.I = 1. 6- 5.3) were positively associated with early discontinuation. Whereas insertion outside of Saint Paul’s Hospital Millennium Medical College (AOR = 0.4, p = 0. 000; 95% C.I = 0. 2- 0.6), and influence on choice of contraceptives by others (AOR = 0.2, p = 0. 000; 95% C.I = 0. 2- 0.4) were negatively associated with early discontinuation. CONCLUSION: Early discontinuation of LARC was high among study participants. Counseling about possible side effects and giving women the opportunity to decide their own choice of contraception might help in reducing early discontinuation. |
format | Online Article Text |
id | pubmed-10360256 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-103602562023-07-22 Early discontinuation of long-acting reversible contraceptives at four government hospitals, Addis Ababa, Ethiopia Sisay, Adane Teshome, Abel Bizuneh, Hailemichael D.Compton, Sarah Contracept Reprod Med Research OBJECTIVE: Given high unmet need for contraception in Ethiopia, this study aimed to determine prevalence and factors associated with early discontinuation of long-acting reversible contraceptives (LARC). METHODS: This institution-based cross-sectional study was conducted with 389 participants using exit interviews with clients presenting for removal of LARC at the family planning clinic of four government hospitals in Addis Ababa. SPSS version 26 was used for analysis. Descriptive statistics, bivariate, and multivariate logistic regression were computed. RESULT: Among the 389 clients, 236 (60.7%) discontinued early. In multivariate regression, lack of pre-insertion counseling on side effects (AOR = 3.5, p = 0. 000; 95% C.I = 1.8—6.8), presence of side effects (AOR = 1.9, p = 0. 017; 95% C.I = 1. 1- 3.4), history of abortion (AOR = 3.5, p = 0. 001; 95% C.I = 1. 6- 7.4); and no prior contraception use (AOR = 2.9, p = 0. 000; 95% C.I = 1. 6- 5.3) were positively associated with early discontinuation. Whereas insertion outside of Saint Paul’s Hospital Millennium Medical College (AOR = 0.4, p = 0. 000; 95% C.I = 0. 2- 0.6), and influence on choice of contraceptives by others (AOR = 0.2, p = 0. 000; 95% C.I = 0. 2- 0.4) were negatively associated with early discontinuation. CONCLUSION: Early discontinuation of LARC was high among study participants. Counseling about possible side effects and giving women the opportunity to decide their own choice of contraception might help in reducing early discontinuation. BioMed Central 2023-07-21 /pmc/articles/PMC10360256/ /pubmed/37480045 http://dx.doi.org/10.1186/s40834-023-00238-8 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Sisay, Adane Teshome, Abel Bizuneh, Hailemichael D.Compton, Sarah Early discontinuation of long-acting reversible contraceptives at four government hospitals, Addis Ababa, Ethiopia |
title | Early discontinuation of long-acting reversible contraceptives at four government hospitals, Addis Ababa, Ethiopia |
title_full | Early discontinuation of long-acting reversible contraceptives at four government hospitals, Addis Ababa, Ethiopia |
title_fullStr | Early discontinuation of long-acting reversible contraceptives at four government hospitals, Addis Ababa, Ethiopia |
title_full_unstemmed | Early discontinuation of long-acting reversible contraceptives at four government hospitals, Addis Ababa, Ethiopia |
title_short | Early discontinuation of long-acting reversible contraceptives at four government hospitals, Addis Ababa, Ethiopia |
title_sort | early discontinuation of long-acting reversible contraceptives at four government hospitals, addis ababa, ethiopia |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10360256/ https://www.ncbi.nlm.nih.gov/pubmed/37480045 http://dx.doi.org/10.1186/s40834-023-00238-8 |
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