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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Autores:
Tipo de recurso:
Fecha de publicación:
2015
Institución:
Universidad del Rosario
Repositorio:
Repositorio EdocUR - U. Rosario
Idioma:
eng
OAI Identifier:
oai:repository.urosario.edu.co:10336/23228
Acceso en línea:
https://repository.urosario.edu.co/handle/10336/23228
Palabra clave:
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
Rights
License
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Description
Summary: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.