Contraceptive decision-making - background and outcomes of contraceptive methods

Research of Rutgers WPF on contributing factors on dermining contraceptive decision-making for different contraceptive methods.

Factors for contraceptive decision-making

Contributing factors in determining contraceptive decision-making differ for different methods. Women's values and standards with regard to contraception are consistent with the methods being used. Ease of use is generally considered to be the most important aspect of the method, while impact on day-to-day life is considered least important.

Outcomes of contraceptive use

A good outcome of contraceptive use is defined as method satisfaction, having no worries about being pregnant and no difficulties using the method correctly. Oral contraceptive and condom users have relatively negative outcomes, while long-acting contraceptive method users report relatively good outcomes.

Comparison of positive and negative outcome scores

Young age appeared to be an important predictor of negative outcomes. High incomes and no wish to have children in the future were associated with more positive outcomes. Furthermore, low decisional esteem is associated with negative outcomes, as well as finding easy applicability relatively unimportant.

Social environment

The role of the social environment in contraceptive decision-making is considerable. The family doctor is the most common source of both information and advice on contraception. However, the information women receive from family doctors is very limited. Other frequently mentioned sources of information or advice are friends and the internet. School is more often mentioned as a source by users of OCPs and condoms. The partner is not often a source of information or advice for women.

Authors: Charles Picavet, Linda van der Leest, Ciel Wijsen