Adolescents’ contraception continuation in Switzerland: a prospective observational study
BACKGROUND Securing the adherence over time to contraception by adolescent girls is a challenge. Until now little was known about this topic in Switzerland. The aim of our study was to determine contraceptive continuation rates among adolescents in this country and assess possible predic...
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| Format: | Article |
| Language: | English |
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SMW supporting association (Trägerverein Swiss Medical Weekly SMW)
2017-10-01
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| Series: | Swiss Medical Weekly |
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| Online Access: | https://www.smw.ch/index.php/smw/article/view/2369 |
| _version_ | 1797979656141406208 |
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| author | Cécile Diserens Adeline Quach Patrice Mathevet Pierluigi Ballabeni Martine Jacot-Guillarmod |
| author_facet | Cécile Diserens Adeline Quach Patrice Mathevet Pierluigi Ballabeni Martine Jacot-Guillarmod |
| author_sort | Cécile Diserens |
| collection | DOAJ |
| description |
BACKGROUND
Securing the adherence over time to contraception by adolescent girls is a challenge. Until now little was known about this topic in Switzerland. The aim of our study was to determine contraceptive continuation rates among adolescents in this country and assess possible predictive factors for discontinuation.
METHODS
A prospective observational cohort study of 12- to 19-year-old girls starting contraception was performed. Patients were interviewed again after 1 year by phone, email or postal mail.
RESULTS
A total of 204 patients were included, of whom 85.8% chose a combined oestrogen-progestogen pill. The answer rate 1 year later was 71%. Among these, continuation of the initially prescribed contraceptive method was observed in 73.1%. Factors statistically affecting the continuation rate were the initial contraceptive method, the place of residence and sexual activity after 1 year. Classification of contraceptive methods in decreasing order of continuation rate was the following: long acting reversible contraception (LARC) methods, oestrogen-progestogen pills, injections, progestogen pills, patches and rings. Major reasons reported for stopping the prescribed contraceptive method were ending sexual relations (54.3%), developing side effects (34.3%) or changing to another contraceptive method (22.9%). Neither age, nationality, smoking, occupation, nor the legal representative’s knowledge of the contraception influenced adherence.
CONCLUSION
Contraceptive continuation rate was high among the adolescent population studied. The only predictive factor of discontinuation was the contraceptive method. Our study also reveals that respecting teenagers’ confidentiality is essential as it does not negatively impact the continuation rate. The significant impact of the type of contraception on continuation rates stresses the importance of individualised counselling.
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| first_indexed | 2024-04-11T05:42:18Z |
| format | Article |
| id | doaj.art-2a4b7db74ca64d7d9edd0261a7a89f20 |
| institution | Directory Open Access Journal |
| issn | 1424-3997 |
| language | English |
| last_indexed | 2024-04-11T05:42:18Z |
| publishDate | 2017-10-01 |
| publisher | SMW supporting association (Trägerverein Swiss Medical Weekly SMW) |
| record_format | Article |
| series | Swiss Medical Weekly |
| spelling | doaj.art-2a4b7db74ca64d7d9edd0261a7a89f202022-12-22T04:42:25ZengSMW supporting association (Trägerverein Swiss Medical Weekly SMW)Swiss Medical Weekly1424-39972017-10-01147394010.4414/smw.2017.14504Adolescents’ contraception continuation in Switzerland: a prospective observational studyCécile Diserens0Adeline Quach1Patrice Mathevet2Pierluigi Ballabeni3Martine Jacot-Guillarmod4Département femme-mère-enfant, Centre Hospitalier Universitaire Vaudois, SwitzerlandFondation Profa, Sexual Health Centre, Vaud, SwitzerlandDépartement femme-mère-enfant, Centre Hospitalier Universitaire Vaudois, SwitzerlandInstitut de Médecine Sociale et Préventive, Centre Hospitalier Universitaire Vaudois, SwitzerlandDépartement femme-mère-enfant, Centre Hospitalier Universitaire Vaudois, Switzerland BACKGROUND Securing the adherence over time to contraception by adolescent girls is a challenge. Until now little was known about this topic in Switzerland. The aim of our study was to determine contraceptive continuation rates among adolescents in this country and assess possible predictive factors for discontinuation. METHODS A prospective observational cohort study of 12- to 19-year-old girls starting contraception was performed. Patients were interviewed again after 1 year by phone, email or postal mail. RESULTS A total of 204 patients were included, of whom 85.8% chose a combined oestrogen-progestogen pill. The answer rate 1 year later was 71%. Among these, continuation of the initially prescribed contraceptive method was observed in 73.1%. Factors statistically affecting the continuation rate were the initial contraceptive method, the place of residence and sexual activity after 1 year. Classification of contraceptive methods in decreasing order of continuation rate was the following: long acting reversible contraception (LARC) methods, oestrogen-progestogen pills, injections, progestogen pills, patches and rings. Major reasons reported for stopping the prescribed contraceptive method were ending sexual relations (54.3%), developing side effects (34.3%) or changing to another contraceptive method (22.9%). Neither age, nationality, smoking, occupation, nor the legal representative’s knowledge of the contraception influenced adherence. CONCLUSION Contraceptive continuation rate was high among the adolescent population studied. The only predictive factor of discontinuation was the contraceptive method. Our study also reveals that respecting teenagers’ confidentiality is essential as it does not negatively impact the continuation rate. The significant impact of the type of contraception on continuation rates stresses the importance of individualised counselling. https://www.smw.ch/index.php/smw/article/view/2369adolescentContraceptioncontraception behaviourmedication adherenceSwitzerland |
| spellingShingle | Cécile Diserens Adeline Quach Patrice Mathevet Pierluigi Ballabeni Martine Jacot-Guillarmod Adolescents’ contraception continuation in Switzerland: a prospective observational study Swiss Medical Weekly adolescent Contraception contraception behaviour medication adherence Switzerland |
| title | Adolescents’ contraception continuation in Switzerland: a prospective observational study |
| title_full | Adolescents’ contraception continuation in Switzerland: a prospective observational study |
| title_fullStr | Adolescents’ contraception continuation in Switzerland: a prospective observational study |
| title_full_unstemmed | Adolescents’ contraception continuation in Switzerland: a prospective observational study |
| title_short | Adolescents’ contraception continuation in Switzerland: a prospective observational study |
| title_sort | adolescents contraception continuation in switzerland a prospective observational study |
| topic | adolescent Contraception contraception behaviour medication adherence Switzerland |
| url | https://www.smw.ch/index.php/smw/article/view/2369 |
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