244966 Understanding Women's Contraceptive Preferences

Monday, October 31, 2011

Lauren Norris Lessard, MPH , PhD Student , School of Public Health, Maternal and Child Health, University of California, Berkeley, Berkeley, CA
Julie Deardorff, PhD , School of Public Health, Maternal and Child Health, UC Berkeley, Berkeley, CA
Maureen Lahiff, PhD , School of Public Health, University of California, Berkeley, Berkeley, CA
Deborah Karasek, MPH , Advancing New Standards in Reproductive Health; Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, Oakland, CA
Diana Greene Foster, PhD , Bixby Center for Global Reproductive Health, Department of Ob/Gyn, University of California, San Francisco, Oakland, CA
Introduction: Contraceptives are not meeting many women's needs, as evident by high typical use failure rates, method switching and discontinuation. We aimed to identify contraceptive features preferred by women at risk for unintended pregnancy and abortion. Methods: In 2010, 602 women seeking abortion in six clinics across the country completed a computer-guided interview in the waiting room. Women rated 18 contraceptive features and reported past and likelihood of future unprotected intercourse (UI). We used a multivariable logistic model to identify features most important to women who report a high likelihood of UI in the next three months. Results: The most important features of contraception to women in our sample are ease of use, ease of access, no side effects, extremely effective at preventing pregnancy and personal control over administering the method. The contraceptive methods consistent with the preferences of women in our sample are the ring, patch, pill, and emergency contraception. An over-the-counter oral contraceptive and once per sex act pill would meet more of women's preferences than available methods. Women who prefer a method used only when they are going to have sex are more likely to report that they will engage in UI in the future (OR 3.33, p-value < .001). Conclusion: Providing women with contraceptive methods that meet their needs may improve consistency and duration of use.

Learning Areas:
Planning of health education strategies, interventions, and programs
Program planning
Public health or related public policy
Public health or related research

Learning Objectives:
Discuss contraceptive preferences of women presenting for abortion. Compare the contraceptive preferences of women who are likely to have unprotected sex in the future with those who are not as likely. Discuss a woman's ability to match a method of contraception with her specific contraceptive preferences.

Keywords: Contraception, Reproductive Health Research

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a 2nd year Master's student at UC Berkeley. I conducted the literature review, quantitative analysis and will be responsible for drafting the manuscript. I have extensive academic and professional training in the field of contraceptive behaviors and research.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.