Sisay Adane, Teshome Abel, Bizuneh Hailemichael, D Compton Sarah
Department of Obstetrics and Gynecology, Saint Paul's Hospital Millennium Medical College, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
School of Public Health, Department of Epidemiology, Saint Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Contracept Reprod Med. 2023 Jul 21;8(1):38. doi: 10.1186/s40834-023-00238-8.
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).
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.
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.
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.
鉴于埃塞俄比亚对避孕措施的需求远未得到满足，本研究旨在确定长效可逆避孕方法（LARC）早期停用的患病率及其相关因素。
本研究为基于机构的横断面研究，对389名参与者进行了调查，采用在亚的斯亚贝巴四家政府医院计划生育诊所前来取出LARC的客户进行离职访谈的方式。使用SPSS 26版进行分析。计算了描述性统计、双变量和多变量逻辑回归。
在389名客户中，236名（60.7%）提前停用。在多变量回归中，缺乏关于副作用的插入前咨询（比值比[AOR]=3.5，p=0.000；95%置信区间[CI]=1.8-6.8）、出现副作用（AOR=1.9，p=0.017；95%CI=1.1-3.4）、流产史（AOR=3.5，p=0.001；95%CI=1.6-7.4）以及之前未使用过避孕措施（AOR=2.9，p=0.000；95%CI=1.6-5.3）与早期停用呈正相关。而在圣保罗医院千年医学院以外进行插入（AOR=0.4，p=0.000；95%CI=0.2-0.6）以及他人对避孕选择的影响（AOR=0.2，p=0.000；95%CI=0.2-0.4）与早期停用呈负相关。
研究参与者中LARC早期停用率较高。关于可能副作用的咨询以及给予女性自主决定避孕选择的机会可能有助于减少早期停用。
