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Predictors of non-use of intrauterine contraception among women aged 18-49 years in a general practice setting in the UK

Walker, Susan H.; Newton, Victoria L.; Hoggart, Lesley and Parker, Mike J. (2016). Predictors of non-use of intrauterine contraception among women aged 18-49 years in a general practice setting in the UK. Open Access Journal of Contraception, 7 pp. 155–160.

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DOI (Digital Object Identifier) Link: https://doi.org/10.2147/OAJC.S116994
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Abstract

Objectives: Our research examined the barriers to the uptake of intrauterine contraception (IUC) by women in a general practice (GP) setting in the UK. This study reports predictors of non-use of IUC in this context.

Design: We used a mixed method Qual/Quant approach in which the initial qualitative research provides a framework for subsequent larger quantitative surveys. Utilizing findings derived from 30 qualitative interviews, a quantitative survey was developed and distributed to a pragmatic sample of 1,195 women, aged 18–49 years, who were recruited through 32 participating GP practices in an area of England, UK. Outcome measures were percentage of attributes or responses in the sample and use or non-use of IUC. Results were analyzed using descriptive statistical analysis and binary logistic regression, using use/non-use as a binary response variable.

Results: Attitudinal variables, which were the strongest predictors of non-use of IUC, were an adverse opinion on long-acting aspect of IUC (odds ratio [OR]=8.34), disliking the thought of IUC inside the body (OR=3.138), concerns about IUC causing difficulties becoming pregnant in the future (OR=2.587), concerns about womb damage (OR=2.224), having heard adverse opinions about levonorgestrel-releasing intrauterine system (Mirena®) (OR=2.551), having an adverse opinion of having light, irregular periods (OR=2.382) and, having an adverse opinion of having no periods (OR=2.018).

Conclusion: Concerns about the long-acting nature of IUC and persisting concerns about the safety of IUC may act as barriers to its use. Information for women, tailored to specifically address these concerns, is needed.

Implications: Clinicians should provide more reassurance and information to potential users of IUC to increase their confidence about the possibility of removing IUC early or on request. They should also specifically seek to alleviate concerns about internal damage, damage to the womb, or damage to future fertility from using the methods.

Item Type: Journal Item
Copyright Holders: 2016 The Authors
ISSN: 1179-1527
Project Funding Details:
Funded Project NameProject IDFunding Body
A mixed method investigation into the acceptability of intrauterine contraception, from the perspectives of women, GPs and Practice Nurses59399Bayer
Keywords: intrauterine device; intrauterine contraception; intrauterine system; general practice UK
Academic Unit/School: Faculty of Wellbeing, Education and Language Studies (WELS)
Faculty of Wellbeing, Education and Language Studies (WELS) > Health, Wellbeing and Social Care > Health and Social Care
Faculty of Wellbeing, Education and Language Studies (WELS) > Health, Wellbeing and Social Care
Research Group: Health and Wellbeing PRA (Priority Research Area)
Item ID: 47684
Depositing User: Lesley Hoggart
Date Deposited: 31 Oct 2016 14:10
Last Modified: 02 May 2019 02:21
URI: http://oro.open.ac.uk/id/eprint/47684
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