Influence of structured counseling on women’s selection of hormonal contraception in Israel: results of the CHOICE study
نویسندگان
چکیده
BACKGROUND The multinational CHOICE (Contraceptive Health Research Of Informed Choice Experience) study evaluated the effects of structured counseling on women's contraceptive decisions, their reasons for making those decisions, and their perceptions of combined hormonal contraceptive (CHC) methods in eleven countries. The aim of this paper to present data from the 1,802 women participating in Israel's CHOICE program. METHODS Women (aged 17-40 years) who consulted their health care providers about contraception and who would consider a CHC method qualified to participate. After indicating their intended CHC method, the women received counseling about the daily pill, weekly patch, and monthly vaginal ring. After counseling, the women completed a questionnaire about their contraceptive decisions. RESULTS Before counseling, 67%, 6%, and 5% of women (mean age 27 years) intended to use the pill, patch, or ring, respectively. Counseling significantly influenced the women's CHC choice, with 56%, 12%, and 23% of women selecting the pill, patch, or ring (P<0.0001 for all contraceptive methods versus before counseling). Logistic regression analysis suggested that age significantly increased the probability of switching from the pill to the ring. CONCLUSION Although the pill was the most popular choice overall, counseling appeared to influence Israeli women's contraceptive decisions, with significantly more women selecting the patch. More than four times as many women selected the ring after counseling than before counseling.
منابع مشابه
Women’s perceptions and reasons for choosing the pill, patch, or ring in the CHOICE study: a cross-sectional survey of contraceptive method selection after counseling
BACKGROUND The European CHOICE study was a cross-sectional survey that evaluated women's combined hormonal contraceptive choices before and after contraceptive counseling in Austria, Belgium, Czech Republic and Slovakia, the Netherlands, Poland, Sweden, Switzerland, Israel, Russia, and Ukraine. The changes in method selection before and after counseling were reported previously. In this paper w...
متن کاملتعیین کنندههای جمعیت شناختی- رفتاری و باروری انتخاب روشهای پیشگیری از بارداری در زنان تهرانی: مطالعه قند و لیپید تهران
Abstract Background: providers and policy makers to identify programs and plan capable to balance birth could use Information about women’s beliefs and preferences regarding their choice of birth control methods. The aim of the current study is to investigate socio-behavioral and reproductive factors influencing the choice of contraceptive methods among a large number of Tehranian women. Materi...
متن کاملObservational, prospective, multicentre study to evaluate the effects of counselling on the choice of combined hormonal contraceptives in Italy--the ECOS (Educational COunselling effectS) study.
BACKGROUND Adequate counselling on contraceptive methods can help users choose the most appropriate method. The aim of this study was to assess the effects of structured counselling provided by gynaecologists on selection of a combined hormonal contraception method. METHODS Women aged 18-40 years (n = 1871) who were considering the use of a combined hormonal contraception method (pill, transd...
متن کاملHormonal Contraception and Regulation of Menstruation: a study of young women’s attitudes towards ‘having a period’. Short running title: young women’s attitudes towards hormonal contraception and menstrual regulation
Background: Irregular bleeding is one of the most common side-effects of hormonal contraception and a key reason for the discontinuation of hormonal methods. Study Design: A qualitative study in which twelve young women were interviewed in-depth, along with six focus group discussions. The study had two main research objectives: to document and investigate what young women think and feel about ...
متن کاملCounseling by epileptologists affects contraceptive choices of women with epilepsy
INTRODUCTION There are several important interactions between antiepileptic drugs (AEDs) and hormonal contraception that need to be carefully considered by women with epilepsy (WWE) and their practitioners. Many AEDs induce hepatic enzymes and decrease the efficacy of hormonal contraception. In addition, estrogen-containing hormonal contraception can increase the metabolism of lamotrigine, the ...
متن کامل