Egarter, Christian, Brigitte Frey Tirri, Johannes Bitzer, et al. “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.” BMC WOMENS HEALTH 13 (2013): n. pag. Print.
Egarter, C., Frey Tirri, B., Bitzer, J., Kaminskyy, V., Oddens, B. J., Prilepskaya, V., Yeshaya, A., et al. (2013). 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. BMC WOMENS HEALTH, 13.
Egarter, Christian, Brigitte Frey Tirri, Johannes Bitzer, Vyacheslav Kaminskyy, Björn J Oddens, Vera Prilepskaya, Arie Yeshaya, Maya Marintcheva-Petrova, and Steven Weyers. 2013. “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.” Bmc Womens Health 13.
Egarter C, Frey Tirri B, Bitzer J, Kaminskyy V, Oddens BJ, Prilepskaya V, et al. 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. BMC WOMENS HEALTH. 2013;13.
TY - JOUR
UR - http://lib.ugent.be/catalog/pug01:3177692
ID - pug01:3177692
LA - eng
TI - 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
PY - 2013
JO - (2013) BMC WOMENS HEALTH
SN - 1472-6874
PB - 2013
AU - Egarter, Christian
AU - Frey Tirri, Brigitte
AU - Bitzer, Johannes
AU - Kaminskyy, Vyacheslav
AU - Oddens, Björn J
AU - Prilepskaya, Vera
AU - Yeshaya, Arie
AU - Marintcheva-Petrova, Maya
AU - Weyers, Steven GE38 UZGent 001988140793
AB - 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 we present the reasons given by the 18,787 participating women for selecting their contraceptive method of choice, as well as their perceptions about the contraceptive pill, patch, and ring after counseling.Methods: Women with an interest in a combined hormonal contraceptive method (pill, patch, or ring) were counseled using a standardized counseling leaflet. The women completed questionnaires, which included questions on why they had selected a particular method of contraception, and the extent to which they agreed with statements about the attributes of the pill, patch, and ring. The results for each country were compared with the percentages for all countries combined by using a binomial regression model. Multiple logistic regression models were used to investigate the extent to which the probability of choosing a method was related to prespecified aspects (i.e. perceptions) of each contraceptive method.Results: ‘Easy to use’, ‘convenience’, and ‘regular menstrual bleeding’ were important selection criteria. ‘Nondaily administration’ was one of the main reasons women selected the patch or ring. ‘Daily use’ and ‘will forget to take it’ were the primary reasons for not selecting the pill, while the main reasons for not choosing the patch included ‘not discrete, visible’ and ‘can fall off’. In a small number of instances, the ring was rejected because some women don’t like to use a ‘foreign body’. Women’s perceptions influenced their contraceptive decisions: positive perceptions about a method increased the likelihood that a woman would select it. After counseling, many women associated the pill with forgetfulness, and many still did not know about the patch or ring’s key attributes. Women’s knowledge about a particular method was generally greater if they had chosen it.Conclusions: To support informed contraceptive decision-making, healthcare professionals should realize that a woman’s view of a method’s ease of use is more important than perceived efficacy, tolerability, health benefits, or risks.
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