Contraception and women over 40 years of age: mixed‐method systematic review

Roberts, Angela; Noyes, Jane

doi:10.1111/j.1365-2648.2009.04976.x

Cited by 17 publications

(16 citation statements)

References 55 publications

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“…Similarly, injectables and implants are proven to be safe, effective and reversible contraceptive options [12,13]. Despite evidence of LARC effectiveness and safety, actual uptake in resource-poor settings like Uganda is low, and is possibly affected by several factors such as knowledge and general awareness of contraceptive methods [14], access to different contraceptive methods, user characteristics, technology [15] and socio-economic status [16]. …”

Section: Introductionmentioning

confidence: 99%

Knowledge and attitudes towards use of long acting reversible contraceptives among women of reproductive age in Lubaga division, Kampala district, Uganda

et al. 2014

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BackgroundUganda has one of the highest total fertility rates globally and in Sub-Saharan Africa. Her high fertility is mainly attributed to the high unmet need for family planning. Use of Long-acting reversible contraceptives (LARC) is low (13%) in Uganda yet they are the most cost-effective contraceptives. This study aimed to assess the reproductive aged women’s knowledge, attitudes, and factors associated with use of LARC.MethodsA cross-sectional study was conducted involving 565 women (15–49 years) attending private and public health facilities in Lubaga division, Kampala district. Semi-structured questionnaires were used to measure knowledge, attitudes and factors associated with use of LARC; Intra-Uterine Devices, Implants and Injectables. The outcome variable was current use of LARC. A generalized linear regression model was run in STATA version12.0. Prevalence Risk Ratios for associations between current LARC use and independent factors were obtained and regarded significant at 95% CI with p < 0.05.ResultsMean age (SD) and current use of LARC was 26.34 (5.35) and 31.7% respectively. Factors associated with current use of LARC were; previous use adj.PRR 2.89; (95% CI 2.29, 3.81), knowledge of implant administration site adj.PRR 1.83; (95% CI 1.17, 2.87), and perception that; male partner decisions positively influence their contraceptive choices adj.PRR 1.49; (95% CI 1.18, 1.88). Contrary, perception that LARC should be used by married women was negatively associated with use of LARC adj.PRR 0.63; (95% CI 0.44, 0.90).ConclusionKnowledge about site of administration, previous use of LARC and women’s attitude that male partners’ choice influence their contraceptive decisions were positively associated with current use of LARC. Contrary, the attitude that LARC was for married women was negatively associated with its use. This study suggests a need to strengthen client education about LARC to dispel possible myths and to consider integrating male partner’s decision making in contraceptive choices for women.

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Section: Introductionmentioning

confidence: 99%

Knowledge and attitudes towards use of long acting reversible contraceptives among women of reproductive age in Lubaga division, Kampala district, Uganda

et al. 2014

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“…Less is known regarding multidimensional attitudes toward contraception which may interfere with use of effective contraceptive methods. However, previous research suggests several components worthy of further study such as the influence of a partner (James-Hawkins, 2015a; Sable et al, 2000), perceptions that contraceptives make sex unpleasurable, unspontaneous, unnatural, or foreign and invasive (Ayoola et al, 2007), viewing birth control as a hassle or feeling that it takes too much planning (Barber, Gatny, Kusunoki, & Yarger, 2010), wanting to hide sexual activity from others (Ayoola et al, 2007), fear of stigma (Banker, Kaestle, & Allen, 2010; Berntson, Hoffman, & Luff, 2014; James-Hawkins, 2015a), and finally, misunderstanding the effectiveness of contraception (Kaye et al, 2009; Roberts & Noyes, 2009; Woodsong, Shedlin, & Koo, 2004). All of these attitudinal components may affect contraceptive behavior, yet they have never been systematically examined in multivariate analysis predicting contraceptive use.…”

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confidence: 99%

The association of attitudes about contraceptives with contraceptive use in a random sample of Colorado women

James‐Hawkins

Broaddus

2016

The Social Science Journal

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Context Research regarding unintended pregnancy often focuses on how women make decisions about whether or not to use contraceptives, and structural barriers to contraception. Less research examines how multidimensional attitudinal characteristics may be associated with effective contraceptive use. Methods In fall 2007, we conducted a random telephone survey of 801 sexually active women in Colorado to assess associations of the attitudinal dimensions of Planning, Partner Communication, and Stigma and Misinformation with contraceptive use. We also examine demographic differences on hypothesized predictors. Results Stigma and Misinformation is higher in Latina women, women on Medicaid or with no insurance, women with less than a college degree, and women living in small towns or rural areas. Partner Communication attitudes are most positive among those with a bachelor’s degree, and those with less than a high school degree, while they are most negative among those living in small towns and rural areas. In multivariate analysis, planning to use contraceptives is associated with greater likelihood of more effective contraceptive use. Higher levels of planning and partner communication are associated with greater likelihood of any contraceptive use. Discussion In addition to addressing structural barriers to contraception, interventions to address the need to plan for contraception are vital to mitigate the high prevalence of unintended pregnancies in the United States.

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“…The matrix links the findings from qualitative studies about a certain topic with other quantitative evidence on the effectiveness of an intervention. In the examples of this approach (eg, the previous studies [23][24][25][26][27] ), the matrix represents the correspondence between the 2 sources of data. Considering these examples, the matrix approach is a promising method that allows integration of estimations of effectiveness with qualitative understanding.…”

Section: Introductionmentioning

confidence: 99%

Using the realist perspective to link theory from qualitative evidence synthesis to quantitative studies: Broadening the matrix approach

Grootel

Wesel

O’Mara-Eves

et al. 2017

Research Synthesis Methods

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A worked example shows that it is possible to identify recommendations from a theory-building qualitative evidence synthesis using the realist perspective. We created subsets of the interventions from primary quantitative studies based on whether they matched the recommendations or not and compared the weighted mean effect sizes of the subsets. The comparison shows a slight difference in effect sizes between the groups of studies. The study concludes that the approach enhances the applicability of the matrix approach.

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Contraception and women over 40 years of age: mixed‐method systematic review

Cited by 17 publications

References 55 publications

Knowledge and attitudes towards use of long acting reversible contraceptives among women of reproductive age in Lubaga division, Kampala district, Uganda

Knowledge and attitudes towards use of long acting reversible contraceptives among women of reproductive age in Lubaga division, Kampala district, Uganda

The association of attitudes about contraceptives with contraceptive use in a random sample of Colorado women

Using the realist perspective to link theory from qualitative evidence synthesis to quantitative studies: Broadening the matrix approach

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