ResearchGeneral gynecologyKnowledge of contraceptive effectiveness
Section snippets
Materials and Methods
CHOICE is a prospective cohort study that was developed to promote the use of LARC methods in the St. Louis region. The methods for CHOICE have been previously published,11 but a brief description is provided later. The CHOICE protocol was approved by the Washington University in St. Louis School of Medicine Human Research Protection Office before the initiation of recruitment.
CHOICE is a convenience sample of women in St. Louis City and County who desire reversible contraception. The primary
Results
Of the 8413 women who were screened for eligibility, 5090 participants were eligible and enrolled in CHOICE between August 2007 and December 2009 (Figure 1). Of the women enrolled, 4144 (81%) completed the baseline contraceptive knowledge tool before contraceptive counseling. The time from screening to enrollment and completion of the knowledge tool was distributed relatively equally between same day, within 1-14 days, 15-30 days, and >30 days. Overall, 71% of participants chose LARC; 47% of
Comment
In our study of the knowledge of contraceptive effectiveness, most women overestimated the effectiveness of the oral contraceptive pill, the contraceptive patch, the ring, DMPA and condoms. Women who chose LARC methods were more likely to know the effectiveness of their chosen method than those who chose less effective methods, but they were not more knowledgeable about non-LARC method failure rates. This suggests that these women highly value contraceptive effectiveness. In fact, studies have
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2021, ContraceptionCitation Excerpt :This implies that clinicians are rarely counseling teens about the option of IUC self-removal when discussing available contraceptive options or at the time of IUC placement. Although previous studies have shown persistent levels of misinformation about IUCs [19,20], the adolescent participants in this study were less likely to endorse many of these classic myths and had knowledge levels closer to those of a previous study of adolescent peer educators [21]. Unfortunately, overall IUC-related knowledge remained sub-optimal and was not associated with greater knowledge of the safety of IUC self-removal.
Electronic interventions for changing knowledge, attitudes or practices regarding contraception: a systematic review
2019, ContraceptionCitation Excerpt :Correlates of unintended pregnancy include sociodemographic factors such as age, parity, education and economic status [2–5]. In addition to limited health care access, barriers to contraceptive use include concerns about the safety or efficacy of various contraceptive methods and lack of knowledge or access to information about contraceptives [6–12]. Many interventions designed to prevent unintended pregnancies have therefore focused on patient education and contraceptive promotion to influence knowledge about contraceptives and perceived barriers to use [13].
The Contraceptive Choice Project is funded by an anonymous foundation.
The authors report no conflict of interest.
Cite this article as: Eisenberg DL, Secura GM, Madden TE, et al. Knowledge of contraceptive effectiveness. Am J Obstet Gynecol 2012;206:479.e1-9.