HC use linked with age, side effects, and HIV status in Africa and Thailand
MedWire News: Young age, side-effects, and frequent condom use are among the most common reasons to discontinue hormonal contraception (HC), say researchers.
The study of 4,461 initially HIV-uninfected women from Uganda, Zimbabwe, and Thailand also revealed that the majority of HC users continue with this method after a diagnosis of HIV, and a quarter of non-users began using HCs.
"Young women, women reporting side effects, and those using condoms may benefit from ongoing contraceptive counseling," say Kavita Nanda, from Family Health International in North Carolina, USA, and colleagues.
A greater proportion of injectable depot medroxyprogesterone (DMPA) users (36 percent) than oral contraceptive (OC) users (24 percent) discontinued their contraceptive method during the study.
Experiencing breast tenderness increased the risk for HC discontinuation 2.15 fold in OC users and 2.25 fold in DMPA users. Women who always used condoms were also 2.45 and 2.10 times as likely to discontinue OCs and DMPA, respectively, as those who never used condoms.
Young women (18-20 years) were 1.23 and 1.38 times more likely to discontinue OC and DMPA use, respectively than women aged 30 years and above.
Among 194 women recently diagnosed with HIV, of the 137 HC users, 98.5 percent continued use, and of 57 non-HC users, 24.6 percent began HC use after their diagnosis.
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By Sarah Guy