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The CHOICE study : effect of counselling on the selection of combined hormonal contraceptive methods in 11 countries
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
 
ID 1193770
Author(s) Bitzer, Johannes; Gemzell-Danielsson, Kristina; Roumen, Frans; Marintcheva-Petrova, Maya; van Bakel, Bas; Oddens, Björn J
Author(s) at UniBasel Bitzer, Johannes
Year 2011
Title The CHOICE study : effect of counselling on the selection of combined hormonal contraceptive methods in 11 countries
Journal The European journal of contraception & reproductive health care
Volume 17
Number 1
Pages / Article-Number 65-78
Keywords Combined hormonal contraception, Combined oral contraceptive, Transdermal contraceptive patch, Vaginal contraceptive ring, Counselling
Abstract ABSTRACT Objectives To encourage healthcare professionals to counsel women seeking combined hormonal contraceptives (CHCs) about alternative CHCs and to study the influence of counselling on women's selection of CHCs. Methods Women (15-40 years old) in 11 countries who consulted HCPs about CHCs were counselled about the pill, transdermal patch, and vaginal ring. Both the HCPs and the women completed questionnaires. Results Of women who were counselled (n = 18,787), 47% selected another CHC method than originally planned. One in four who intended to use the pill chose another method (16% chose the patch; 65% chose the ring). In total, patch use increased from 5% -8% (difference = 3.7% [97.5% CI: 3.3-4.2]; p < 0.0001). Ring use nearly quadrupled from 8% -30% (difference = 21.7% [97.5% CI: 21.0-22.5]; p < 0.0001). Nearly all women who were undecided prior to counselling selected a method after counselling. Selection of the pill increased most in Russia (+ 11%) and Sweden (+ 5%); patch selection was greatest in Russia (+ 7%) and Israel (+ 6%); ring use increased most in Ukraine and in the Czech Republic and Slovakia (+ 36%). Conclusions Counselling increases use of alternative CHCs, such as the patch and the ring. Considerable differences between countries were noted.
Publisher Taylor & Francis
ISSN/ISBN 1362-5187
edoc-URL http://edoc.unibas.ch/dok/A6004009
Full Text on edoc No
Digital Object Identifier DOI 10.3109/13625187.2011.637586
PubMed ID http://www.ncbi.nlm.nih.gov/pubmed/22239264
ISI-Number WOS:000299053700007
Document type (ISI) Article
 
   

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