Acceptability and continuation of use of the subdermal contraceptive implant among adolescents and young women in Argentina: a retrospective cohort study

Fil: Maceira, Daniel. CEDES. Centro de Estudio de Estado y Sociedad. Área de Economía; Argentina.

Detalles Bibliográficos
Autores principales: Maceira, Daniel, Oizerovich, Silvia, Perrotta, Gabriela, Gómez Ponce de León, Rodolfo, Karolinski, Ariel, Suárez, Natalia, Espinola, Natalia, Caffe, Sonja, Chandra-Moulio, Venkatraman
Formato: publishedVersion Artículo acceptedVersion https://creativecommons.org/licenses/by-nc-nd/4.0/
Lenguaje:Inglés
Publicado: 2023
Materias:
Acceso en línea:http://repositorio.cedes.org/handle/123456789/4713
Aporte de:
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record_format dspace
institution Centro de Estudios de Estado y Sociedad (CEDES)
institution_str I-61
repository_str R-167
collection Respositorio Digital CRIS del CEDES - Centro de Estudios de Estado y Sociedad
language Inglés
topic ANTICONCEPCION
ANTICONCEPTIVOS
EMBARAZO EN ADOLESCENCIA
DISPOSITIVOS ANTICONCEPTIVOS
MUJERES
ADOLESCENTES
CUMPLIMIENTO Y ADHERENCIA AL TRATAMIENTO
ARGENTINA
spellingShingle ANTICONCEPCION
ANTICONCEPTIVOS
EMBARAZO EN ADOLESCENCIA
DISPOSITIVOS ANTICONCEPTIVOS
MUJERES
ADOLESCENTES
CUMPLIMIENTO Y ADHERENCIA AL TRATAMIENTO
ARGENTINA
Maceira, Daniel
Oizerovich, Silvia
Perrotta, Gabriela
Gómez Ponce de León, Rodolfo
Karolinski, Ariel
Suárez, Natalia
Espinola, Natalia
Caffe, Sonja
Chandra-Moulio, Venkatraman
Acceptability and continuation of use of the subdermal contraceptive implant among adolescents and young women in Argentina: a retrospective cohort study
topic_facet ANTICONCEPCION
ANTICONCEPTIVOS
EMBARAZO EN ADOLESCENCIA
DISPOSITIVOS ANTICONCEPTIVOS
MUJERES
ADOLESCENTES
CUMPLIMIENTO Y ADHERENCIA AL TRATAMIENTO
ARGENTINA
description Fil: Maceira, Daniel. CEDES. Centro de Estudio de Estado y Sociedad. Área de Economía; Argentina.
format publishedVersion
Artículo
acceptedVersion
https://creativecommons.org/licenses/by-nc-nd/4.0/
Artículo
Artículo
Artículo
Artículo
author Maceira, Daniel
Oizerovich, Silvia
Perrotta, Gabriela
Gómez Ponce de León, Rodolfo
Karolinski, Ariel
Suárez, Natalia
Espinola, Natalia
Caffe, Sonja
Chandra-Moulio, Venkatraman
author_facet Maceira, Daniel
Oizerovich, Silvia
Perrotta, Gabriela
Gómez Ponce de León, Rodolfo
Karolinski, Ariel
Suárez, Natalia
Espinola, Natalia
Caffe, Sonja
Chandra-Moulio, Venkatraman
author_sort Maceira, Daniel
title Acceptability and continuation of use of the subdermal contraceptive implant among adolescents and young women in Argentina: a retrospective cohort study
title_short Acceptability and continuation of use of the subdermal contraceptive implant among adolescents and young women in Argentina: a retrospective cohort study
title_full Acceptability and continuation of use of the subdermal contraceptive implant among adolescents and young women in Argentina: a retrospective cohort study
title_fullStr Acceptability and continuation of use of the subdermal contraceptive implant among adolescents and young women in Argentina: a retrospective cohort study
title_full_unstemmed Acceptability and continuation of use of the subdermal contraceptive implant among adolescents and young women in Argentina: a retrospective cohort study
title_sort acceptability and continuation of use of the subdermal contraceptive implant among adolescents and young women in argentina: a retrospective cohort study
publishDate 2023
url http://repositorio.cedes.org/handle/123456789/4713
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spelling I61-R167-123456789-47132023-10-05T22:14:03Z Acceptability and continuation of use of the subdermal contraceptive implant among adolescents and young women in Argentina: a retrospective cohort study Maceira, Daniel Oizerovich, Silvia Perrotta, Gabriela Gómez Ponce de León, Rodolfo Karolinski, Ariel Suárez, Natalia Espinola, Natalia Caffe, Sonja Chandra-Moulio, Venkatraman ANTICONCEPCION ANTICONCEPTIVOS EMBARAZO EN ADOLESCENCIA DISPOSITIVOS ANTICONCEPTIVOS MUJERES ADOLESCENTES CUMPLIMIENTO Y ADHERENCIA AL TRATAMIENTO ARGENTINA Fil: Maceira, Daniel. CEDES. Centro de Estudio de Estado y Sociedad. Área de Economía; Argentina. Fil: Oizerovich, Silvia. Universidad Favaloro; Argentina. Fil: Perrotta, Gabriela. Universidad de Buenos Aires. Facultad de Psicología; Argentina. Fil: Gómez Ponce de León, Rodolfo. World Health Organization. Pan-American Health Organization. Latin-American Center of Perinatology and Women’s Health; Uruguay. Fil: Karolinski, Ariel. World Health Organization. Pan-American Health Organization. Family, Gender and Life Course; Brasil. Fil: Suárez, Natalia. CONICET. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Fil: Espinola, Natalia. Universidad de Buenos Aires. Departamento de Economía; Argentina. Fil: Caffe, Sonja. World Health Organization. Pan-American Health Organization. Adolescent Health, Healthy Life Course Family, Health Promotion and Life Course; Estados Unidos. Fil: Chandra-Moulio, Venkatraman. World Health Organization. Department of Sexual and ReproductiveHealth and Research; Suiza. A new public policy was instituted in Argentina for free distribution of subdermal contraceptiveimplants to women aged 15–24 years old in the public healthcare system. The objective of this study is todetermine the extent to which this population adhered to the implant, as well as predictors of continuation.The retrospective cohort study was based on a telephone survey of a random sample of 1101 Ministry ofHealth-registered implant users concerning the continuation of use, satisfaction with the method and side-effects, and reasons for removal. Descriptive statistics and multivariate regression analysis were used toexplore the association between adherence and having received contraceptive counselling, satisfaction, andside effects. We found high levels of adherence (87%) and satisfaction (94%). Common reported side effectswere amenorrhoea or infrequent bleeding, perceived weight gain, increased menstrual bleeding andheadaches. Multivariate regression analysis indicates that, among adolescents, having receivedcontraceptive counselling increased comfort, while frequent bleeding at six months hindered trust.Participants who had a history of a prior delivery or who had themselves primarily chosen the method wereless likely to request the removal of the implant. Our results support the public policy of free implant distribution in the public health sector. This is a sustainable public policy that contributes to equity andaccess to effective contraception. It is appropriate for adolescents and young women and will also reduceunintended pregnancies. Our results suggest that counselling patients is key prior to insertion of the implant,as it improves acceptability and continuation. 2023-04-13T23:15:16Z 2023-04-13T23:15:16Z 2023 info:eu-repo/semantics/publishedVersion Artículo info:eu-repo/semantics/acceptedVersion https://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/article info:ar-repo/semantics/artículo info:eu-repo/semantics/article info:ar-repo/semantics/artículo Maceira D, Oizerovich S, Perrotta G, de León RGP, Karolinski A, Suarez N, Espinola N, Caffe S, Chandra-Mouli V. Acceptability and continuation of use of the subdermal contraceptive implant among adolescents and young women in Argentina: a retrospective cohort study. Sex Reprod Health Matters. 2023 Dec;31(1):2189507. Disponible en: http://repositorio.cedes.org/handle/123456789/4713. http://repositorio.cedes.org/handle/123456789/4713 10.1080/26410397.2023.2189507 37042700 eng https://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess Licencia Creative Commons Atribución-Sin Derivados 4.0 Internacional (CC BY-ND 4.0) info:eu-repo/semantics/openAccess application/pdf Sex Reprod Health Matters.;2023;31(1):2189507.