Predictors of Non-use of Intrauterine Contraception among women aged 18-49 years in a General practice setting in the UK
journal contributionposted on 2023-07-26, 13:55 authored by Susan H. Walker, Victoria Newton, Lesley Hoggart, Michael Parker
Objectives: Our research examined the barriers to the uptake of Intrauterine Contraception (IUC) by women in a general practice setting in the UK. This paper reports predictors of non-use of IUC in this context. Design: We used a mixed method QUAL/Quant approach in which initial qualitative research provides a framework for subsequent larger quantitative surveys. Utilising findings derived from 30 qualitative interviews, a quantitative survey was developed and distributed to a pragmatic sample of 1195 women, aged 18-49 years, who were recruited through 32 participating GP practices in an area of England, UK. Outcome measures were percentage of attributes or responses in the sample and use or non-use of IUC. Results were analysed using descriptive statistical analysis and binary logistic regression, using Use/Non-Use as a binary response variable. Results: Attitudinal variables which were the strongest predictors of non-use of IUC were; an adverse opinion on long acting aspect of IUC (OR=8.34), disliking the thought of IUC inside the body (OR=3.138), concerns about IUC causing difficulties becoming pregnant in the future (OR=2.587), concerns about womb damage (OR=2.224), having heard adverse opinions about levonorgestrel - releasing IUS (Mirena®) (OR= 2.551), having an adverse opinion of having light, irregular periods (OR=2.382) and having an adverse opinion of having no periods (OR=2.018). Conclusions: Concerns about the long-acting nature of IUC and persisting concerns about the safety of IUC may act as barriers to its use. Information for women, tailored to specifically address these concerns, is needed.
Publication titleOpen Access Journal of Contraception
PublisherDove Medical Press
- Published version