Medication Adherence and Contraceptive Counseling
Abstract
:1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Limitations
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Item | Answer |
---|---|
1. Do you ever forget to take your medicine? | Yes/No |
2. Are you careless at times about taking your medicine? | Yes/No |
3. When you feel better, do you sometimes stop taking your medicine? | Yes/No |
4. Sometimes if you feel worse when you take your medicine, do you stop taking it? | Yes/No |
Categorical Factors | Total | Poorly Adherent | Adherent | p-Value |
---|---|---|---|---|
n = 327 | n = 198 | n = 129 | ||
(% of Total) | (% of Row) | (% of Row) | ||
Marital status | 0.010 | |||
Married | 54 (16.5%) | 41 (75.9%) | 13 (24.1%) | |
Single or other | 270 (82.6%) | 154 (57.0%) | 116 (43.0%) | |
Has children | 0.003 | |||
Yes | 99 (30.3%) | 72 (72.7%) | 27 (27.3%) | |
No | 228 (69.7%) | 126 (55.3%) | 102 (44.7%) | |
Living with a partner | 0.002 | |||
Yes | 149 (45.6%) | 104 (69.8%) | 45 (30.2%) | |
No | 178 (54.4%) | 94 (52.8%) | 84 (47.2%) | |
Activity situation | 0.002 | |||
Employed | 179 (54.7%) | 122 (68.2%) | 57 (31.8%) | |
Non-employed | 146 (44.6%) | 75 (51.4%) | 71 (48.6%) | |
History of unplanned pregnancy | 0.037 | |||
Yes | 64 (19.6%) | 46 (71.9%) | 18 (28.1%) | |
No | 262 (80.1%) | 151 (57.6%) | 111 (42.4%) | |
Voluntary pregnancy interruptions | 0.045 | |||
Yes | 49 (15.0%) | 36 (73.5%) | 13 (26.5%) | |
No | 278 (85.0%) | 162 (58.3%) | 116 (41.7%) | |
Smoker | 0.027 | |||
Yes | 74 (22.6%) | 53 (71.6%) | 21 (28.4%) | |
No | 253 (77.4%) | 145 (57.3%) | 108 (42.7%) | |
Level of education | 0.999 | |||
Lower Secondary | 112 (34.3%) | 68 (60.7%) | 44 (39.3%) | |
Upper Secondary | 104 (31.8%) | 62 (60.6%) | 41 (39.4%) | |
University | 111 (33.9%) | 67 (60.4%) | 44 (39.6%) | |
Place of birth | 0.120 | |||
Spain | 222 (67.9%) | 128 (57.7%) | 94 (42.3%) | |
Abroad | 105 (32.1%) | 70 (66.7%) | 35 (33.3%) | |
Continuous Factors | Mean ± S.E. of Mean | Mean ± S.E. of Mean | Mean ± S.E. of Mean | p |
Age | 26.13 ± 0.40 | 27.45 ± 0.51 | 24.11 ± 0.58 | <0.001 |
Weight | 63.04 ± 0.69 | 63.79 ± 0.85 | 61.88 ± 1.17 | 0.177 |
Systolic blood pressure | 113.2 ± 0.62 | 112.11 ± 0.78 | 114.9 ± 0.99 | 0.027 |
Diastolic blood pressure | 69.99 ± 0.46 | 69.03 ± 0.58 | 70.5 ± 0.73 | 0.008 |
B | Standard Error | Wald | df | p | OR | 95% CI for OR | ||
---|---|---|---|---|---|---|---|---|
Lower | Upper | |||||||
Categorical Predictors | ||||||||
Marital status | ||||||||
Married (Ref.) | ||||||||
Single or other | −0.879 | 0.486 | 3.271 | 1 | 0.070 | 0.415 | 0.160 | 1.076 |
Has children | ||||||||
No (Ref.) | ||||||||
Yes | 0.084 | 0.424 | 0.040 | 1 | 0.842 | 1.088 | 0.474 | 2.496 |
Living with a partner | ||||||||
No (Ref.) | ||||||||
Yes | 0.057 | 0.320 | 0.032 | 1 | 0.859 | 1.059 | 0.565 | 1.982 |
Activity situation | ||||||||
Employed (Ref.) | ||||||||
Non-employed | −0.094 | 0.293 | 0.104 | 1 | 0.748 | 0.910 | 0.512 | 1.617 |
History of unplanned pregnancy | ||||||||
No (Ref.) | ||||||||
Yes | 0.020 | 0.691 | 0.001 | 1 | 0.977 | 1.020 | 0.263 | 3.951 |
Voluntary Pregnancy Interruptions | ||||||||
No (Ref.) | ||||||||
Yes | 0.375 | 0.737 | 0.259 | 1 | 0.611 | 1.455 | 0.343 | 6.164 |
Smoker | ||||||||
No (Ref.) | ||||||||
Yes | 0.733 | 0.320 | 5.243 | 1 | 0.022 | 2.081 | 1.111 | 3.898 |
Continuous Predictors | ||||||||
Age | 0.075 | 0.027 | 7.511 | 1 | 0.006 | 1.078 | 1.022 | 1.137 |
Systolic blood pressure | −0.017 | 0.014 | 1.405 | 1 | 0.236 | 0.983 | 0.957 | 1.011 |
Diastolic blood pressure | −0.043 | 0.019 | 5.075 | 1 | 0.024 | 0.958 | 0.923 | 0.994 |
Constant | 4.016 | 1.567 | 6.571 | 1 | 0.010 | 55.478 |
Categorical Factors | Total (% of Total COC Users, n = 147) | Poorly Adherent (% of Poorly Adherent, n = 90) | Adherent (% of Adherent, n = 57) | OR (95% CI) | p-Value | Effect Size (φ) |
---|---|---|---|---|---|---|
Forgetting to take pills | 60 | 43 | 17 | 2.153 | 0.031 | 0.178 |
(40.8%) | (47.8%) | (29.8%) | (1.067–4.345) | |||
Some incidents or problems related to contraceptive method (COCs) | 27 | 25 | 2 | 9.808 | <0.001 | 0.296 |
(18.9%) | (27.8%) | (3.8%) | (2.219–43.353) | |||
Bleeding between periods | 41 | 28 | 13 | 1.529 | 0.274 | - |
(27.9%) | (31.1%) | (22.8%) | (0.713–3.278) | |||
Mood changes | 45 | 27 | 18 | .929 | 0.840 | - |
(30.6%) | (30.0%) | (31.6%) | (0.453–1.903) | |||
Decreased sexual desire | 29 | 22 | 7 | 2.311 | 0.071 | - |
(19.7%) | (22.4%) | (12.3%) | (0.916–5.831) | |||
Headaches | 34 | 25 | 9 | 2.051 | 0.093 | - |
(23.1%) | (27.8%) | (15.8%) | (0.878–4.791) | |||
Skin problems | 22 | 16 | 6 | 1.838 | 0.230 | - |
(15.0%) | (17.8%) | (10.5%) | (0.674–5.015) | |||
Weight gain | 31 | 21 | 10 | 1.430 | 0.402 | - |
(21.1%) | (23.3%) | (17.5%) | (0.618–3.311) | |||
Severe breast pain | 42 | 26 | 16 | 1.041 | 0.915 | - |
(28.6%) | (28.9%) | (28.1%) | (0.499–2.173) | |||
Nausea or vomiting | 18 | 13 | 5 | 1.756 | 0.307 | - |
(12.2%) | (14.4%) | (8.8%) | (0.590–5.221) | |||
Unplanned pregnancy | 1 | 1 | 0 | - | - | - |
(0.7%) | (1.1%) | (0%) | ||||
Has needed emergency contraception | 2 | 2 | 0 | - | - | - |
(1.4%) | (2.2%) | (0%) | ||||
Continuous Factors | Mean ± SD | Mean ± SD | Mean ± SD | p-value | Effect size (Hedges’ g) | |
Degree of satisfaction with contraceptive method | 8.27 ± 1.56 | 7.92 ± 1.750 | 8.82 ± 0.984 | <0.001 | 0.600 |
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Share and Cite
de Molina-Fernandez, M.I.; Reyes-Martí, L.; De la Flor-López, M.; Aguarón-García, M.J.; Roca-Biosca, A.; Rubio-Rico, L.; Raventós Torner, R.D.; Valls-Fonayet, F. Medication Adherence and Contraceptive Counseling. Healthcare 2023, 11, 1304. https://doi.org/10.3390/healthcare11091304
de Molina-Fernandez MI, Reyes-Martí L, De la Flor-López M, Aguarón-García MJ, Roca-Biosca A, Rubio-Rico L, Raventós Torner RD, Valls-Fonayet F. Medication Adherence and Contraceptive Counseling. Healthcare. 2023; 11(9):1304. https://doi.org/10.3390/healthcare11091304
Chicago/Turabian Stylede Molina-Fernandez, María Inmaculada, Laura Reyes-Martí, Miriam De la Flor-López, Maria Jesús Aguarón-García, Alba Roca-Biosca, Lourdes Rubio-Rico, Rosa Dolors Raventós Torner, and Francesc Valls-Fonayet. 2023. "Medication Adherence and Contraceptive Counseling" Healthcare 11, no. 9: 1304. https://doi.org/10.3390/healthcare11091304