Abstract:
BACKGROUND:A variety of different approaches to measuring contraceptive use have been used or proposed, either to assess current use or adherence over time, using subjective or objective measures. This paper reports an overview of approaches to measuring adherence to the oral contraceptive, intra-uterine device, sub-dermal implant, and injectable and describes how we assessed contraception use in the MObile Technology for Improved Family Planning (MOTIF) trial in Cambodia. MAIN BODY:We summarise and discuss advantages and disadvantages of different subjective and objective approaches to measuring adherence to the oral contraceptive, intra-uterine device, sub-dermal implant, and injectable such as self-reports, clinic records, electronic monitoring devices, clinical examination and biomarkers. For the MOTIF trial, we did not consider it feasible to measure objective contraception use as many participants lived a long distance from the clinic and we were concerned whether it was appropriate to ask women to return to clinic for a physical examination simply to verify self-report information already provided. We aimed to assess the validity of the four-month data with 50 participants, calculating the sensitivity and specificity of self-reported data compared with objective measurement. For the 46 valid measurements obtained, the sensitivity and specificity was 100% for self-reported contraception use compared to objective measurement but this study had some limitations. To assess reliability of self-report data we compared calendar data collected on effective contraception use at months 1-4 post-abortion, collected separately at four and 12 months. Agreement ranged from 80 to 84% with a kappa statistic ranging from 0·59 to 0·67 indicating fair to good agreement. CONCLUSION:There is no perfect method of assessing contraception use and researchers designing future studies should give consideration of what to measure, for example current use or detailed patterns of use over time, and remain mindful of what will be feasible and acceptable to the study population. Although self-reported data on contraception use are considered less reliable, and prone to social desirability bias, it is often the standard approach for contraception research and provides data comparable to previous studies. TRIAL REGISTRATION:ClinicalTrials.gov Identifier: NCT01823861 . Registered: March 30, 2013.
journal_name
Reprod Healthjournal_title
Reproductive healthauthors
Smith C,Edwards P,Free Cdoi
10.1186/s12978-018-0494-7subject
Has Abstractpub_date
2018-03-15 00:00:00pages
50issue
1issn
1742-4755pii
10.1186/s12978-018-0494-7journal_volume
15pub_type
信件,评审abstract:BACKGROUND:To study maternal anxiety and perinatal outcomes in pregnant women submitted to a Multidisciplinary Program for Childbirth and Motherhood Preparation (MPCM). METHODS:This is a not randomized controlled trial on 67 nulliparous pregnant women divided into two groups according to participation (MPCM Group; n =...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-7-28
更新日期:2010-10-29 00:00:00
abstract::An amendment to this paper has been published and can be accessed via the original article. ...
journal_title:Reproductive health
pub_type: 杂志文章,已发布勘误
doi:10.1186/s12978-020-00950-7
更新日期:2020-07-23 00:00:00
abstract:BACKGROUND:To identify all the records within the Brazilian Hospital Information System (HIS) that contained information suggestive of severe maternal morbidity (near miss); to describe the diagnoses and procedures used; to identify variables associated with maternal death. METHODS:A descriptive population study with ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-5-6
更新日期:2008-10-28 00:00:00
abstract:BACKGROUND:Pregnancy and parenthood are known to be high-risk times for mental health. However, less is known about the mental health of pregnant adolescents or adolescent parents. Despite the substantial literature on the risks associated with adolescent pregnancy, there is limited evidence on best practices for preve...
journal_title:Reproductive health
pub_type: 杂志文章,评审
doi:10.1186/s12978-020-00913-y
更新日期:2020-05-14 00:00:00
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journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-11-10
更新日期:2014-01-30 00:00:00
abstract::Over the last 30 years, conservative power in the United States, financed and organized by Christian fundamentalist sects, the Catholic Church, and conservative corporate and political leadership, has become more threatening and potentially destabilizing of progressive democratic principles and practices. Powerful int...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-8-1
更新日期:2011-01-05 00:00:00
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journal_title:Reproductive health
pub_type: 杂志文章,多中心研究
doi:10.1186/1742-4755-12-S2-S8
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abstract:BACKGROUND:Recent evidence suggests that mistreatment of women during childbirth is a global challenge facing health care systems. This study seeks to explore the prevalence of mistreatment of women in public health facilities of Ethiopia, and identify associated factors. METHODS:A two-stage cross sectional sampling d...
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pub_type: 杂志文章
doi:10.1186/s12978-019-0781-y
更新日期:2019-08-27 00:00:00
abstract:BACKGROUND:Previous studies in developing countries suggest that a husband plays an influential role in a woman's contraceptive use. The influence of a husband/partner's healthcare decision making power on a woman's intention to use contraceptives in Mozambique has not been studied. The present study examined this rela...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-015-0010-2
更新日期:2015-04-23 00:00:00
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doi:10.1186/s12978-015-0062-3
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journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-9-12
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journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-016-0214-0
更新日期:2016-09-30 00:00:00
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journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-01010-w
更新日期:2020-11-30 00:00:00
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journal_title:Reproductive health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12978-015-0057-0
更新日期:2015-08-05 00:00:00
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journal_title:Reproductive health
pub_type: 杂志文章,评审
doi:10.1186/s12978-020-00920-z
更新日期:2020-05-20 00:00:00
abstract:BACKGROUND:Adolescents 360 (A360) is an initiative being rolled out across Ethiopia, Nigeria and Tanzania with the aim of increasing uptake of voluntary modern contraception among sexually active women aged 15 to 19 years. Using evaluation baseline survey data, we described key sexuality, fertility and contraceptive us...
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pub_type: 杂志文章
doi:10.1186/s12978-019-0666-0
更新日期:2019-01-21 00:00:00
abstract:BACKGROUND:Overweight and obese women are at risk of pregnancy and delivery complications. This study investigates the trend and association between maternal overweight and obesity on caesarean births in Malawi. METHODS:We utilised cross-sectional population-based Demographic Health Surveys (DHSs) data collected from ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0700-2
更新日期:2019-04-03 00:00:00
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journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-017-0409-z
更新日期:2017-11-15 00:00:00
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journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-11-8
更新日期:2014-01-20 00:00:00
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pub_type: 杂志文章
doi:10.1186/s12978-019-0828-0
更新日期:2019-11-08 00:00:00
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journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-7-12
更新日期:2010-06-23 00:00:00
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pub_type: 杂志文章
doi:10.1186/s12978-015-0037-4
更新日期:2015-05-14 00:00:00
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journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-10-48
更新日期:2013-09-11 00:00:00
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journal_title:Reproductive health
pub_type: 杂志文章
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更新日期:2016-06-17 00:00:00
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journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-016-0241-x
更新日期:2016-10-06 00:00:00
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journal_title:Reproductive health
pub_type: 信件
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更新日期:2018-07-27 00:00:00
abstract:BACKGROUND:Adolescent pregnancy is a worldwide problem because of its health, social, economic and political repercussions on the globe. Even though the rates of adolescent pregnancy have declined over the decade, there is still unacceptably high rates especially in lower and middle-income countries including Ghana. Al...
journal_title:Reproductive health
pub_type: 杂志文章,随机对照试验
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更新日期:2019-08-15 00:00:00
abstract:BACKGROUND:Reducing the maternal mortality ratio to less than 70 per 100,000 live births globally is one of the Sustainable Development Goals. Approximately 830 women die from pregnancy- or childbirth-related complications every day. Almost 99% of these deaths occur in developing countries. Increasing antenatal care qu...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0820-8
更新日期:2019-10-22 00:00:00
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journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-7-30
更新日期:2010-11-05 00:00:00
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journal_title:Reproductive health
pub_type: 杂志文章
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更新日期:2020-02-22 00:00:00