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[Use of contraception with only progestogens in primary care: Study GESTAGAP].

Abstract：

AIM:To estimate the prevalence of use of progestin-only contraceptive among women who request reversible contraception in Primary Care (PC). DESIGN:Multicentre cross-sectional study. SETTING:Primary Care Health Care Centres (Madrid). PARTICIPANTS:Women aged 16-50 years old, users of reversible contraception, who speak Spanish, and had attended the Primary Care Centre in the last year. MAIN MEASUREMENTS:Primary outcome: contraceptive method used: Contraception with progestins-only (yes/no). Age, parity, country of origin, type of contraceptive method used, reason for choice, source of information, satisfaction with the contraceptive method. Telephone survey. RESULTS:A total of 417 women were interviewed. The median age was 30.3years (SD: 7.7). Spanish 69%, and 82% of participants had secondary or university studies. More than half (57%) were nulliparous. The type of contraceptive used included: progestins only: 14%, combined hormonal contraceptive: 74%, copper IUD: 2%, and condom 10%. The prevalence of use of "progestins-only" was 13.9% (95%CI: 10.6-17.2). Medroxyprogesterone acetate injection was the most progestin-only method used (4.6%), desogestrel oral pill (4.1%), IUD-levonorgestrel IUD (3.9%), and etonogestrel subdermal implant (1.9%). The family doctor was the prescriber in 71% of the women. Satisfaction: high (range 9-10). Using only progestogens was associated with older age, being non-Spanish, breastfeeding, and having a medical contraindication for combined contraception (P<0.05). CONCLUSIONS:The prevalence of use for progestins was 14%, satisfaction was very high for all contraceptive methods. The user profile for the only progestins-only corresponds to older, and non-Spanish women with conditions such as breastfeeding or contraindications for other contraceptives.

journal_name

Aten Primaria

journal_title

Atencion primaria

authors

Rodríguez-Rodríguez R,Polentinos-Castro E,Azcoaga-Lorenzo A,González-Fernández C,Grupo GESTAGAP.,Grupo GESTAGAP.

doi

10.1016/j.aprim.2018.05.005

subject

Has Abstract

pub_date

2019-10-01 00:00:00

pages

479-485

issue

eissn

0212-6567

issn

1578-1275

pii

S0212-6567(18)30078-7

journal_volume

pub_type

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[Use of contraception with only progestogens in primary care: Study GESTAGAP].