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Non-hormonal and hormonal intrauterine contraception: survey of patients' perceptions in four Latin American countries.
Eur J Contracept Reprod Health Care. 2016 Jun; 21(3):213-9.EJ

Abstract

OBJECTIVES

This study sought to understand women's perceived barriers to the use of hormonal and non-hormonal intrauterine contraception in Latin America.

METHODS

We developed an online survey for women in Argentina, Brazil, Colombia and Mexico who were seeking contraception. The questions aimed at evaluating patient awareness of negative stories and statements, as well as perceived barriers to the copper intrauterine device (IUD) and the levonorgestrel-releasing intrauterine system (LNG-IUS).

RESULTS

The survey was mailed to 2300 women. A total of 1953 responses were received from Argentina (n = 465), Brazil (n = 380), Colombia (n = 613) and Mexico (n = 495). More women reported having heard negative stories about the copper IUD than about the LNG-IUS. More women believed that the copper IUD, rather than the LNG-IUS, was suitable only for those who had already had children. More women believed that weight gain (14.3% vs. 38.2%; p < 0.001), mood swings (14.1% vs. 38.7%; p < 0.001) and infertility (16.3% vs. 19.9%; p = 0.016) were possible side effects of the LNG-IUS. By contrast, more women believed that abortion (36% vs. 22.7%; p < 0.001), pelvic infections (42.1% vs. 15.7%; p < 0.001) and ectopic pregnancy (43.5% vs 23.5%; p < 0.001) were side effects more associated with the copper IUD. More believed the copper IUD was associated with less pain during placement and removal compared with the LNG-IUS (42.8% vs. 31.2%; p < 0.001). The perception of increased risk of contracting a sexual transmitted disease did not differ between the methods (IUD vs. LNG-IUS, 21.7% vs. 20.3%; p = 0.388).

CONCLUSIONS

Respondents to a web-based survey in four Latin American countries have misperceptions regarding the adverse effects and risks of intrauterine contraception, which may hamper the use of these safe and efficient contraceptive methods. Education about the true risks and benefits involved is fundamental to improving patient acceptance and compliance as well as reducing unplanned pregnancies and unsafe abortions.

Authors+Show Affiliations

a Department of Obstetrics and Gynecology , Federal University of Minas Gerais , Belo Horizonte , Brazil ;b Department of Adolescent Gynecology , Instituto Nacional de Perinatologia, Universidad Nacional Autónoma de México , Mexico City , Mexico.a Department of Obstetrics and Gynecology , Federal University of Minas Gerais , Belo Horizonte , Brazil ;a Department of Obstetrics and Gynecology , Federal University of Minas Gerais , Belo Horizonte , Brazil ;a Department of Obstetrics and Gynecology , Federal University of Minas Gerais , Belo Horizonte , Brazil ;a Department of Obstetrics and Gynecology , Federal University of Minas Gerais , Belo Horizonte , Brazil ;a Department of Obstetrics and Gynecology , Federal University of Minas Gerais , Belo Horizonte , Brazil ;

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26848851

Citation

Silva-Filho, Agnaldo Lopes da, et al. "Non-hormonal and Hormonal Intrauterine Contraception: Survey of Patients' Perceptions in Four Latin American Countries." The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception, vol. 21, no. 3, 2016, pp. 213-9.
Silva-Filho AL, Lira J, Rocha AL, et al. Non-hormonal and hormonal intrauterine contraception: survey of patients' perceptions in four Latin American countries. Eur J Contracept Reprod Health Care. 2016;21(3):213-9.
Silva-Filho, A. L., Lira, J., Rocha, A. L., Ferreira, M. C., Lamaita, R. M., Cândido, E. B., & Carneiro, M. M. (2016). Non-hormonal and hormonal intrauterine contraception: survey of patients' perceptions in four Latin American countries. The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception, 21(3), 213-9. https://doi.org/10.3109/13625187.2015.1137281
Silva-Filho AL, et al. Non-hormonal and Hormonal Intrauterine Contraception: Survey of Patients' Perceptions in Four Latin American Countries. Eur J Contracept Reprod Health Care. 2016;21(3):213-9. PubMed PMID: 26848851.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Non-hormonal and hormonal intrauterine contraception: survey of patients' perceptions in four Latin American countries. AU - Silva-Filho,Agnaldo Lopes da, AU - Lira,Josefina, AU - Rocha,Ana Luiza Lunardi, AU - Ferreira,Márcia Cristina França, AU - Lamaita,Rívia Mara, AU - Cândido,Eduardo Batista, AU - Carneiro,Márcia Mendonça, Y1 - 2016/02/05/ PY - 2016/2/6/entrez PY - 2016/2/6/pubmed PY - 2017/4/30/medline KW - Intrauterine contraception KW - intrauterine device KW - knowledge SP - 213 EP - 9 JF - The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception JO - Eur J Contracept Reprod Health Care VL - 21 IS - 3 N2 - OBJECTIVES: This study sought to understand women's perceived barriers to the use of hormonal and non-hormonal intrauterine contraception in Latin America. METHODS: We developed an online survey for women in Argentina, Brazil, Colombia and Mexico who were seeking contraception. The questions aimed at evaluating patient awareness of negative stories and statements, as well as perceived barriers to the copper intrauterine device (IUD) and the levonorgestrel-releasing intrauterine system (LNG-IUS). RESULTS: The survey was mailed to 2300 women. A total of 1953 responses were received from Argentina (n = 465), Brazil (n = 380), Colombia (n = 613) and Mexico (n = 495). More women reported having heard negative stories about the copper IUD than about the LNG-IUS. More women believed that the copper IUD, rather than the LNG-IUS, was suitable only for those who had already had children. More women believed that weight gain (14.3% vs. 38.2%; p < 0.001), mood swings (14.1% vs. 38.7%; p < 0.001) and infertility (16.3% vs. 19.9%; p = 0.016) were possible side effects of the LNG-IUS. By contrast, more women believed that abortion (36% vs. 22.7%; p < 0.001), pelvic infections (42.1% vs. 15.7%; p < 0.001) and ectopic pregnancy (43.5% vs 23.5%; p < 0.001) were side effects more associated with the copper IUD. More believed the copper IUD was associated with less pain during placement and removal compared with the LNG-IUS (42.8% vs. 31.2%; p < 0.001). The perception of increased risk of contracting a sexual transmitted disease did not differ between the methods (IUD vs. LNG-IUS, 21.7% vs. 20.3%; p = 0.388). CONCLUSIONS: Respondents to a web-based survey in four Latin American countries have misperceptions regarding the adverse effects and risks of intrauterine contraception, which may hamper the use of these safe and efficient contraceptive methods. Education about the true risks and benefits involved is fundamental to improving patient acceptance and compliance as well as reducing unplanned pregnancies and unsafe abortions. SN - 1473-0782 UR - https://www.unboundmedicine.com/medline/citation/26848851/Non_hormonal_and_hormonal_intrauterine_contraception:_survey_of_patients'_perceptions_in_four_Latin_American_countries_ L2 - https://www.tandfonline.com/doi/full/10.3109/13625187.2015.1137281 DB - PRIME DP - Unbound Medicine ER -