ArticleInternational perspectives on sexual and reproductive health2011
What differentiates method stoppers from switchers? Contraceptive discontinuation and switching among Honduran women.
Article in International perspectives on sexual and reproductive health, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- Discontinuation, switching and contraceptive failure patterns of long-acting reversible contraceptive users in Kenya: a quantitative study.Sexual and reproductive health matters · 2025Article
- Contraceptive Use and Discontinuation Among Adolescent Women in 55 Low- and Middle-Income Countries.Demography · 2025Article
- Predictors of contraceptive discontinuation in Rwanda: evidence from demographic and health survey 2019-2020.Contraception and reproductive medicine · 2024Article
- Method shifting from long to short term contraceptives and its associated factors among reproductive age women, northwest Ethiopia.Contraception and reproductive medicine · 2023Article
- Reproductive outcomes following contraceptive discontinuation for method-related reasons: An analysis of 49 Demographic and Health Surveys.PLOS global public health · 2023Article
- Magnitude and factors for method discontinuation and switching among long acting reversible contraceptive users in health facilities of Southern Ethiopia.Reproductive health · 2022Article
- Article
- Determinants of Intrauterine Contraceptive Device Discontinuation Among Women Using Family Planning, in Southwest Ethiopia: Unmatched Case-Control Study.Open access journal of contraception · 2022Article
- Association between experience of specific side-effects and contraceptive switching and discontinuation in Uganda: results from a longitudinal study.Reproductive health · 2021Article
- Negotiation of the use of medical contraception: Levers and obstacles within married couples in Benin.PloS one · 2021Article
- Which contraceptive side effects matter most? Evidence from current and past users of injectables and implants in Western Kenya.Contraception: X · 2020Article
- Factors associated with early long-acting reversible contraceptives discontinuation in Ethiopia: evidence from the 2016 Ethiopian demographic and health survey.Archives of public health = Archives belges de sante publique · 2020Article
- A risk scoring tool for predicting Kenyan women at high risk of contraceptive discontinuation.Contraception: X · 2020Article
- Reasons and multilevel factors associated with unscheduled contraceptive use discontinuation in Ethiopia: evidence from Ethiopian demographic and health survey 2016.BMC public health · 2019Article
- Contraceptive discontinuation: frequency and associated factors among undergraduate women in Brazil.Reproductive health · 2019Article
- Predictors of contraceptive switching and discontinuation within the first 6 months of use among Highly Effective Reversible Contraceptive Initiative Salt Lake study participants.American journal of obstetrics and gynecology · 2019Article
- Association Between the Quality of Contraceptive Counseling and Method Continuation: Findings From a Prospective Cohort Study in Social Franchise Clinics in Pakistan and Uganda.Global health, science and practice · 2019Article
- Article
- Reasons for unmet need for family planning, with attention to the measurement of fertility preferences: protocol for a multi-site cohort study.Reproductive health · 2017Article
- Patterns of Contraceptive Adoption, Continuation, and Switching after Delivery among Malawian Women.PloS one · 2017Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
contextContraceptive discontinuation contributes to unplanned pregnancy and unwanted births, as well as increased maternal, neonatal and infant morbidity and mortality. Information on differences between women who stop using contraceptives and those who switch to another method would be useful for programs aimed at preventing unplanned pregnancies and their consequences.
methodsData come from two rounds of interviews with women aged 15-44 (800 interviewed at baseline and 671 reinterviewed one year later) who were new or continuing users of injectable or oral contraceptives or an IUD. Bivariate analysis examined associations between attitudes and behaviors of women who discontinued their baseline method and side effects they experienced. Multivariate logistic regression assessed differences between women who switched methods immediately or within one month of discontinuation and those who stopped contraceptive use for one month or more.
resultsOf the 671 women who were reinterviewed, 41% (273) discontinued use of their baseline contraceptive method within the one-year follow-up; of those, 43% (117) switched to a new method, and 57% (156) stopped for one month or more. Seeking help with side effects from a health worker, urban residence, talking to a partner about the decision to discontinue, and new and recent method adoption were associated with increased odds of switching methods (odds ratios, 2.0-3.5).
conclusionAccess to high-quality family planning services and encouraging discussion with partners and families before stopping contraceptive use is important for women who experience side effects from contraceptive methods and are at risk of discontinuation.
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