ArticleSocial science & medicine (1982)2018
Current and past depressive symptoms and contraceptive effectiveness level method selected among women seeking reproductive health services.
Article in Social science & medicine (1982), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Influence of mental health conditions and symptoms on contraceptive use among adolescent girls and young women: a scoping review.Frontiers in reproductive health · 2025Pooled it
- Mental Health Distress and Delayed Contraception Among Older Adolescents and Young Adults.Journal of women's health (2002) · 2024Article
- Depression in Female Adolescents with Heavy Menstrual Bleeding.The Journal of pediatrics · 2022Article
- The association between depression and contraceptive behaviors in a diverse sample of new prescription contraception users.Contraception · 2022Article
- Intimate Partner Violence and Effectiveness Level of Contraceptive Selection Post-Abortion.Journal of women's health (2002) · 2020Article
- Psychosocial Factors Associated With Postpartum Contraceptive Method Use After an Unintended Birth.Obstetrics and gynecology · 2020Article
- Hormonal Contraceptives and Mood: Review of the Literature and Implications for Future Research.Current psychiatry reports · 2019Review
- Sexual and reproductive health problems among women with mental illness attending tertiary care psychiatric outpatient clinic in India: A cross-sectional study.Journal of neurosciences in rural practiceArticle
Corrections and comments
- Erratum issued
Authors and funding
5 authors.
Funding
Abstract
rationaleMore thoroughly understanding the association between elevated depressive symptoms and effectiveness level of contraceptive method selected at a reproductive health visit could help women prevent unintended pregnancy.
objectiveThis study examined how the association between both current and past depressive symptoms and effectiveness level of contraceptive method selected at a clinic visit varies by type of reproductive health visit.
methodsCurrent and past depressive symptoms and contraceptive method selected were assessed among 1215 women aged 18-25 years seeking general reproductive health or abortion services at 40 community clinics throughout the United States. Using standard categories of effectiveness based on pregnancy rates during typical use, women's contraceptive method selected was coded as a low (e.g., no method, withdrawal, condoms), moderately (pill, patch, ring, or shot), or highly effective method (IUD, sterilization, implant). Depression status was divided into four categories: 1) no elevated depressive symptoms ever, 2) current elevated depressive symptoms only, 3) past elevated depressive symptoms only, and 4) past and current elevated depressive symptoms. Visit type, general reproductive health versus abortion care, was a moderator. The interaction effect between depressive symptoms and visit type on contraceptive method effectiveness level chosen was estimated with multinomial logistic regression analyses.
resultsIn general reproductive health visits, having both elevated current and past depressive symptoms increased women's likelihood of choosing low versus moderately effective methods (RRR = 5.63, 95% CI = 2.31 to 13.71, p < .0005). In contrast, among abortion patients, only current elevated depressive symptoms were associated with choosing high versus moderate effectiveness methods (RRR = 1.74, 95% CI = 1.06 to 2.86, p = .029).
conclusionResults suggest that considering both women's current and past elevated depressive symptoms and the type of reproductive health visit may assist providers in helping women prevent unintended pregnancy.
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