Evidence map›Paper›PMID 37042700›Full record

ArticleSexual and reproductive health matters2023

Acceptability and continuation of use of the subdermal contraceptive implant among adolescents and young women in Argentina: a retrospective cohort study.

Daniel Maceira, Silvia Oizerovich, Gabriela Perrotta, Rodolfo Gómez Ponce de León, Ariel Karolinski, Natalia Suarez, Natalia Espinola, Sonja Caffe, Venkatraman Chandra-Mouli

Open access · goldAbstract read
In one paragraph

Article in Sexual and reproductive health matters, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 42% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 4 countries.

Daniel MaceiraProfessor, Department of Economics; Universidad de Buenos Aires, and Independent Researcher, National Council of Scientific and Technical Research (CONICET), Buenos Aires, Argentina.
Silvia OizerovichProfessor, Faculty of Medical Sciences, Universidad Favaloro, Buenos Aires, Argentina.
Gabriela PerrottaMember of the Scientific Committee of the Argentinian Pediatric and Adolescent Gynecology Society (SAGIJ) and Argentinian Medical Association for Contraception (AMAdA), Buenos Aires, Argentina.
Rodolfo Gómez Ponce de LeónSexual and Reproductive Health Regional Advisor at Pan-American Health Organization / World Health Organization (PAHO/WHO), Latin-American Center of Perinatology and Women's Health (PAHO/CLAP), Montevideo, Uruguay.
Ariel KarolinskiAdvisor, Family, Health Promotion and Life Course; Coordinator of Family, Gender and Life Course, Pan-American Health Organization/World Health Organization (PAHO/WHO), Brasilia, Brazil Representation.
Natalia SuarezProfessor, Universidad Nacional de Hurlingham, Community Health Institute, Buenos Aires, Argentina.
Natalia EspinolaTeaching Assistant Professor, Department of Economics, University of Buenos Aires, Buenos Aires, Argentina.
Sonja CaffeRegional Advisor on Adolescent Health, Healthy Life Course Family, Health Promotion and Life Course PAHO/WHO, Washington, DC, USA.
Venkatraman Chandra-MouliScientist, Adolescent Sexual and Reproductive Health, UNDP/UNFPA/UNICEF/WHO/World Bank Special Program of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
University of Buenos Aires · ARConsejo Nacional de Investigaciones Científicas y Técnicas · ARFavaloro University · ARPan American Health Organization (Brasil) · BRUniversidad Nacional de HurlinghamUniversity of North Carolina at Chapel Hill · USWorld Health Organization · CH

Funding

World Health Organization 001
6 · The paper itself

Abstract

A new public policy was instituted in Argentina for free distribution of subdermal contraceptive implants to women aged 15-24 years old in the public healthcare system. The objective of this study is to determine the extent to which this population adhered to the implant, as well as predictors of continuation. The retrospective cohort study was based on a telephone survey of a random sample of 1101 Ministry of Health-registered implant users concerning the continuation of use, satisfaction with the method and side-effects, and reasons for removal. Descriptive statistics and multivariate regression analysis were used to explore the association between adherence and having received contraceptive counselling, satisfaction, and side effects. We found high levels of adherence (87%) and satisfaction (94%). Common reported side effects were amenorrhoea or infrequent bleeding, perceived weight gain, increased menstrual bleeding and headaches. Multivariate regression analysis indicates that, among adolescents, having received contraceptive counselling increased comfort, while frequent bleeding at six months hindered trust. Participants who had a history of a prior delivery or who had themselves primarily chosen the method were less likely to request the removal of the implant. Our results support the public policy of free implant distribution in the public health sector. This is a sustainable public policy that contributes to equity and access to effective contraception. It is appropriate for adolescents and young women and will also reduce unintended pregnancies. Our results suggest that counselling patients is key prior to insertion of the implant, as it improves acceptability and continuation.

Indexed as

Contraceptive Agents, FemaleLevonorgestrelAdolescentAdultArgentinaDrug ImplantsFemaleHumansPregnancyRetrospective StudiesYoung AdultContraceptive Agents, FemaleDrug ImplantsLevonorgestreladherenceAdolescencepregnancypublic policysatisfactionsubdermal implant

Identifiers

PMID37042700
PMCPMC10101666
OpenAlexW4365135093

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.