OBJECTIVES:To investigate which characteristics of women and healthcare professionals (HCPs) were associated with changing to another combined hormonal contraceptive (CHC) method after contraceptive counselling. METHODS:CHOICE was a cross-sectional survey in which 18,787 women were counselled about combined hormonal contraceptives, during which their contraceptive methods preferred both prior to and after counselling were recorded. In this subanalysis, characteristics associated with changing the method after counselling were determined using logistic regression models. RESULTS:The probability of intending to change from the pill to another method was associated with being older; university-educated; being in a steady relationship; a prior unintended pregnancy; a younger HCP or one who recommended methods other than the pill. Changing to the patch was associated with a female HCP or a HCP who recommended the patch or an injectable. Changing to the ring was associated with being over 21 years; university-educated; being in a relationship; previous hormonal method use; and counselling by a female HCP, a HCP < 60 years old, or a HCP who recommended the ring or an implant. The country of residence influenced these changes in a complex pattern. CONCLUSIONS:Women's choice of CHC methods after contraceptive counselling are influenced by their age, educational background, relationship status, prior unplanned pregnancies and country of residence, as well as age, gender and preferences of their HCP.

译文

目的:调查在避孕咨询后,女性和医护人员(HCP)的哪些特征与改用另一种联合激素避孕(CHC)方法有关。
方法:选择是一项横断面调查,其中向18,787名妇女提供了有关联合激素避孕药的咨询,在此期间,记录了她们在咨询之前和之后首选的避孕方法。在此子分析中,使用逻辑回归模型确定与咨询后更改方法有关的特征。
结果:打算从药丸换成另一种方法的可能性与年纪大有关。受过大学教育;保持稳定的关系;先前的意外怀孕;较年轻的HCP或建议使用除药丸以外的方法的人。更换贴剂与女性HCP或推荐贴剂或注射剂的HCP有关。更换戒指的年龄超过21岁。受过大学教育;处于恋爱关系中;以前使用过的荷尔蒙方法;并由女性HCP,小于60岁的HCP或推荐环或植入物的HCP进行咨询。居住国以复杂的方式影响了这些变化。
结论:避孕咨询后,妇女选择慢性丙型肝炎的方法受到其年龄,教育背景,人际关系,先前计划外的怀孕和居住国家,年龄,性别和他们的HCP偏好的影响。

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