The impact of emotional, physical, and sexual abuse on contraceptive method selection and discontinuation

J.E. Allsworth, G.M. Secura, Q. Zhao, T. Madden and J.F. Peipert

American Journal of Public Health, 2013, vol. 103, issue 10, 1857-1864

Abstract: Objectives. We evaluated the impact of exposure to emotional, physical, or sexual abuse on contraceptive method selection and discontinuation. Methods. We performed a secondary analysis of 7170 women enrolled in the Contraceptive CHOICE Project in St. Louis, Missouri, a prospective cohort study in which 9256 women were provided their preferred method of contraception at no cost from 2007 to 2011. We defined contraceptive discontinuation as device removal or nonuse for at least 4 weeks within the first 12 months after initiation. Results. One third of women experienced some abuse in their lifetimes. Women with an abuse history were as likely as those without to select a longacting reversible contraceptive method and more likely to choose a contraceptive injection, the patch, or the ring. When we compared women who were abused to those who were not, rates of discontinuation at 12 months were higher among women who selected long-acting reversible contraception (17% vs 14%; P = .04) and significantly higher among women who selected non-long-acting methods (56% vs 47%; P

Keywords: adolescent; adult; article; child; contraception; domestic violence; female; human; male; methodology; middle aged; prospective study; psychological aspect; sexual crime; United States; unsafe sex; utilization review, Adolescent; Adult; Child; Contraception; Domestic Violence; Female; Humans; Male; Middle Aged; Missouri; Prospective Studies; Sex Offenses; Unsafe Sex; Young Adult (search for similar items in EconPapers)
Date: 2013
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2013.301371_5

DOI: 10.2105/AJPH.2013.301371

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