Uso de la anticoncepción con solo gestágenos en atención primaria: estudio GESTAGAP

Raquel Rodríguez-Rodríguez; Elena Polentinos-Castro; Amaya Azcoaga-Lorenzo; Cristina González-Fernández; Grupo GESTAGAP

doi:10.1016/j.aprim.2018.05.005

Uso de la anticoncepción con solo gestágenos en atención primaria: estudio GESTAGAP

Translated title of the contribution: Use of contraception with only progestogens in primary care: study GESTAGAP

Raquel Rodríguez-Rodríguez, Elena Polentinos-Castro, Amaya Azcoaga-Lorenzo, Cristina González-Fernández, Grupo GESTAGAP

School of Medicine

Research output: Contribution to journal › Article › peer-review

Abstract

AIM: To estimate the prevalence of use of progestin-only contraceptive among women who request reversible contraception in Primary Care (PC).

DESIGN: Multicentre cross-sectional study.

SETTING: Primary Care Health Care Centres (Madrid).

PARTICIPANTS: Women aged 16-50 years old, users of reversible contraception, who speak Spanish, and had attended the Primary Care Centre in the last year.

MAIN MEASUREMENTS: Primary outcome: contraceptive method used: Contraception with progestins-only (yes/no). Age, parity, country of origin, type of contraceptive method used, reason for choice, source of information, satisfaction with the contraceptive method. Telephone survey.

RESULTS: A total of 417 women were interviewed. The median age was 30.3years (SD: 7.7). Spanish 69%, and 82% of participants had secondary or university studies. More than half (57%) were nulliparous. The type of contraceptive used included: progestins only: 14%, combined hormonal contraceptive: 74%, copper IUD: 2%, and condom 10%. The prevalence of use of "progestins-only" was 13.9% (95%CI: 10.6-17.2). Medroxyprogesterone acetate injection was the most progestin-only method used (4.6%), desogestrel oral pill (4.1%), IUD-levonorgestrel IUD (3.9%), and etonogestrel subdermal implant (1.9%). The family doctor was the prescriber in 71% of the women. Satisfaction: high (range 9-10). Using only progestogens was associated with older age, being non-Spanish, breastfeeding, and having a medical contraindication for combined contraception (P<0.05).

CONCLUSIONS: The prevalence of use for progestins was 14%, satisfaction was very high for all contraceptive methods. The user profile for the only progestins-only corresponds to older, and non-Spanish women with conditions such as breastfeeding or contraindications for other contraceptives.

Translated title of the contribution	Use of contraception with only progestogens in primary care: study GESTAGAP
Original language	Spanish
Number of pages	7
Journal	Atención Primaria
Volume	In press
Early online date	13 Aug 2018
DOIs	https://doi.org/10.1016/j.aprim.2018.05.005
Publication status	E-pub ahead of print - 13 Aug 2018

Keywords

Contraception
Primary Care
Progesterone congeners
Patient satisfaction

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.aprim.2018.05.005Licence: CC BY-NC-ND

Cite this

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title = "Uso de la anticoncepci{\'o}n con solo gest{\'a}genos en atenci{\'o}n primaria: estudio GESTAGAP",

abstract = "AIM: To estimate the prevalence of use of progestin-only contraceptive among women who request reversible contraception in Primary Care (PC).DESIGN: Multicentre cross-sectional study.SETTING: Primary Care Health Care Centres (Madrid).PARTICIPANTS: Women aged 16-50 years old, users of reversible contraception, who speak Spanish, and had attended the Primary Care Centre in the last year.MAIN MEASUREMENTS: Primary outcome: contraceptive method used: Contraception with progestins-only (yes/no). Age, parity, country of origin, type of contraceptive method used, reason for choice, source of information, satisfaction with the contraceptive method. Telephone survey.RESULTS: A total of 417 women were interviewed. The median age was 30.3years (SD: 7.7). Spanish 69%, and 82% of participants had secondary or university studies. More than half (57%) were nulliparous. The type of contraceptive used included: progestins only: 14%, combined hormonal contraceptive: 74%, copper IUD: 2%, and condom 10%. The prevalence of use of {"}progestins-only{"} was 13.9% (95%CI: 10.6-17.2). Medroxyprogesterone acetate injection was the most progestin-only method used (4.6%), desogestrel oral pill (4.1%), IUD-levonorgestrel IUD (3.9%), and etonogestrel subdermal implant (1.9%). The family doctor was the prescriber in 71% of the women. Satisfaction: high (range 9-10). Using only progestogens was associated with older age, being non-Spanish, breastfeeding, and having a medical contraindication for combined contraception (P<0.05).CONCLUSIONS: The prevalence of use for progestins was 14%, satisfaction was very high for all contraceptive methods. The user profile for the only progestins-only corresponds to older, and non-Spanish women with conditions such as breastfeeding or contraindications for other contraceptives.",

keywords = "Contraception, Primary Care, Progesterone congeners, Patient satisfaction",

author = "Raquel Rodr{\'i}guez-Rodr{\'i}guez and Elena Polentinos-Castro and Amaya Azcoaga-Lorenzo and Cristina Gonz{\'a}lez-Fern{\'a}ndez and {Grupo GESTAGAP}",

year = "2018",

month = aug,

day = "13",

doi = "10.1016/j.aprim.2018.05.005",

language = "Spanish",

volume = "In press",

journal = "Atenci{\'o}n Primaria",

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T1 - Uso de la anticoncepción con solo gestágenos en atención primaria

T2 - estudio GESTAGAP

AU - Rodríguez-Rodríguez, Raquel

AU - Polentinos-Castro, Elena

AU - Azcoaga-Lorenzo, Amaya

AU - González-Fernández, Cristina

AU - Grupo GESTAGAP

PY - 2018/8/13

Y1 - 2018/8/13

N2 - AIM: To estimate the prevalence of use of progestin-only contraceptive among women who request reversible contraception in Primary Care (PC).DESIGN: Multicentre cross-sectional study.SETTING: Primary Care Health Care Centres (Madrid).PARTICIPANTS: Women aged 16-50 years old, users of reversible contraception, who speak Spanish, and had attended the Primary Care Centre in the last year.MAIN MEASUREMENTS: Primary outcome: contraceptive method used: Contraception with progestins-only (yes/no). Age, parity, country of origin, type of contraceptive method used, reason for choice, source of information, satisfaction with the contraceptive method. Telephone survey.RESULTS: A total of 417 women were interviewed. The median age was 30.3years (SD: 7.7). Spanish 69%, and 82% of participants had secondary or university studies. More than half (57%) were nulliparous. The type of contraceptive used included: progestins only: 14%, combined hormonal contraceptive: 74%, copper IUD: 2%, and condom 10%. The prevalence of use of "progestins-only" was 13.9% (95%CI: 10.6-17.2). Medroxyprogesterone acetate injection was the most progestin-only method used (4.6%), desogestrel oral pill (4.1%), IUD-levonorgestrel IUD (3.9%), and etonogestrel subdermal implant (1.9%). The family doctor was the prescriber in 71% of the women. Satisfaction: high (range 9-10). Using only progestogens was associated with older age, being non-Spanish, breastfeeding, and having a medical contraindication for combined contraception (P<0.05).CONCLUSIONS: The prevalence of use for progestins was 14%, satisfaction was very high for all contraceptive methods. The user profile for the only progestins-only corresponds to older, and non-Spanish women with conditions such as breastfeeding or contraindications for other contraceptives.

AB - AIM: To estimate the prevalence of use of progestin-only contraceptive among women who request reversible contraception in Primary Care (PC).DESIGN: Multicentre cross-sectional study.SETTING: Primary Care Health Care Centres (Madrid).PARTICIPANTS: Women aged 16-50 years old, users of reversible contraception, who speak Spanish, and had attended the Primary Care Centre in the last year.MAIN MEASUREMENTS: Primary outcome: contraceptive method used: Contraception with progestins-only (yes/no). Age, parity, country of origin, type of contraceptive method used, reason for choice, source of information, satisfaction with the contraceptive method. Telephone survey.RESULTS: A total of 417 women were interviewed. The median age was 30.3years (SD: 7.7). Spanish 69%, and 82% of participants had secondary or university studies. More than half (57%) were nulliparous. The type of contraceptive used included: progestins only: 14%, combined hormonal contraceptive: 74%, copper IUD: 2%, and condom 10%. The prevalence of use of "progestins-only" was 13.9% (95%CI: 10.6-17.2). Medroxyprogesterone acetate injection was the most progestin-only method used (4.6%), desogestrel oral pill (4.1%), IUD-levonorgestrel IUD (3.9%), and etonogestrel subdermal implant (1.9%). The family doctor was the prescriber in 71% of the women. Satisfaction: high (range 9-10). Using only progestogens was associated with older age, being non-Spanish, breastfeeding, and having a medical contraindication for combined contraception (P<0.05).CONCLUSIONS: The prevalence of use for progestins was 14%, satisfaction was very high for all contraceptive methods. The user profile for the only progestins-only corresponds to older, and non-Spanish women with conditions such as breastfeeding or contraindications for other contraceptives.

KW - Contraception

KW - Primary Care

KW - Progesterone congeners

KW - Patient satisfaction

U2 - 10.1016/j.aprim.2018.05.005

DO - 10.1016/j.aprim.2018.05.005

M3 - Article

C2 - 30115450

SN - 0212-6567

VL - In press

JO - Atención Primaria

JF - Atención Primaria

ER -

Uso de la anticoncepción con solo gestágenos en atención primaria: estudio GESTAGAP

Abstract

Keywords

UN SDGs

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