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dc.contributor.author
Maceira, Daniel Alejandro  
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Oizerovich, Silvia Adriana  
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Perrotta, Gabriela Viviana  
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Gómez Ponce de León, Rodolfo  
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Karolinski, Ariel  
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Suarez, Natalia  
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Espinola, Natalia  
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Caffe, Sonja  
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Chandra Mouli, Venkatraman  
dc.date.available
2024-07-31T14:39:29Z  
dc.date.issued
2023-04  
dc.identifier.citation
Maceira, Daniel Alejandro; Oizerovich, Silvia Adriana; Perrotta, Gabriela Viviana; Gómez Ponce de León, Rodolfo; Karolinski, Ariel; et al.; Acceptability and continuation of use of the subdermal contraceptive implant among adolescents and young women in Argentina: a retrospective cohort study; Taylor & Francis; Sexual and Reproductive Health Matters; 31; 1; 4-2023; 1-14  
dc.identifier.issn
2641-0397  
dc.identifier.uri
http://hdl.handle.net/11336/241372  
dc.description.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.  
dc.format
application/pdf  
dc.language.iso
eng  
dc.publisher
Taylor & Francis  
dc.rights
info:eu-repo/semantics/openAccess  
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/  
dc.subject
adolescence  
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pregnancy  
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public policy  
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subdermal impact  
dc.subject.classification
Otras Ciencias de la Salud  
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Ciencias de la Salud  
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CIENCIAS MÉDICAS Y DE LA SALUD  
dc.title
Acceptability and continuation of use of the subdermal contraceptive implant among adolescents and young women in Argentina: a retrospective cohort study  
dc.type
info:eu-repo/semantics/article  
dc.type
info:ar-repo/semantics/artículo  
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info:eu-repo/semantics/publishedVersion  
dc.date.updated
2024-07-31T14:00:52Z  
dc.journal.volume
31  
dc.journal.number
1  
dc.journal.pagination
1-14  
dc.journal.pais
Reino Unido  
dc.journal.ciudad
Londres  
dc.description.fil
Fil: Maceira, Daniel Alejandro. Universidad de Buenos Aires; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina  
dc.description.fil
Fil: Oizerovich, Silvia Adriana. Centro de Estudios de Estado y Sociedad; Argentina. Universidad Favaloro; Argentina  
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Fil: Perrotta, Gabriela Viviana. Universidad de Buenos Aires; Argentina  
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Fil: Gómez Ponce de León, Rodolfo. Pan American Health Organization; Estados Unidos  
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Fil: Karolinski, Ariel. Pan American Health Organization; Estados Unidos  
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Fil: Suarez, Natalia. Universidad de Buenos Aires; Argentina  
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Fil: Espinola, Natalia. Universidad de Buenos Aires; Argentina  
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Fil: Caffe, Sonja. Pan American Health Organization; Estados Unidos  
dc.description.fil
Fil: Chandra Mouli, Venkatraman. Organizacion Mundial de la Salud; Argentina  
dc.journal.title
Sexual and Reproductive Health Matters  
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://www.tandfonline.com/doi/full/10.1080/26410397.2023.2189507  
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1080/26410397.2023.2189507