%0 Journal Article %T Contraceptive discontinuation attributed to method dissatisfaction in the United States. %+ Office of Population Research %+ Santé reproductive, sexualité, infection à VIH - épidémiologie, démographie, sciences sociales %+ The Hull York Medical School %A Moreau, Caroline %A Cleland, Kelly %A Trussell, James %< avec comité de lecture %@ 0010-7824 %J Contraception %I Elsevier %V 76 %N 4 %P 267-72 %8 2007-10 %D 2007 %R 10.1016/j.contraception.2007.06.008 %M 17900435 %K Contraceptive discontinuation %K Contraceptive dissatisfaction %K Population based survey %K Contraceptive failure %Z Life Sciences [q-bio]/Santé publique et épidémiologieJournal articles %X BACKGROUND: This study examines contraceptive discontinuation due to method dissatisfaction among women in the United States. STUDY DESIGN: The study population, drawn from the 2002 National Survey of Family Growth, consisted of 6724 women (15-44 years of age) who had ever used a reversible contraceptive method. We first estimated the overall proportion of women who had ever discontinued their contraceptive due to dissatisfaction. We then calculated method-specific discontinuation risks due to dissatisfaction and analyzed the reasons for dissatisfaction given by women who had ever stopped using Norplant, Depo-Provera, oral contraceptives or condoms. RESULTS: Overall, 46% of women had ever discontinued at least one method because they were unsatisfied with it. Dissatisfaction-related discontinuation risks varied widely by method: the diaphragm and cervical cap showed the highest proportions of such discontinuation (52%), followed by long-acting hormonal methods (42%). Oral contraceptives were associated with an intermediate risk of dissatisfaction-related discontinuation (29%), while condoms had the lowest risk (12%). CONCLUSION: A broader understanding of women's concerns and experiences using contraception could help health care providers redesign counseling strategies to improve contraceptive continuation. %G English %L inserm-00382100 %U https://inserm.hal.science/inserm-00382100 %~ INSERM %~ UNIV-PSUD %~ INED %~ SANTE_PUB_INSERM %~ CONDORCET4 %~ CAMPUS-CONDORCET