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Women’s contraceptive discontinuation and switching behavior in urban Senegal, 2010–2015

Overview of attention for article published in BMC Women's Health, February 2018
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • Good Attention Score compared to outputs of the same age (79th percentile)

Mentioned by

blogs
1 blog
policy
1 policy source

Citations

dimensions_citation
34 Dimensions

Readers on

mendeley
142 Mendeley
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Title
Women’s contraceptive discontinuation and switching behavior in urban Senegal, 2010–2015
Published in
BMC Women's Health, February 2018
DOI 10.1186/s12905-018-0529-9
Pubmed ID
Authors

Janine Barden-O’Fallon, Ilene S. Speizer, Lisa M. Calhoun, Meghan Corroon

Abstract

With the focus of global and national family planning initiatives on reaching "additional user" targets, it is increasingly important for programs to assess contraceptive method discontinuation and switching. This analysis calculated the discontinuation rate and method-specific discontinuation rates, examined reasons given for contraceptive discontinuation, and assessed characteristics associated with subsequent contraceptive switching and abandonment among women living in urban areas of Senegal. Data came from the Measurement, Learning & Evaluation project's 2015 survey of 6927 women of reproductive age living in six urban sites (Dakar, Pikine, Guédiawaye, Mbao, Kaolack and Mbour). Information on contraceptive use and discontinuation for the five years preceding the survey were recorded in a monthly calendar. Single decrement life tables were used to calculate discontinuation rates. Descriptive analyses were used to assess reasons for discontinuation and method switching after discontinuation. A multinomial logistic regression was used to estimate the likelihood of being a non-user in-need of contraception, a non-user not in-need of contraception, or a method switcher in the month after discontinuation, by sociodemographic and other characteristics. The 12-month discontinuation rate for all methods was 34.7%. Implants had the lowest one-year discontinuation rates (6.3%) followed by the intrauterine device (IUD) (18.4%) while higher rates were seen for daily pills (38%), injectables (32.7%), and condoms (62.9%). The most common reasons for discontinuation were reduced need (45.6%), method problems (30.1%), and becoming pregnant while using (10.0%). Only 17% of discontinuations were followed by use of another method; most often daily pills (5.2%) or injectables (4.2%). In the multivariate analysis, women with any formal education (primary, secondary or higher) were more than 50% more likely to switch methods than remain in need of contraception after discontinuation than women with no education or Koranic-only education (RRR = 1.59, p-value = 0.004; RRR = 1.55, p-value = 0.031). The likelihood of switching compared to being "in need" was also significantly higher for women who were married and who discontinued traditional methods. To support increased contraceptive method use, women with no education and unmarried women are priorities for counseling and information about side effects and method switching at the time of method adoption.

Mendeley readers

The data shown below were compiled from readership statistics for 142 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 142 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 23 16%
Researcher 21 15%
Student > Postgraduate 15 11%
Student > Bachelor 13 9%
Student > Ph. D. Student 11 8%
Other 25 18%
Unknown 34 24%
Readers by discipline Count As %
Medicine and Dentistry 33 23%
Nursing and Health Professions 29 20%
Social Sciences 20 14%
Mathematics 4 3%
Economics, Econometrics and Finance 3 2%
Other 14 10%
Unknown 39 27%

Attention Score in Context

This research output has an Altmetric Attention Score of 9. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 01 October 2021.
All research outputs
#3,130,172
of 19,338,160 outputs
Outputs from BMC Women's Health
#297
of 1,336 outputs
Outputs of similar age
#77,934
of 385,636 outputs
Outputs of similar age from BMC Women's Health
#1
of 1 outputs
Altmetric has tracked 19,338,160 research outputs across all sources so far. Compared to these this one has done well and is in the 83rd percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,336 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.4. This one has done well, scoring higher than 76% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 385,636 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 79% of its contemporaries.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them