These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: Contraceptive failure and continuation among married women in the United States, 1970-75.
    Author: Grady WR, Hirsch MB, Keen N, Vaughan B.
    Journal: Stud Fam Plann; 1983 Jan; 14(1):9-19. PubMed ID: 6836663.
    Abstract:
    Using data from the National Survey of Family Growth (NSFG), this study reports differentials in contraceptive use-failure and continuation among married women aged 15-44 years in the United States. Failure rates differed by contraceptive intention. Within categories of intention, these rates differed by method, age, race, and parity. Users of modern methods had higher continuation rates than users of traditional methods. These results indicate that a woman's motivation is an important factor in long-term successful use of available contraceptive methods and that more effective and easier to use methods need to be developed. Using data from the National Survey of Family Growth (NSFG), this study reports differentials in contraceptive use failure and continuation among married women aged 15-44 years in the United States. Failure rates differed by contraceptive intention. Within categories of intention, these rates differed by method, age, race, and parity. Users of modern methods (pill, IUD) had higher continuation rates than users of traditional methods. These results indicate that a woman's motivation is an important factor in longterm successful use of available contraceptive methods and that more effective and easier to use methods need to be developed. According to the data, failure levels were 2.5% for the pill (significantly more effective than any of the other methods), 4.8% for the IUD, 9.6% for the condom, 14.4% for the diaphragm, 17.7% for foam, cream, jelly or suppository methods, and 18.8% for the rhythm method. 11.5% of users of other methods such as withdrawal, douche and abstinence, experienced a 1st-year failure. Motivational factors considered include: whether the woman wanted no children (preventers); whether the woman was seeking to postpone a wanted birth (delayers). 4% of preventers had a 1st-year failure compared with 8.3% of delayers. Failure rates for preventers show a strong inverse relationship with age compared to delayers. 27.6% of preventers using the pill were under age 25; only 18.2% of IUD users for prevention were under that age. The rhythm method had the largest difference between preventers and delayers in the likelihood of a 1st-year failure (13.4%), demonstrating the high level of motivation required for effective use of this method. Among white women twice as many delayers as preventers experienced a 1st year failure (8.6% versus 3.9%); black women had the same rate for preventers and delayers (6.2%). Among preventers, black women have a higher failure rate (18.6% versus 9.8%); among delayers, the rate is lower for black women (12.9% versus 17/9%). White women delayers were more likely to use traditional methods than preventers; for black women use of these methods was equally likely for either motivation. Also explored are the continuity of use for each method.
    [Abstract] [Full Text] [Related] [New Search]