A risk scoring tool for predicting Kenyan women at high risk of contraceptive discontinuation

We developed and validated a pragmatic risk assessment tool for identifying contraceptive discontinuation among Kenyan women who do not desire pregnancy. Within a prospective cohort of contraceptive users, participants were randomly allocated to derivation (n = 558) and validation (n = 186) cohorts....

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Bibliographic Details
Published in:Contraception: X 2020-01, Vol.2, p.100045-100045, Article 100045
Main Authors: Rothschild, Claire W., Richardson, Barbra A., Guthrie, Brandon L., Kithao, Peninah, Omurwa, Tom, Mukabi, James, Lokken, Erica M, John-Stewart, Grace, Unger, Jennifer A., Kinuthia, John, Drake, Alison L.
Format: Article
Language:English
Subjects:
Contraception
Discontinuation
Family planning
LMIC
Risk score
Unmet need
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Summary:We developed and validated a pragmatic risk assessment tool for identifying contraceptive discontinuation among Kenyan women who do not desire pregnancy. Within a prospective cohort of contraceptive users, participants were randomly allocated to derivation (n = 558) and validation (n = 186) cohorts. Risk scores were developed by selecting the Cox proportional hazards model with the minimum Akaike information criterion. Predictive performance was evaluated using time-dependent receiver operating characteristic curves and area under the curve (AUC). The overall contraceptive discontinuation rate was 36.9 per 100 woman-years (95% confidence interval [CI] 30.3–44.9). The predictors of discontinuation selected for the risk score included use of a short-term method or copper intrauterine device (vs. injectable or implant), method continuation or switch (vs. initiation),
ISSN:2590-1516
2590-1516
DOI:10.1016/j.conx.2020.100045