The power of information and contraceptive choice in a family planning setting in Mexico

This study measured the effect of information about family planning methods and STD risk factors and prevention, together with personal choice on the selection of intrauterine devices (IUDs) by clients with cervical infection. We conducted a randomised, controlled trial in which family planning clie...

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Bibliographic Details
Published in:Sexually transmitted infections 2000-08, Vol.76 (4), p.277-281
Main Authors: PONCE, E. C. L, SLOAN, N. L, WINIKOFF, B, LANGER, A, COGGINS, C, HEIMBURGER, A, CONDE-GLEZ, C. J, SALMERON, J
Format: Article
Language:English
Subjects:
Adult
Analysis of Variance
Attitude to Health
Biological and medical sciences
Chlamydia Infections - epidemiology
Chlamydia Infections - prevention & control
Choice Behavior
Contraception - methods
Contraindications
Family Planning Services - methods
Female
Gonorrhea - epidemiology
Gonorrhea - prevention & control
Health Knowledge, Attitudes, Practice
Humans
Intrauterine Devices
Medical sciences
Mexico - epidemiology
Original
Patient Acceptance of Health Care
Prevention and actions
Public health. Hygiene
Public health. Hygiene-occupational medicine
Regression Analysis
Sex Education - methods
Sexually Transmitted Diseases - prevention & control
Specific populations (family, woman, child, elderly...)
Tropical medicine
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Summary:This study measured the effect of information about family planning methods and STD risk factors and prevention, together with personal choice on the selection of intrauterine devices (IUDs) by clients with cervical infection. We conducted a randomised, controlled trial in which family planning clients were assigned to one of two groups, the standard practice (control) group in which the provider selected the woman's contraceptive and the information and choice (intervention) group. The study enrolled 2107 clients in a family planning clinic in Mexico City. Only 2.1% of the clients had gonorrhoea or chlamydial infections. Significantly fewer women in the intervention group selected the IUD than the proportion for whom the IUD was recommended in the standard care group by clinicians (58.2% v 88.2%, p = 0.0000). The difference was even more pronounced among infected women: 47.8% v 93.2% (intervention v control group, p = 0.0006). The intervention increased the selection of condoms and reduced the selection of IUDs, especially among women with cervical infections, for whom IUD insertion is contraindicated.
ISSN:1368-4973
1472-3263
DOI:10.1136/sti.76.4.277