Hostname: page-component-cd9895bd7-q99xh Total loading time: 0 Render date: 2024-12-28T07:00:44.980Z Has data issue: false hasContentIssue false
  • English
  • Français

DETERMINANTS OF EARLY DISCONTINUATION OF IUCD USE IN RURAL NORTHERN DISTRICT OF INDIA: A MULTIVARIATE ANALYSIS AND ITS VALIDATION

Published online by Cambridge University Press:  02 July 2004

VRIJESH TRIPATHI ,
DEOKI NANDAN  and
SUDHA SALHAN
VRIJESH TRIPATHI
Affiliation:
Department of Obstetrics and Gynaecology, V.M. Medical College and Safdarjung Hospital, New Delhi, India
DEOKI NANDAN
Affiliation:
Department of Social & Preventive Medicine, S.N. Medical College, Agra, India
SUDHA SALHAN
Affiliation:
Department of Obstetrics and Gynaecology, V.M. Medical College and Safdarjung Hospital, New Delhi, India
Get access Rights & Permissions [Opens in a new window]

Abstract

The purpose of this study was to examine the determinants for early discontinuation among IUCD users in a rural district of northern India. Multivariate analysis indicated several significant predictors of early discontinuation of IUCD use. The risk of discontinuation increased more than two times in the presence of factors such as more than usual amount of menstrual flow before insertion and intermenstrual bleeding after insertion. Similarly, residence or alternatively those coming from villages without health centres were nearly two times more likely to discontinue. Menstrual disturbance increased the risk nearly three-fold. If only those women who report normal menstrual cycles had IUCDs inserted, it is very likely that the high discontinuation rate due to menstrual disturbance could be reduced. Knowledge about the IUCD and its effectiveness decreased the risk of early discontinuation but was not a statistically significant factor in multivariate analysis. Validation of the developed model was done by using the bootstrapping method and the model was found to be 18% noisy. These findings may help family planning providers in counselling and practice.

Type
Regular Articles
Information
Journal of Biosocial Science , Volume 37 , Issue 3 , May 2005 , pp. 319 - 332
Copyright
© 2004 Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)