{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T03:25:50Z","timestamp":1762917950094,"version":"3.40.5"},"reference-count":32,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2018,10,12]],"date-time":"2018-10-12T00:00:00Z","timestamp":1539302400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2018,10,12]],"date-time":"2018-10-12T00:00:00Z","timestamp":1539302400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.cambridge.org"],"crossmark-restriction":true},"short-container-title":["J. Biosoc. Sci."],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This study examines factors associated with satisfaction with oral pills and injectables among past users in Kenya based on a baseline survey for the 2-year prospective longitudinal study <jats:italic>Improving Measurement of Unintended Pregnancy and Unmet Need for Family Planning<\/jats:italic> conducted in 2016. Married women aged 15\u201339 years were interviewed using a structured questionnaire that captured information on reproduction, contraceptive knowledge and beliefs and attitudes towards contraception in general and towards specific methods. A multivariate logistic regression analysis was used to examine factors that influenced satisfaction with oral pills and injectables among past users in one urban site (Nairobi slums) and one predominantly rural site (Homa Bay in western Kenya). Results showed that dissatisfaction with pills and injectables is common among past users in both rural and urban Kenya (ranging from 39% to 56%). The distinctive contribution of the study lies in its ability to relate method-specific beliefs to overall satisfaction. Perception of effectiveness, ease of use and safety for long-term use had statistically significant influences on satisfaction with pills in both urban and rural sites while partner\u2019s approval was only important in Nairobi. For injectables, the perception of safety for long-term use was significant in the urban but not the rural site. Unlike pills, the belief that members of a woman\u2019s social network had used a method and found it satisfactory was a particularly powerful influence on satisfaction (AOR=2.8 in rural and 3.2 in urban). Perception of accessibility and fears about infertility were not found to be statistically associated with satisfaction for either pills or injectables. Surprisingly, the effects of all perceived contraceptive attributes were the same for major socio-demographic strata of the populations. The findings underscore the need for targeted counselling and community-based communication interventions to address negative and erroneous perceptions about family planning methods.<\/jats:p>","DOI":"10.1017\/s0021932018000299","type":"journal-article","created":{"date-parts":[[2018,10,12]],"date-time":"2018-10-12T01:15:40Z","timestamp":1539306940000},"page":"491-504","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":11,"title":["Factors influencing satisfaction with oral contraceptive pills and injectables among past users in Kenya"],"prefix":"10.1017","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5330-2366","authenticated-orcid":false,"given":"George","family":"Odwe","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joyce","family":"Mumah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francis","family":"Obare","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marylene","family":"Wamukoya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuyo","family":"Machiyama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Cleland","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Casterline","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2018,10,12]]},"reference":[{"key":"S0021932018000299_ref12","doi-asserted-by":"publisher","DOI":"10.2165\/11538900-000000000-00000"},{"key":"S0021932018000299_ref1","doi-asserted-by":"publisher","DOI":"10.2307\/2133181"},{"key":"S0021932018000299_ref29","unstructured":"Sharan M , Ahmed S , May J Soucat A (2011) Family Planning Trends in Sub-Saharan Africa: Progress, Prospects and Lessons Learned. Yes Africa Can: Success Stories from a Dynamic Continent. International Bank for Reconstruction and Development\/ World Bank, Washington DC, pp. 445\u2013463."},{"volume-title":"Kenya Demographic and Health Survey 2014","year":"2015) (2015)","key":"S0021932018000299_ref15"},{"key":"S0021932018000299_ref31","doi-asserted-by":"publisher","DOI":"10.1177\/1094670508324676"},{"key":"S0021932018000299_ref30","first-page":"700","article-title":"The oral contraceptive pill: use user satisfaction side effects and fears among Manawatu women","volume":"95","author":"Trlin","year":"1982","journal-title":"New Zealand Medical Journal"},{"key":"S0021932018000299_ref28","doi-asserted-by":"publisher","DOI":"10.1111\/j.1728-4465.2014.00393.x"},{"key":"S0021932018000299_ref27","unstructured":"Sedgh G , Ashoford LS Hussain R (2016) Unmet Need for Contraception in Developing Countries: Examining Women\u2019s Reasons for Not Using a Method. The Guttmacher Institute. URL: http:\/\/www.guttmacher.org\/report\/unmet-need-for-contraception-in-developingcountries."},{"key":"S0021932018000299_ref26","doi-asserted-by":"publisher","DOI":"10.2307\/2137860"},{"key":"S0021932018000299_ref25","first-page":"169","article-title":"Women\u2019s satisfaction with birth control","volume":"36","author":"Rosenfeld","year":"1993","journal-title":"Journal of Family Practice"},{"key":"S0021932018000299_ref22","doi-asserted-by":"publisher","DOI":"10.1016\/S0010-7824(99)00034-7"},{"key":"S0021932018000299_ref19","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-018-0514-7"},{"volume-title":"Causes and Consequences of Contraceptive Discontinuation: Evidence from 60 Demographic and Health Surveys","year":"2012","author":"Ali","key":"S0021932018000299_ref3"},{"key":"S0021932018000299_ref18","unstructured":"Machiyama K Cleland J (2013) Insights into Unmet Need in Kenya. Project Report, STEP UP Research Programme Consortium, doi https:\/\/doi.org\/ 10.17037\/PUBS.01012209."},{"key":"S0021932018000299_ref14","doi-asserted-by":"publisher","DOI":"10.1363\/3913313"},{"key":"S0021932018000299_ref20","doi-asserted-by":"publisher","DOI":"10.1363\/43e4517"},{"key":"S0021932018000299_ref16","doi-asserted-by":"publisher","DOI":"10.1136\/jech.44.3.179"},{"key":"S0021932018000299_ref17","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-016-0268-z"},{"key":"S0021932018000299_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2015.01.009"},{"key":"S0021932018000299_ref8","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.87.9.1532"},{"key":"S0021932018000299_ref24","doi-asserted-by":"publisher","DOI":"10.2307\/2991665"},{"key":"S0021932018000299_ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2004.05.004"},{"volume-title":"Statistical Methods for Rates and Proportions","year":"2013","author":"Fleiss","key":"S0021932018000299_ref11"},{"key":"S0021932018000299_ref10","doi-asserted-by":"publisher","DOI":"10.2307\/1966973"},{"key":"S0021932018000299_ref9","first-page":"410","article-title":"Association between contraceptive discontinuation and pregnancy intentions in Guatemala","volume":"23","author":"Fallon","year":"2008","journal-title":"Revista Panamericana de Salud P\u00fablica"},{"key":"S0021932018000299_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2009.06.009"},{"key":"S0021932018000299_ref23","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31821188ad"},{"key":"S0021932018000299_ref7","doi-asserted-by":"publisher","DOI":"10.1363\/3705811"},{"key":"S0021932018000299_ref5","doi-asserted-by":"publisher","DOI":"10.1111\/padr.12010"},{"key":"S0021932018000299_ref32","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2010.03.014"},{"key":"S0021932018000299_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)62204-1"},{"key":"S0021932018000299_ref6","doi-asserted-by":"publisher","DOI":"10.1353\/dem.2002.0033"}],"container-title":["Journal of Biosocial Science"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0021932018000299","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,6,3]],"date-time":"2019-06-03T01:29:20Z","timestamp":1559525360000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0021932018000299\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,10,12]]},"references-count":32,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019,7]]}},"alternative-id":["S0021932018000299"],"URL":"https:\/\/doi.org\/10.1017\/s0021932018000299","relation":{},"ISSN":["0021-9320","1469-7599"],"issn-type":[{"type":"print","value":"0021-9320"},{"type":"electronic","value":"1469-7599"}],"subject":[],"published":{"date-parts":[[2018,10,12]]},"assertion":[{"value":"\u00a9 Cambridge University Press, 2018\u00a0This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}