{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T05:12:11Z","timestamp":1790745131638,"version":"4.1.0"},"reference-count":41,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J Fam Plann Reprod Health Care"],"accepted":{"date-parts":[[2014,12,3]]},"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To examine the clinical and epidemiological literature addressing contraceptive method change or discontinuation and to assess whether the documented reasons reflected women's experiences.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Major databases including Medline and PsycINFO were searched using keywords related to contraception and discontinuation, adherence and satisfaction, for articles published between January 2003 and February 2013. Studies in developed countries that focused on women of reproductive age and reasons for method change or discontinuation were included. Reasons reported were categorised and examined.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 123 papers were reviewed in detail. Medical terminology was generally used to describe reasons for method discontinuation. The top two reported reasons were bleeding and pregnancy, but there was a lack of consensus about the categorisation of reasons. Broad categories that were not self-explanatory were included in more than half of the papers, often without further explanation. Only 12 studies expanded on categories containing \u2018other\u2019, \u2018non-medical\u2019 or \u2018personal\u2019 reasons. Eight papers included categories that attributed discontinuation to the participant, such as \u2018dissatisfied with method\u2019.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Studies of reasons for discontinuation of contraceptives do not well describe women's specific reasons. Studies rely heavily on medical terms and often fail to document women's subjective experiences. Future studies should create an opportunity for women to articulate their non-medical reasons in their own words, including those related to their sexual lives. Furthermore, researchers should distinguish, if possible, between reasons for discontinuation of a method and reasons for ceasing participation in a research study.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/jfprhc-2014-100976","type":"journal-article","created":{"date-parts":[[2015,1,20]],"date-time":"2015-01-20T21:56:40Z","timestamp":1421791000000},"page":"292-299","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":41,"title":["Does research into contraceptive method discontinuation address women's own reasons? A critical review"],"prefix":"10.1136","volume":"41","author":[{"given":"Kumiyo","family":"Inoue","sequence":"first","affiliation":[{"name":"PhD Candidate, School of Public Health and Community Medicine, University of New South Wales, Sydney, Australia and Adjunct Senior Lecturer, School of Health Sciences, University of Tasmania, Hobart, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Barratt","sequence":"additional","affiliation":[{"name":"Professor, School of Public Health, University of Sydney, Sydney, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0469-5762","authenticated-orcid":false,"given":"Juliet","family":"Richters","sequence":"additional","affiliation":[{"name":"Professor, School of Public Health and Community Medicine, University of New South Wales, Sydney, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2015,1,20]]},"reference":[{"key":"2025090510232282000_41.4.292.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(98)70047-X"},{"key":"2025090510232282000_41.4.292.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0010-7824(01)00218-9"},{"key":"2025090510232282000_41.4.292.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2006.12.015"},{"key":"2025090510232282000_41.4.292.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2007.06.008"},{"key":"2025090510232282000_41.4.292.5","unstructured":"Saldana J . The Coding Manual for Qualitative Researcher. Thousand Oaks, CA: Sage Publications, 2008."},{"key":"2025090510232282000_41.4.292.6","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1080\/13625180701440180","article-title":"Clinical experience with NuvaRing\u00ae in daily practice in Switzerland: cycle control and acceptability among women of all reproductive ages","volume":"12","author":"Merki-Feld","year":"2007","journal-title":"Eur J Contracept Reprod Health Care"},{"key":"2025090510232282000_41.4.292.7","doi-asserted-by":"crossref","first-page":"1389","DOI":"10.1097\/01.AOG.0000160430.61799.f6","article-title":"Extended use of transdermal norelgestromin\/ethinyl estradiol: a randomized trial","volume":"105","author":"Stewart","year":"2005","journal-title":"Obstet 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Beyond acceptability: reorienting research on contraceptive choice. In: Ravindran TKS , Berer M , Cottingham J (eds), Beyond Acceptability: Users\u2019 Perspectives on Contraception. London, UK: Reproductive Health Matters for the World Health Organization, 1997:6\u201314."},{"key":"2025090510232282000_41.4.292.41","doi-asserted-by":"crossref","first-page":"636","DOI":"10.1016\/j.contraception.2013.05.014","article-title":"\u2018I think it depends on the body, with mine it didn't work\u2019: explaining young women's decisions to request subdermal contraceptive implant removal","volume":"88","author":"Hoggart","year":"2013","journal-title":"Contraception"}],"container-title":["Journal of Family Planning and Reproductive Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jfprhc-2014-100976","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T17:41:04Z","timestamp":1757094064000},"score":1,"resource":{"primary":{"URL":"https:\/\/jfprhc.bmj.com\/lookup\/doi\/10.1136\/jfprhc-2014-100976"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,1,20]]},"references-count":41,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2015,9,22]]},"published-print":{"date-parts":[[2015,10]]}},"alternative-id":["10.1136\/jfprhc-2014-100976"],"URL":"https:\/\/doi.org\/10.1136\/jfprhc-2014-100976","relation":{},"ISSN":["1471-1893","2045-2098"],"issn-type":[{"value":"1471-1893","type":"print"},{"value":"2045-2098","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,1,20]]}}}