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- W4296088579 abstract "Abstract Contraceptive implants are effective in preventing adolescent and unwanted pregnancies. Contraceptive implant discontinuation contributes to financial waste and contraceptive failure. We aimed to study contraceptive implant discontinuation rates in adolescents (10–19 years) compared to adults (20–49 years) and evaluate the sociodemographic and clinical factors associated with contraceptive implant discontinuation. This prospective, retrospective cohort study included 2,765 participants who initiated contraceptive implants from October 2016 to December 2021 at King Chulalongkorn Memorial Hospital. Discontinuation at 12 months was determined by medical record review and telephone interviews. The analytic sample consisted of 2,014 participants: 498 adolescents and 1,516 adults. The 12-month contraceptive implant discontinuation rates were 3.83 per 100 person-year for all age groups and 2.84 and 4.16 per 100 person-year for adolescents and adults, respectively. Adolescents had a lower risk of 12-month contraceptive implant discontinuation than adults (adjusted HR = 0.60, 95% Cl 0.31–1.15, p-value = 0.121). The risk of discontinuation was significantly lower among continuous implant users (adjusted HR = 0.29, 95% Cl 0.10–0.79, p-value = 0.016). Side effects, mainly abnormal uterine bleeding, were the most common causes of discontinuation. In conclusion, the incidence of discontinuing contraceptive implants did not differ significantly between adolescents and adults." @default.
- W4296088579 created "2022-09-17" @default.
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- W4296088579 date "2022-09-15" @default.
- W4296088579 modified "2023-09-30" @default.
- W4296088579 title "A 12-month contraceptive implant(s) discontinuation rate among adolescents compared with adults at King Chulalongkorn Memorial Hospital Principal Investigator" @default.
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- W4296088579 doi "https://doi.org/10.21203/rs.3.rs-2049452/v1" @default.
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