Table 3.
Unadjusted and Adjusted Analysis of Lack of Sexual Desire at 6 months follow-up for 560 women who did not use birth control method or used withdrawal method prior to CHOICE enrollment
| Lacked Interest in Sex | Crude OR | 95% Confidence Interval | Adjusted OR | 95% Confidence Interval | ||||
|---|---|---|---|---|---|---|---|---|
| Predictors | No (%) | Yes (%) | Lower | Upper | Lower | Upper | ||
| Total | 430 (76.8) | 130 (23.2) | ||||||
| Lack of interest in sex at baseline | ||||||||
| No | 284 (66.1) | 41 (31.5) | Ref | - | - | Ref | - | - |
| Yes | 146 (33.9) | 89 (68.5) | 4.22 | 2.77 | 6.43 | 3.98 | 2.58 | 6.14 |
| Age, years | ||||||||
| <18 | 18 (4.2) | 9 (6.9) | 2.09 | 0.87 | 4.99 | - | - | - |
| 18-20 | 76 (17.7) | 24 (18.5) | 1.32 | 0.74 | 2.34 | - | - | - |
| 21-25 | 167 (38.8) | 40 (30.8) | Ref | - | - | - | - | - |
| 26-35 | 143 (33.3) | 47 (36.2) | 1.37 | 0.85 | 2.21 | - | - | - |
| >35 | 26 (6.0) | 10 (7.7) | 1.61 | 0.72 | 3.60 | - | - | - |
| Race | ||||||||
| White | 178 (41.4) | 36 (27.7) | Ref | - | - | Ref | - | - |
| Black | 221 (51.4) | 84 (64.6) | 1.88 | 1.21 | 2.91 | 1.56 | 0.94 | 2.60 |
| Other | 31 (7.2) | 10 (7.7) | 1.60 | 0.72 | 3.54 | 1.20 | 0.51 | 2.81 |
| Ethnicity | ||||||||
| Hispanic | 16 (3.7) | 9 (6.9) | 1.93 | 0.83 | 4.46 | - | - | - |
| Non-Hispanic | 414 (96.3) | 121 (93.1) | Ref | - | - | - | - | - |
| Marital status | ||||||||
| Single/never married | 258 (60.0) | 68 (52.7) | Ref | - | - | - | - | - |
| Married/living with a partner | 141 (32.8) | 56 (43.4) | 1.51 | 1.00 | 2.27 | - | - | - |
| Separated/divorced/widowed | 31 (7.2) | 5 (3.9) | 0.61 | 0.23 | 1.63 | - | - | - |
| Parity | ||||||||
| 0 | 219 (50.9) | 52 (23.1) | Ref | - | - | Ref | - | - |
| 1 | 96 (22.3) | 30 (23.1) | 1.32 | 0.79 | 2.19 | 0.90 | 0.48 | 1.70 |
| 2 | 79 (18.4) | 30 (23.1) | 1.60 | 0.95 | 2.68 | 1.05 | 0.54 | 2.04 |
| 3 or more | 36 (8.4) | 18 (13.8) | 2.11 | 1.11 | 4.00 | 1.16 | 0.52 | 2.59 |
| Receiving public assistance | ||||||||
| No | 275 (64.0) | 65 (50.0) | Ref | - | - | Ref | - | - |
| Yes | 155 (36.0) | 65 (50.0) | 1.77 | 1.19 | 2.64 | 1.32 | 0.76 | 2.30 |
| Trouble paying basic expenses | ||||||||
| No | 283 (65.8) | 78 (60.0) | Ref | - | - | - | - | - |
| Yes | 147 (34.2) | 52 (40.0) | 1.28 | 0.86 | 1.92 | - | - | - |
| Depression | ||||||||
| No | 305 (79.4) | 88 (78.6) | Ref | - | - | - | - | - |
| Yes | 79 (20.6) | 24 (21.4) | 1.05 | 0.63 | 1.76 | - | - | - |
| History of comorbidities | ||||||||
| No | 272 (63.3) | 79 (60.8) | Ref | - | - | - | - | - |
| Yes | 158 (36.7) | 51 (39.2) | 1.11 | 0.74 | 1.66 | - | - | - |
| General health | ||||||||
| Excellent | 106 (24.7) | 36 (27.7) | Ref | - | - | - | - | - |
| Very good | 181 (42.2) | 45 (34.6) | 0.73 | 0.44 | 1.21 | - | - | - |
| Good | 114 (26.6) | 39 (30.0) | 1.01 | 0.60 | 1.70 | - | - | - |
| Fair or poor | 28 (6.5) | 10 (7.7) | 1.05 | 0.47 | 2.38 | - | - | - |
| Body mass index (BMI) | ||||||||
| <25 | 194 (45.1) | 47 (36.4) | Ref | - | - | - | - | - |
| 25-29.99 | 100 (23.3) | 33 (25.6) | 1.36 | 0.82 | 2.26 | - | - | - |
| 30+ | 136 (31.6) | 49 (38.0) | 1.49 | 0.94 | 2.35 | - | - | - |
| History of STI | ||||||||
| No | 260 (60.5) | 66 (50.8) | Ref | - | - | - | - | - |
| Yes | 170 (39.5) | 64 (49.2) | 1.48 | 1.00 | 2.20 | - | - | - |
| Education level | ||||||||
| High school or less | 109 (25.3) | 48 (42.3) | Ref | - | - | - | - | - |
| Some college | 202 (47.0) | 55 (42.3) | 0.62 | 0.39 | 0.97 | - | - | - |
| College or graduate degree | 119 (27.7) | 27 (20.8) | 0.52 | 0.30 | 0.88 | - | - | - |
| Method | ||||||||
| Copper IUD | 64 (14.9) | 14 (10.8) | Ref | - | - | Ref | - | - |
| Hormonal IUD | 177 (41.2) | 51 (39.2) | 1.32 | 0.68 | 2.54 | 1.22 | 0.61 | 2.44 |
| Implant | 93 (21.6) | 26 (20.0) | 1.28 | 0.62 | 2.64 | 0.89 | 0.41 | 1.96 |
| DMPA | 26 (6.0) | 15 (11.5) | 2.64 | 1.12 | 6.23 | 1.99 | 0.79 | 5.05 |
| Pill | 41 (9.5) | 14 (10.8) | 1.56 | 0.68 | 3.61 | 1.63 | 0.67 | 4.00 |
| Patch | 6 (1.4) | 3 (2.3) | 2.29 | 0.51 | 10.26 | 2.53 | 0.50 | 12.75 |
| Ring | 23 (5.3) | 7 (5.4) | 1.39 | 0.50 | 3.88 | 1.37 | 0.47 | 4.05 |
*Adjusted analyses performed with multivariable logistic regression with the following variables in the model: baseline lack of interest in having sex, race, parity, receiving public assistance, contraceptive method.
† Bolded characteristics are statistically significant.
‡IUD = intrauterine device; LNG IUD = levonorgestrel intrauterine device; DMPA = depot medroxyprogesterone acetate; OCP = oral contraceptive pills; STI = sexually transmitted infection