Table 6.
. Causes of contraceptive switching and/or discontinuation
| Low- and middle-income countries (n = 107) | High-income countries (n = 129) |
χ2 p-value |
TOTAL (n = 239) |
||
|---|---|---|---|---|---|
| What would cause cessation or discontinuation of contraceptive use | Difficulties accessing methods | 41 (38.3%) | 84 (65.1%) | <0.001 | 127 (53.1%) |
| Disapproval from clients | 28 (26.2%) | 14 (10.9%) | 0.002 | 42 (17.6%) | |
| Disapproval from spouse | 21 (19.6%) | 13 (10.1%) | 0.038 | 34 (14.2%) | |
| Disapproval from other sexual partners | 13 (12.1%) | 9 (7.0%) | 0.174 | 22 (9.2%) | |
| Disruptions to menstrual cycle | 50 (46.7%) | 50 (38.8%) | 0.217 | 102 (42.7%) | |
| Dizziness | 41 (38.3%) | 81 (62.8%) | <0.001 | 124 (51.9%) | |
| Increased bleeding | 61 (57.0%) | 95 (73.6%) | 0.007 | 158 (66.1%) | |
| Increased risk of HIV from use | 53 (49.5%) | 108 (83.7%) | <0.001 | 163 (68.2%) | |
| Increased risk of STIs from use | 58 (54.2%) | 111 (86.0%) | <0.001 | 171 (71.5%) | |
| Inconvenient to use | 47 (43.9%) | 77 (59.7%) | 0.016 | 126 (52.7%) | |
| Too expensive | 34 (31.8%) | 87 (67.4%) | <0.001 | 123 (51.5%) | |
| Nausea/vomiting | 50 (46.7%) | 101 (78.3%) | <0.001 | 153 (64.0%) | |
| Unintended pregnancy while using | 50 (46.7%) | 101 (78.3%) | <0.001 | 153 (64.0%) | |
| Weight gain or weight loss | 43 (40.2%) | 75 (58.1%) | 0.006 | 120 (50.2%) | |
| Other | 2 (1.9%) | 21 (16.3%) | - | 23 (9.6%) |
a
Includes 3 respondents not reporting country of residence and omitted from analysis of country income categories.