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Adherence to Oral Contraception in Young Women: Beliefs, Locus of Control, and Psychological Reactance

International journal of environmental research and public health, 2021-10, Vol.18 (21), p.11308 [Peer Reviewed Journal]

2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;2021 by the authors. 2021 ;ISSN: 1660-4601 ;ISSN: 1661-7827 ;EISSN: 1660-4601 ;DOI: 10.3390/ijerph182111308 ;PMID: 34769824

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  • Title:
    Adherence to Oral Contraception in Young Women: Beliefs, Locus of Control, and Psychological Reactance
  • Author: Fumero, Ascensión ; Marrero, Rosario J. ; Peñate, Wenceslao ; Bethencourt, Juan M. ; Barreiro, Pedro
  • Subjects: Age ; Attitudes ; Behavior ; Birth control ; Contraception ; Contraceptives ; Decision making ; Drugs ; Gynecology ; Loci ; Oral contraceptives ; Pregnancy ; Psychological factors ; Reactance ; Womens health
  • Is Part Of: International journal of environmental research and public health, 2021-10, Vol.18 (21), p.11308
  • Description: Background: There is a high dropout rate of oral contraceptive pills (OCP), mainly due to a lack of adherence to treatment. The aim of this study was to identify the psychological processes and attitudes toward medication involved in adherence to OCP, depending on the prescription, to avoid unintended pregnancies (AUP) or gynecological problems (GP). Methods: This cross-sectional study was conducted by asking 689 young women in the fertile period, mean age 23.41 (SD = 5.90), to complete questionnaires related to attitudes, beliefs, psychological reactance, locus of control, and adherence to contraceptive medication. Descriptive analyses and a binary logistic regression were performed. Results: The results confirmed that different beliefs and psychological processes were involved in adherence to oral contraception, based on women’s reasons for taking contraceptive medication. More psychological processes were involved in non-adherence in the AUP group than in the GP group. Psychological reactance contributed most to explaining non-adherence in women who used the OCP to prevent unintended pregnancies. Conversely, women with gynecological problems reported difficulties in adherence, mainly due to their beliefs about contraceptive pills. Conclusions: These findings indicate that attitudes toward medication and psychological processes can play an important role in adherence to OCP, including reasons for using the pill. Identifying the psychological factors and beliefs linked with contraception could guide health professionals to provide counseling to women, thus increasing their adherence to medication and maximizing their health and well-being.
  • Publisher: Basel: MDPI AG
  • Language: English
  • Identifier: ISSN: 1660-4601
    ISSN: 1661-7827
    EISSN: 1660-4601
    DOI: 10.3390/ijerph182111308
    PMID: 34769824
  • Source: Geneva Foundation Free Medical Journals at publisher websites
    PubMed Central
    ProQuest Central
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