What Women Want: Factors Impacting Contraceptive Satisfaction in Privately Insured Women

Purpose: To identify factors associated with high contraceptive method satisfaction among privately insured, adult women in Pennsylvania. Methods: We used cross-sectional survey data collected in 2014 from 874 privately insured women participating in the MyNewOptions study who were currently using contraception. Binomial logistic regression assessed the relationship of contraceptive attributes, attitudes, and sociodemographic variables with contraceptive method satisfaction. Findings: More than one-half of the analytic sample (53%) was “very satisfied” with their current contraceptive method. The strongest predictors of high method satisfaction were having a method that was easy to use (adjusted odds ratio [aOR], 2.65; 95% confidence interval [CI], 1.79–3.91), high perceived method effectiveness (aOR, 2.52; 95% CI, 1.68–3.78), cost not being a factor in method selection (aOR, 2.88; 95% CI, 2.08–4.00), and not being troubled by side effects (aOR, 2.27; 95% CI, 1.54–3.34). In contrast with previous studies, long-acting reversible contraception (i.e., intrauterine devices and contraceptive implant) was not independently associated with high method satisfaction, but other hormonal methods were (versus nonprescription methods; aOR, 2.48; 95% CI, 1.65–3.75). Conclusions: The strongest predictors of high method satisfaction were having a method that was easy to use and effective and for which cost was not a factor in method selection.