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Ruiz de Viñaspre-Hernández R, Garrido-Santamaria R, Urra-Martínez R, Sáenz-Cabredo P, Garrido-Rivas AE, Juárez-Vela R, Sánchez-González JL, Lafuente-Jimenez A, Ramón-Arbués E, Navas-Echazarreta N, Santolalla-Arnedo I. Early removal of the etonogestrel contraceptive implant in Spanish women: a prospective cohort study. Front Med (Lausanne) 2024; 11:1172793. [PMID: 38323032 PMCID: PMC10844390 DOI: 10.3389/fmed.2024.1172793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2023] [Accepted: 01/05/2024] [Indexed: 02/08/2024] Open
Abstract
Purpose To know the discontinuation rate and characterize predictors and reasons of contraceptive implant removal within 12 months of insertion in our community setting. Methods This prospective cohort study included women receiving the etonogestrel contraceptive implant at sexual and reproductive health centers between September 2019 and September 2020. The variables collected were implanted insertion timing, reproductive and demographic characteristics, medical conditions, sexual activity and counseling. Our primary outcome was implant discontinuation. Kaplan-Meier survival curves were used to show the cumulative discontinuation rate of implants contraceptive within the first year of insertion. We also identified factors that increased the risk of implant removal using the log-rank test and the Cox regression model. Reasons for discontinuation were documented. Results 199 women were followed up. Implant discontinuation was documented in 17.1% of implant users prior to 12 months. Factors that increase the risk of implant removal are living with a partner, being aged 25-34 years and not receiving comprehensive and structured counseling from the midwife. The main reason for removal was unsatisfactory bleeding (97.1%), but this was combined with other reasons such as cessation of sexual intercourse (58.8%), worsening mood (58.8%), weight gain (55.9%) or decreased libido (50.0%). Conclusion The rate of discontinuous implant uses in the first year is relevant in relation to cost-effectiveness, there is room for improvement that should not be overlooked. Comprehensive and structured midwife-led counseling can reduce early implant abandonment removal. The development in different countries of the role of midwives in the management of contraceptives can contribute to the economic benefit of health services and the satisfaction of women.
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Affiliation(s)
- Regina Ruiz de Viñaspre-Hernández
- Faculty of Health Sciences, University of La Rioja, Logroño, Spain
- Grupac Research Group, Department of Nursing, University of La Rioja, Logroño, Spain
| | | | | | | | - Ana Elena Garrido-Rivas
- Faculty of Health Sciences, University of La Rioja, Logroño, Spain
- Grupac Research Group, Department of Nursing, University of La Rioja, Logroño, Spain
- Rioja Health Service, Logroño, Spain
| | - Raúl Juárez-Vela
- Faculty of Health Sciences, University of La Rioja, Logroño, Spain
- Grupac Research Group, Department of Nursing, University of La Rioja, Logroño, Spain
| | | | | | - Enrique Ramón-Arbués
- Faculty of Health Sciences, San Jorge University, Villanueva de Gállego, Spain
- SAPIENF Investigation Group, University of Zaragoza, Zaragoza, Spain
| | - Noelia Navas-Echazarreta
- Faculty of Health Sciences, University of La Rioja, Logroño, Spain
- Grupac Research Group, Department of Nursing, University of La Rioja, Logroño, Spain
| | - Ivan Santolalla-Arnedo
- Faculty of Health Sciences, University of La Rioja, Logroño, Spain
- Grupac Research Group, Department of Nursing, University of La Rioja, Logroño, Spain
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Meston CM, Freihart BK, Crosby CL, Stephenson KR, Trapnell PD. Psychometric Evaluation and Adaptation of the Five-Factor Sexual Satisfaction Scale (SSS-W) for Use in Men: The Sexual Satisfaction Scale (SSS). JOURNAL OF SEX & MARITAL THERAPY 2023; 50:216-229. [PMID: 37873651 DOI: 10.1080/0092623x.2023.2270205] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2023]
Abstract
The Sexual Satisfaction Scale for Women (SSS-W) is a psychometrically sound, widely used instrument for assessing sexual satisfaction and distress in women. Because the majority of scale items are gender nonspecific, numerous researchers have adapted this scale for use in male samples. The goal of the current study was to assess the reliability and validity of a slightly modified version of the SSS-W in a male sample (N = 268). A Confirmatory Factor Analysis of five previously established factors provided evidence for consistency of internal structure in men. The adapted scale (SSS) exhibited acceptable test-retest reliability, as well as evidence for validity based on relationships with theoretically predicted variables. Taken together, there is evidence to suggest that the SSS may be a reliable and valid psychometric tool for the measurement of sexual satisfaction and distress in both men and women.
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Affiliation(s)
- Cindy M Meston
- Department of Psychology, University of Texas at Austin, Austin, TX, USA
| | - Bridget K Freihart
- Department of Psychology, University of Texas at Austin, Austin, TX, USA
| | - Courtney L Crosby
- Department of Psychology, University of Texas at Austin, Austin, TX, USA
| | | | - Paul D Trapnell
- Department of Psychology, University of Winnipeg, Winnipeg, MB, Canada
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Ruiz de Viñaspre-Hernández R, Santolalla-Arnedo I, Garrido-Santamaría R, Czapla M, Tejada-Garrido CI, Sánchez-González JL, Sapiña-Beltrán E, Iriarte-Moreda V, Colado-Tello ME, Gea-Caballero V, Juárez-Vela R. Impact of Social Determinants of Health on Women's Satisfaction with Their Sexual Life and Its Relationship with the Use of Psychotropic Drugs: A Cross-Sectional Study. J Clin Med 2022; 11:2320. [PMID: 35566444 PMCID: PMC9104025 DOI: 10.3390/jcm11092320] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Revised: 04/14/2022] [Accepted: 04/20/2022] [Indexed: 02/04/2023] Open
Abstract
Sexual satisfaction (SS) is defined as an affective response arising from one’s subjective evaluation of the positive and negative dimensions associated with one’s sexual relationship. It is an important indicator of health. In women, SS has an important personal component consisting of the physical experiences of pleasure and the positive feelings and emotions that they experience in their affective-sexual relationships. The socioeconomic position is determined by income, educational level, and work, and it conditions women’s sexual health. We aimed to assess whether social determinants of health (income, education, work, and gender) are associated with women’s sexual satisfaction and to identify whether the impact of social determinants on sexual satisfaction differs with psychotropic consumption. We conducted a cross-sectional study designed to assess the association between variables related to the social determinants of health (work, education, income, and gender) and sexual satisfaction in women of reproductive age in La Rioja (Spain). The women in this study ranged in age from 17 to 52 years, with a mean age of 33.4 (Standar Deviation 8.6). Most were Spanish (82.9%), had undertaken non-compulsory specialized education (84%), and worked (72.7%). Regarding their relationships, 87% maintained monogamous relationships, 84.5% had stable relationships, and 65.7% lived with their partners. In total, 12.3% of the women were taking psychotropic drugs prescribed for the treatment of anxiety and/or depression. We observed that SS is significantly lower among women who have only undertaken compulsory education (Student-t = −4.745; p < 0.01), in those who have unstable affective-sexual relationships (Student-t = −2.553; p < 0.01), and in those who take psychotropic drugs (Student-t = −4.180, p < 0.01). We conclude that the social determinants of health such as education, not continuing to study beyond compulsory education, gender, and taking psychoactive drugs have a significant impact on women’s degree of satisfaction with their sexual life.
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Affiliation(s)
- Regina Ruiz de Viñaspre-Hernández
- Research Group in Care GRUPAC, Department of Nursing, University of La Rioja, 26004 Logroño, Spain; (R.R.d.V.-H.); (R.G.-S.); (M.C.); (E.S.-B.); (V.I.-M.); (M.E.C.-T.); (R.J.-V.)
- Rioja Health Service SERIS, Government of La Rioja, 26004 Logroño, Spain
| | - Iván Santolalla-Arnedo
- Research Group in Care GRUPAC, Department of Nursing, University of La Rioja, 26004 Logroño, Spain; (R.R.d.V.-H.); (R.G.-S.); (M.C.); (E.S.-B.); (V.I.-M.); (M.E.C.-T.); (R.J.-V.)
| | - Rosana Garrido-Santamaría
- Research Group in Care GRUPAC, Department of Nursing, University of La Rioja, 26004 Logroño, Spain; (R.R.d.V.-H.); (R.G.-S.); (M.C.); (E.S.-B.); (V.I.-M.); (M.E.C.-T.); (R.J.-V.)
- Rioja Health Service SERIS, Government of La Rioja, 26004 Logroño, Spain
| | - Michał Czapla
- Research Group in Care GRUPAC, Department of Nursing, University of La Rioja, 26004 Logroño, Spain; (R.R.d.V.-H.); (R.G.-S.); (M.C.); (E.S.-B.); (V.I.-M.); (M.E.C.-T.); (R.J.-V.)
- Laboratory for Experimental Medicine and Innovative Technologies, Department of Emergency Medical Service, Wroclaw Medical University, 51-618 Wroclaw, Poland
| | - Clara Isabel Tejada-Garrido
- Research Group in Care GRUPAC, Department of Nursing, University of La Rioja, 26004 Logroño, Spain; (R.R.d.V.-H.); (R.G.-S.); (M.C.); (E.S.-B.); (V.I.-M.); (M.E.C.-T.); (R.J.-V.)
| | | | - Esther Sapiña-Beltrán
- Research Group in Care GRUPAC, Department of Nursing, University of La Rioja, 26004 Logroño, Spain; (R.R.d.V.-H.); (R.G.-S.); (M.C.); (E.S.-B.); (V.I.-M.); (M.E.C.-T.); (R.J.-V.)
| | - Verónica Iriarte-Moreda
- Research Group in Care GRUPAC, Department of Nursing, University of La Rioja, 26004 Logroño, Spain; (R.R.d.V.-H.); (R.G.-S.); (M.C.); (E.S.-B.); (V.I.-M.); (M.E.C.-T.); (R.J.-V.)
- Rioja Health Service SERIS, Government of La Rioja, 26004 Logroño, Spain
| | - María Estela Colado-Tello
- Research Group in Care GRUPAC, Department of Nursing, University of La Rioja, 26004 Logroño, Spain; (R.R.d.V.-H.); (R.G.-S.); (M.C.); (E.S.-B.); (V.I.-M.); (M.E.C.-T.); (R.J.-V.)
- Rioja Health Service SERIS, Government of La Rioja, 26004 Logroño, Spain
| | - Vicente Gea-Caballero
- Faculty of Health Sciences, International University of Valencia, 46002 Valencia, Spain;
| | - Raúl Juárez-Vela
- Research Group in Care GRUPAC, Department of Nursing, University of La Rioja, 26004 Logroño, Spain; (R.R.d.V.-H.); (R.G.-S.); (M.C.); (E.S.-B.); (V.I.-M.); (M.E.C.-T.); (R.J.-V.)
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Guallar-Bouloc M, Gómez-Bueno P, Gonzalez-Sanchez M, Molina-Torres G, Lomas-Vega R, Galán-Mercant A. Spanish Questionnaires for the Assessment of Pelvic Floor Dysfunctions in Women: A Systematic Review of the Structural Characteristics and Psychometric Properties. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:12858. [PMID: 34886580 PMCID: PMC8657821 DOI: 10.3390/ijerph182312858] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/24/2021] [Revised: 11/30/2021] [Accepted: 12/01/2021] [Indexed: 11/16/2022]
Abstract
BACKGROUND Pelvic floor dysfunctions affect a third of the adult female population, including a large number of clinical conditions, which can be evaluated through validated questionnaires that inform us of the status and perception of women both objectively and subjectively. The main objective of this study was to review and explain the topics of the validated questionnaires in Spanish on pelvic floor dysfunctions and to review their psychometric properties. METHODS A systematic review was carried out in the PUBMED and WOS databases. The keywords used were in PUBMED: (((((((("Fecal Incontinence" [Mesh]) OR "Urinary Incontinence" [Mesh]) OR "Pelvic Organ Prolapse" [Mesh]) OR "Pelvic Floor Disorders" [Mesh]) OR "Sexual Dysfunction, Physiological" [Mesh]) OR "Pelvic Girdle Pain" [Mesh]) OR "sexual function" [Title/Abstract]) OR "Prolapse" [Title/Abstract]) AND "Surveys and Questionnaires" [Mesh] AND "Validation" [Title/Abstract] combined with the Boolean operators "AND"/"OR". In contrast, in WOS, a segregated search was carried out with each of the terms of pelvic floor dysfunction together with "Validation" and "Surveys and Questionnaires". All articles published up to 19 November 2021 were considered. Methodological quality was assessed with the COSMIN scale. RESULTS A total of 687 articles were identified, of which 13 were included. The evaluated questionnaires and the structural characteristics and psychometric properties of each of them were collected. CONCLUSION The Spanish versions of the questionnaires show good basic structural and psychometric characteristics for the evaluation of patients with pelvic floor dysfunctions and that they resemble other versions of the same questionnaire published in other languages.
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Affiliation(s)
- Marina Guallar-Bouloc
- Department of Physiotherapy, Health Science Faculty, University of Jaén, 23071 Jaén, Spain; (M.G.-B.); (R.L.-V.)
| | - Paloma Gómez-Bueno
- Move-It Research Group, Department of Physical Education, Faculty of Education, Sciences University of Cádiz, 11002 Cádiz, Spain; (P.G.-B.); (A.G.-M.)
| | - Manuel Gonzalez-Sanchez
- Department of Physiotherapy, Faculty of Health Sciences, University of Málaga, 29071 Málaga, Spain;
- Institute of Biomedicine of Málaga (IBIMA), 29010 Málaga, Spain
| | - Guadalupe Molina-Torres
- Department of Nursing, Physiotherapy and Medicine, Faculty of Health Sciences, University of Almería, 04120 Almería, Spain
| | - Rafael Lomas-Vega
- Department of Physiotherapy, Health Science Faculty, University of Jaén, 23071 Jaén, Spain; (M.G.-B.); (R.L.-V.)
| | - Alejandro Galán-Mercant
- Move-It Research Group, Department of Physical Education, Faculty of Education, Sciences University of Cádiz, 11002 Cádiz, Spain; (P.G.-B.); (A.G.-M.)
- Biomedical Research Unit, Innovation Institute of Cádiz (INiBICA), Puerta del Mar University Hospital, University of Cádiz, 11002 Cádiz, Spain
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