Objectives. We evaluated the impact of exposure to emotional, physical, or sexual abuse on contraceptive method selection and discontinuation.Methods. We performed a secondary analysis of 7170 women enrolled in the Contraceptive CHOICE Project in St. Louis, Missouri, a prospective cohort study in which 9256 women were provided their preferred method of contraception at no cost from 2007 to 2011. We defined contraceptive discontinuation as device removal or nonuse for at least 4 weeks within the first 12 months after initiation.Results. One third of women experienced some abuse in their lifetimes. Women with an abuse history were as likely as those without to select a long-acting reversible contraceptive method and more likely to choose a contraceptive injection, the patch, or the ring. When we compared women who were abused to those who were not, rates of discontinuation at 12 months were higher among women who selected long-acting reversible contraception (17% vs 14%; P = .04) and significantly higher among women who selected non–long-acting methods (56% vs 47%; P < .001). Type of abuse did not alter the association between abuse and contraceptive continuation.Conclusions. Previous experiences of abuse are associated with both contraceptive method selection and continuation.
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机译：目标。我们评估了接触情感，身体或性虐待对避孕方法选择和停用的影响。我们对参与密苏里州圣路易斯市避孕选择计划的7170名妇女进行了二次分析，该研究是一项前瞻性队列研究，其中从2007年到2011年免费为9256名妇女提供了首选的避孕方法。我们将避孕药的终止定义为设备在启动后的前12个月内至少4周没有移除或不使用结果。三分之一的妇女一生遭受过一些虐待。有虐待史的妇女与那些没有选择长效可逆避孕方法的妇女一样，更有可能选择避孕针，贴剂或戒指。当我们比较遭受虐待的妇女与未遭受虐待的妇女时，选择长效可逆避孕的妇女在12个月时停用率较高（17％比14％； P = .04），而选择非长期可逆避孕的妇女则显着更高。 –长效方法（56％比47％； P <.001）。虐待类型并未改变虐待与避孕持续性之间的联系。先前的滥用经历与避孕方法的选择和持续性有关。
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