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Published in: Health and Quality of Life Outcomes 1/2019

Open Access 01-12-2019 | Research

Health-related quality of life in undergraduate women using any contraceptive

Authors: Fatima Leon-Larios, Cinta G Vazquez-Valeo, Alicia Sanchez-Sanchez, Diego Gomez-Baya, Juana Macías-Seda, M Nieves Cabezas-Palacios

Published in: Health and Quality of Life Outcomes | Issue 1/2019

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Abstract

Objective

The aim of this research was to assess university students’ health-related quality of life whether they use some contraceptive method or not.

Methods

This research is a cross-sectional study. Female participants who studied a degree in health at the University of Seville (Spain) were recruited. Respondents completed a demographic questionnaire and health-related quality of life was measured with validated instrument SEC-QoL (Sociedad Española de Contracepción- Quality of Life) in Spanish that measured five dimensions: sexual, social, breast, menstrual and psychosocial.

Results

A total of 992 women aged 21.37 (3.6) years old participated in this study. Women who used a contraceptive method reached higher scores at the SEC-QoL questionnaire 47.09 (17.04) and 46.91 (18.73) than those that didn’t. Likewise, women who chose a hormonal method showed a better overall health-related quality of life, compared to those who used a non-hormonal method. Participants who used hormonal contraceptives obtained higher scores in all health-related quality of life domains (social, menstrual, breast and sexual), except psychological domain when compared to those who used a non hormonal method or none. Furthermore, a moderated mediation model showed that the effect of the current contraceptive method on health-related quality of life was partially explained by the moderated mediation of the time using this method, the reason for using it and the existence of a partner.

Conclusion

The usage of hormonal contraceptives increases health-related quality of life in young women. Several variables regarding the experience with contraceptive methods should be considered in order to examine the effect on health-related quality of life in undergraduate women.
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Literature
5.
go back to reference Fraser IS, Kovacs GT. The efficacy of non-contraceptive uses for hormonal contraceptives. Med J Aust. 2003;178(12):621–3.PubMed Fraser IS, Kovacs GT. The efficacy of non-contraceptive uses for hormonal contraceptives. Med J Aust. 2003;178(12):621–3.PubMed
6.
go back to reference Hatcher RA, Trussell J, Nelson AL, Cates JW, Stewart FH, Kowal D. Contraceptive technology. 19th ed. New York: Ardent Media, Inc; 2007. p. 210–3. Hatcher RA, Trussell J, Nelson AL, Cates JW, Stewart FH, Kowal D. Contraceptive technology. 19th ed. New York: Ardent Media, Inc; 2007. p. 210–3.
7.
go back to reference Lete I, Dueñas JL, Serrano I, Doval JL, Martínez-Salmeán J, Coll C, et al. Attitudes of Spanish women toward premenstrual symptoms, premenstrual syndrome and premenstrual dysphoric disorder: results of a nationwide survey. Eur J Obst and Gynecology and Reproductive Biology. 2011;159(1):115–8.CrossRef Lete I, Dueñas JL, Serrano I, Doval JL, Martínez-Salmeán J, Coll C, et al. Attitudes of Spanish women toward premenstrual symptoms, premenstrual syndrome and premenstrual dysphoric disorder: results of a nationwide survey. Eur J Obst and Gynecology and Reproductive Biology. 2011;159(1):115–8.CrossRef
8.
go back to reference Sulak PJ, Scow RD, Preece C, Riggs MW, Kuehl TJ. Hormone withdrawal symptoms in oral contraceptive users. ObstetGynecol. 2000;95(2):261–6. Sulak PJ, Scow RD, Preece C, Riggs MW, Kuehl TJ. Hormone withdrawal symptoms in oral contraceptive users. ObstetGynecol. 2000;95(2):261–6.
9.
go back to reference Mishell DR. Premenstrual disorders: epidemiology and disease burden. Am J Managed Care. 2005;11:S473. Mishell DR. Premenstrual disorders: epidemiology and disease burden. Am J Managed Care. 2005;11:S473.
10.
go back to reference Henderson C. ACOG issues guide-lines on diagnosis and treatment of PMS. Women's Health Weekly. 2000;5(6):20–2. Henderson C. ACOG issues guide-lines on diagnosis and treatment of PMS. Women's Health Weekly. 2000;5(6):20–2.
11.
go back to reference Yang M, Wallenstein G, Hagan M, Guo A, Chang J, Kornstein S. Burden of premenstrual dysphoric disorder on health-related quality of life. Int J Womens Health. 2008;17:113–21.CrossRef Yang M, Wallenstein G, Hagan M, Guo A, Chang J, Kornstein S. Burden of premenstrual dysphoric disorder on health-related quality of life. Int J Womens Health. 2008;17:113–21.CrossRef
12.
go back to reference Al-Batanony MA, AL-Nohair SF. Prevalence of premenstrual syndrome and its impact on quality of life among UniversityMedical students, Al Qassim University, KSA. Public HealthResearch. Scientific & Academic Publishing 2014;4(1):1–1):6. Al-Batanony MA, AL-Nohair SF. Prevalence of premenstrual syndrome and its impact on quality of life among UniversityMedical students, Al Qassim University, KSA. Public HealthResearch. Scientific & Academic Publishing 2014;4(1):1–1):6.
13.
go back to reference Oinonen KA, Mazmanian DT. To what extent do oral contraceptives influence mood and affect? J Affect Disord. 2002;70(3):229–40.CrossRefPubMed Oinonen KA, Mazmanian DT. To what extent do oral contraceptives influence mood and affect? J Affect Disord. 2002;70(3):229–40.CrossRefPubMed
14.
go back to reference Bakhshani NM, Hosseinbor M. ShahrakiZ,Sakhavar N. premenstrual syndrome symptomatology among married women of fertile age based on methods of contraception (hormonal versus non-hormonal methods of contraception). Glob J Health Sci. 2014;6(2):105–11 https://doi.org/10.5539/gjhs.v6n2p105. Bakhshani NM, Hosseinbor M. ShahrakiZ,Sakhavar N. premenstrual syndrome symptomatology among married women of fertile age based on methods of contraception (hormonal versus non-hormonal methods of contraception). Glob J Health Sci. 2014;6(2):105–11 https://​doi.​org/​10.​5539/​gjhs.​v6n2p105.
15.
go back to reference Joffe H, Cohen LS, Harlow BL. Impact of oral contraceptive pill use on premenstrual mood: predictors of improvement and deterioration. Am J ObstetGynecol. 2003;189:1523.CrossRef Joffe H, Cohen LS, Harlow BL. Impact of oral contraceptive pill use on premenstrual mood: predictors of improvement and deterioration. Am J ObstetGynecol. 2003;189:1523.CrossRef
17.
go back to reference Borenstein J, Yu HT, Wade S, Chiou CF, Rapkin A. Effect of an oral contraceptive containing ethinyl estradiol and drospirenone on premenstrual symptomatology and health-related quality of life. J Reprod Med. 2003;48(2):79–85.PubMed Borenstein J, Yu HT, Wade S, Chiou CF, Rapkin A. Effect of an oral contraceptive containing ethinyl estradiol and drospirenone on premenstrual symptomatology and health-related quality of life. J Reprod Med. 2003;48(2):79–85.PubMed
18.
go back to reference Apter D, Borsos A, Baumgärtner W, Melis GB, Vexiau-Robert D, Colligs-Hakert A, Palmer M, Kelly S. Effect of an oral contraceptive containing drospirenone and ethinylestradiol on general well-being and fluid-related symptoms. Eur J ContraceptReprod Health Care. 2003;8(1):37–51.CrossRef Apter D, Borsos A, Baumgärtner W, Melis GB, Vexiau-Robert D, Colligs-Hakert A, Palmer M, Kelly S. Effect of an oral contraceptive containing drospirenone and ethinylestradiol on general well-being and fluid-related symptoms. Eur J ContraceptReprod Health Care. 2003;8(1):37–51.CrossRef
19.
go back to reference Bastianelli C, Farris M. BenagianoG.Use of the levonorgestrel-releasing intrauterine system, quality of life and sexuality. Experience in an Italian family planning center. Contraception. 2011;84(4):402–8.CrossRefPubMed Bastianelli C, Farris M. BenagianoG.Use of the levonorgestrel-releasing intrauterine system, quality of life and sexuality. Experience in an Italian family planning center. Contraception. 2011;84(4):402–8.CrossRefPubMed
21.
go back to reference Caruso S, Iraci M, Cianci S, Fava V, Casella E, Cianci A. Comparative,open-label prospective study on the quality of life and sexual function of women affected by endometriosis-associated pelvic pain on 2 mg dienogest/30 μg ethinyl estradiol continuous or 21/7 regimen oral contraceptive. J Endocrinol Investig. 2016;39(8):923–31. https://doi.org/10.1007/s40618-016-0460-6.CrossRef Caruso S, Iraci M, Cianci S, Fava V, Casella E, Cianci A. Comparative,open-label prospective study on the quality of life and sexual function of women affected by endometriosis-associated pelvic pain on 2 mg dienogest/30 μg ethinyl estradiol continuous or 21/7 regimen oral contraceptive. J Endocrinol Investig. 2016;39(8):923–31. https://​doi.​org/​10.​1007/​s40618-016-0460-6.CrossRef
22.
go back to reference Li RH, Lo SS, Teh DK, Tong NC, Tsui MH, Cheung KB, Chung TK. Impact of common contraceptive methods on quality of life and sexual function in Hong Kong Chinese women. Contraception. 2004;70(6):474–82.CrossRefPubMed Li RH, Lo SS, Teh DK, Tong NC, Tsui MH, Cheung KB, Chung TK. Impact of common contraceptive methods on quality of life and sexual function in Hong Kong Chinese women. Contraception. 2004;70(6):474–82.CrossRefPubMed
24.
go back to reference Winkler UH, et al. Cycle control, quality of life and acne with two low-dose oral contraceptives containing 20 μgethinylestradiol. Contraception. 2004;69(6):469–76.CrossRefPubMed Winkler UH, et al. Cycle control, quality of life and acne with two low-dose oral contraceptives containing 20 μgethinylestradiol. Contraception. 2004;69(6):469–76.CrossRefPubMed
25.
go back to reference Egarter C, Topcuoglu MA, Imhof M, Huber J. Low dose oral contraceptives and quality of life. Contraception. 1999;59(5):287–91.CrossRefPubMed Egarter C, Topcuoglu MA, Imhof M, Huber J. Low dose oral contraceptives and quality of life. Contraception. 1999;59(5):287–91.CrossRefPubMed
26.
go back to reference Pérez-Campos E, Dueñas JL, de la Viuda E, Gómez MÁ, Lertxundi R, Sánchez-Borrego R, et al. Development and validation of the SEC-QoL quality of life questionnaire in women using contraceptive methods. Value Health. 2011;14:892–9.CrossRefPubMed Pérez-Campos E, Dueñas JL, de la Viuda E, Gómez MÁ, Lertxundi R, Sánchez-Borrego R, et al. Development and validation of the SEC-QoL quality of life questionnaire in women using contraceptive methods. Value Health. 2011;14:892–9.CrossRefPubMed
27.
go back to reference Lete I, de la Viuda E, Pérez-Campos E, Martínez MÁ, Sanchez-de la Rosa R, Novalbos J, Sánchez-Borrego R. Effect on quality of life of switching to combined oral contraception based on natural estrogen: an observational, multicentre, prospective phase IV study (ZOCAL study). Eur J ContraceptReprod Health Care. 2016;21(4):276–84. https://doi.org/10.3109/13625187.2016.1174206 Epub 2016 May 25.CrossRef Lete I, de la Viuda E, Pérez-Campos E, Martínez MÁ, Sanchez-de la Rosa R, Novalbos J, Sánchez-Borrego R. Effect on quality of life of switching to combined oral contraception based on natural estrogen: an observational, multicentre, prospective phase IV study (ZOCAL study). Eur J ContraceptReprod Health Care. 2016;21(4):276–84. https://​doi.​org/​10.​3109/​13625187.​2016.​1174206 Epub 2016 May 25.CrossRef
30.
go back to reference Hayes AF. Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. New York: Guilford Publications; 2017. Hayes AF. Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. New York: Guilford Publications; 2017.
33.
go back to reference Robert SA, Cherepanov D, Palta M, Dunham NC, Feeny D, Fryback DG. Socioeconomic status and age variations in health-related quality of life: results from the National Health Measurement Study. J Gerontol B PsycholSciSocSci. 2009;64:378–89.CrossRef Robert SA, Cherepanov D, Palta M, Dunham NC, Feeny D, Fryback DG. Socioeconomic status and age variations in health-related quality of life: results from the National Health Measurement Study. J Gerontol B PsycholSciSocSci. 2009;64:378–89.CrossRef
36.
go back to reference Matsumoto Y, Yamane S, Ideta K, Kawabata M. Impact of use of combined or MHRQo al contraceptive pill on the quality of life of Japanese women. J ObstetGynaecol Res. 2007;33:529–35. Matsumoto Y, Yamane S, Ideta K, Kawabata M. Impact of use of combined or MHRQo al contraceptive pill on the quality of life of Japanese women. J ObstetGynaecol Res. 2007;33:529–35.
38.
go back to reference Caruso S, Malandrino C, Cicero C, Ciancio F, Cariola M, Cianci A. Quality of sexual life of women on oral contraceptive continued-regimen: pilot study. J Sex Med. 2013;10:460–6.CrossRefPubMed Caruso S, Malandrino C, Cicero C, Ciancio F, Cariola M, Cianci A. Quality of sexual life of women on oral contraceptive continued-regimen: pilot study. J Sex Med. 2013;10:460–6.CrossRefPubMed
39.
go back to reference Zetharaeus N, Dreber A, Ranehill E, Blomberg L, Labrie F, Shoultz V, et al. A first-choice combined oral contraceptive influences general well-being in healthy women: a double-blind, randomized, placebo-controlled trial. Fertility and Sterility. 2017;107(5):1238–45.CrossRef Zetharaeus N, Dreber A, Ranehill E, Blomberg L, Labrie F, Shoultz V, et al. A first-choice combined oral contraceptive influences general well-being in healthy women: a double-blind, randomized, placebo-controlled trial. Fertility and Sterility. 2017;107(5):1238–45.CrossRef
43.
go back to reference Cohen LS, Soares CN, Otto MW, Sweeney BH, Liberman RF, Harlow BL. Prevalence and predictors of premenstrual dysphoric disorder (PMDD) in older premenopausal women. The Harvard Study of Moods and Cycles J Affect Disord. 2002;70(2):125–32.CrossRefPubMed Cohen LS, Soares CN, Otto MW, Sweeney BH, Liberman RF, Harlow BL. Prevalence and predictors of premenstrual dysphoric disorder (PMDD) in older premenopausal women. The Harvard Study of Moods and Cycles J Affect Disord. 2002;70(2):125–32.CrossRefPubMed
Metadata
Title
Health-related quality of life in undergraduate women using any contraceptive
Authors
Fatima Leon-Larios
Cinta G Vazquez-Valeo
Alicia Sanchez-Sanchez
Diego Gomez-Baya
Juana Macías-Seda
M Nieves Cabezas-Palacios
Publication date
01-12-2019
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2019
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-019-1157-2

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