Contraception (Birth Control) and Family Planning PubHealthInfo

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PubHealth.info® (a subsidiary of PakMed) presents scientific information mainly based on abstracts of articles published on a variety of public health issues/topics, particularly encompassing population planning, disease prevention, maternal and child health, and communicable and non-communicable diseases (like HIV AIDS, malaria, etc) that are affecting a significant portion of population in developing and developed countries. Here you can find abstracts of articles published on a variety of public health topics under category "Contraception (Birth Control) and Family Planning". Contraception (birth control) is a regimen of one or more actions, devices, or medications followed in order to deliberately prevent or reduce the likelihood of a woman becoming pregnant or giving birth. Therefore contraception is the utilization of various and sundry surgical procedures, devices, practices, agents, or drugs with the intention of preventing conception or impregnation (pregnancy). Methods and intentions typically termed birth control may be considered a pivotal ingredient to family planning. Birth control is a controversial political and ethical issue in many cultures and religions, and although it is generally less controversial than abortion specifically.

YEAR: 2004

CATEGORY: Contraception (Birth Control) and Family Planning

TITLE

Costs and net health effects of contraceptive methods.

AUTHORS

Sonnenberg FA; Burkman RT; Hagerty CG; Speroff L; Speroff T

SOURCE

Contraception. 2004 Jun;69(6):447-459.

ABSTRACT

Pregnancy and contraceptive methods both have important health effects that include risks and benefits. The net

impact of contraception on women's health has not been reported previously. This is a cost-utility analysis using a

Markov model evaluated by Monte Carlo simulation using the societal perspective for costs. The analysis compared

13 methods of contraception to nonuse of contraception with respect to healthcare costs and quality-adjusted life

years (QALYs). Discounting was applied for future costs and health effects. The base-case analysis applies to

women of average health and fertility, ranging from 15 to 50 years of age, who are sexually active in a mutually

monogamous relationship; smoking rates observed in women of reproductive age were used. Sensitivity analysis

extended the analysis to nonmonogamous status and smoking status. Compared with use of no contraception,

contraceptive methods of all types result in substantial cost savings over 2 years, ranging from US$5907 per woman

for tubal sterilization to US$9936 for vasectomy and health gains ranging from 0.088 QALYs for diaphragm to 0.147

QALYs for depot medroxyprogesterone acetate. Compared with nonuse, even with a time horizon as short as 1 year,

use of any method other than sterilization results in financial savings and health gains. Most of the financial savings

and health gains were due to contraceptive effects. In a population of patients, even modest increases in the use of

the most effective methods result in financial savings and health gains. Every method of contraception dominates

nonuse in most clinical settings. Increasing the use of more effective methods even modestly at the expense of less

effective methods will improve health and reduce costs. Methods that require action by the user less frequently than

daily are both less costly and more effective than methods requiring action on a daily basis. (PubHealth.info

Document ID: CONT1T 518-06)

PubHealth.info NOTE: The author(s) of this article titled, "Costs and net health effects of contraceptive methods.",

is(are) Sonnenberg FA; Burkman RT; Hagerty CG; Speroff L; Speroff T. The source of this article is

"Contraception. 2004 Jun;69(6):447-459.". This article was published in 2004 in English language(s).

(PubHealth.info® Document ID: CONT1T 518-06. All rights reserved with PubHealth.info) PIN: 518

This article is peer-reviewed.

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