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Table 5 Summary of factors influencing family planning behaviours

From: Family planning behaviours among women with diabetes mellitus: a scoping review

Author (Year)

Proportion of women with DM using contraceptive methods

Information on methods used

Factors influencing family planning behaviours

Individual level

Interpersonal level

Community level

Institutional level

Policy level

Falsetti et al. [54]

62%

• Types of methods55

• Dual methods usage

Chuang et al. [37]

74.20%

• Age (−)

• Ethnicity

• Marital status (−)

• Education attainment ( +)

• Health insurance status ( +)

Diabetes and Pregnancy Group, [63]

61%

Types of methods

• Knowledge of risk of congenital malformations ( +)

Napoli et al. [61]

89.4%

Types of methods

Characteristics of oral contraceptive user:

• Younger

• Slimmer

• Earlier age at first intercourse

• Highest living in north

• Lowest living in south

• Higher education

Geographic

region

Service provider:

• Diabetologist

• Gynaecologist

Charron-Prochownik et al. [35]

22.60%

Types of methods

    

Shawe et al. [57]

OR 0.83

Types of methods

Likelihood of methods based on diagnosis of diabetes and type of diabetes

Mazaheri et al. [59]

73%

Types of methods

Vahratian et al. [51]

61.2%

Types of methods

• BMI (−)

• Age (−)

• Ethnicity—non-Hispanic black ( +)

• Cohabitating (−)

• History of infertility treatment (−)

Desired or ambivalent about pregnancy (−)

Schwarz et al. [49]

14% among all respondents

57% among ever sexually active

Types of methods

Schwarz et al. [48]

37.7%

• Types of methods

• Effectiveness of methods

• Highly effective

• Moderately effective

• Less effective

Age—older age—higher % intrauterine (IUD) usage

Shawe et al. [58]

66% (questionnaire respondents)

11 out of 16 interview participants

Types of methods

Healthcare providers factors:

• Diabetes specialist felt they were unqualified to give contraception advices

• Conversation about contraception not considered as part of regular consultation

Choice of methods—diabetic women prefer 'natural' methods

Manaf et al. [54]

28.8%

Types of methods

• Age (−)

• Ethnicity (x)

• Employment status (x)

• Education attainment ( +)

• Parity ( +)

• Perception on contraception ( +)

• History of perinatal death (x)

Types of health facility:

• Health clinics

• Hospital specialist clinics

Charron-Prochownik et al. (2013) [36]

36% in control group and 64% in intervention group had at least 1 episode of unprotected sex

Intervention vs control

Nojomi et al. [60]

58.8%

Types of methods

• Types of most common methods differ after diagnosis of diabetes

• Higher percentage of using withdrawal or no method:

• Higher literacy parity (more in parity < 2 and > 4)

Perritt et al. [45]

24.6%

(preconception)

77% (postpartum)

• Presence of medical condition

• Receipt of contraceptive counselling ( +)

DeNoble et al. [38]

34.2%

Types of methods

• Age (−)

• Socioeconomic status (x)

• Total outpatient visits (−)

• Cervical cancer screening ( +)

• Types of medical conditions (x)

Champaloux et al.

[34]

44%

Duration of action

• Short-acting

• Long-acting

Irreversibile (sterilisation)

• Age (−)

Presence of medical conditions

Mekonnen et al. [65]

53.8

Types of methods

• Age

• Income

• Disease control

• Having living children ( +)

Contraceptive counselling receipt

Osman et al. (2015)

[64]

67%

Types of methods

• Parity (x)

• Education (x)

• Emotional support (x)

• Marital status ( +)

Holmes et al. [55]

44.4% in pre-DVD group

• Pre and post DVD intervention (x)

Klingensmith et al. [43]

4.8%

Phillips Bell et al. [46]

89.8%

Effectiveness of methods

• Effective/highly effective

• Less effective

No method

Types of medical condition—and the likelihood of using more effective methods

Sereika et al. [50]

50%

• Types of methods

Women who are vigilant:

• More likely to have preconception care earlier

• More likely to use more effective family planning

• More likely to report better health outcomes

Schwarz et al. [47]

47.8%

• Types of methods

• Effectiveness of methods - weighted summary measure

• Presence of diabetes—likelihood of permanent contraception

Hibbert et al. [62]

75.3%

• Types of methods

• Effectiveness of methods

Britton et al. [25]

71.2%

• Types of methods

• Effectiveness of methods

• More effective

• Less effective

• None

• Non-Hispanic Black Women ( +)

• Education attainment ( +)

• BMI (−)

• Health insurance status ( +)

Access to care (+)

Law et al. [52]

• Perceived likelihood of becoming pregnant

• Desired family size

• Perceived health risks associated with diabetes

Social implications of becoming pregnant (job disruption and economic impact)

• Opinions of significant others

Morris et al. [44]

82%

• Types of methods

• Reversibility of methods

• For sterilisation age (+)

   Education (−)

   Previous live births ( +)

   Recent unintended pregnancy ( +)

   Government or no health insurance ( +)

   Caesarean delivery ( +)

• For LARC

   Diagnosed with diabetes ( +)

   Younger age < 19 yo ( +)

   Education ( +)

   Ethnicities (+ hispanic or other ethnicities) vs non-Hispanic white

   Previous live births ( +)

   Recent unintended pregnancy ( +)

   Government or no health insurance ( +)

Caesarean delivery ( +)

Britton et al. [33]

56%

• Types of methods:

• Procedure/ prescription methods

• Non-prescription methods

• Perception

   Perceived benefit ( +)

   Perceived barriers (x)

   Self-efficacy (x)

• Patient characteristics

   Age

   Ethnicity

   Religion

   Education

   Primigravida

   Health insurance type

   Type of diabetes

   Age at diagnosis (x)

• Pregnancy planning status (x)

Disney et al. [39]

13% (LARC)

• Specifically on long-acting reversible contraception (LARC) usage

• Age (−)

• Presence of advanced disease complication (x)

• Frequency of visits (+)

• Receipt of preconception and contraceptive counselling (+)

Types of service providers

• Fetomaternal specialists

• Obstetricians & Gynaecologists

• Endocrinologists

• Primary care provider

Hunter-greaves et al. [66]

60.4%

• Types of methods

• Marital status (+)

• Previous adverse pregnancy outcome:

   Neonatal death (−)

   Pregnancy-induced hypertension (+)

   Previous ICU admission ( +)

Leow et al. [53]

59.8%

Effectiveness of methods based on Pearl Index

• Sociodemographic characteristics

• Marital status

• Pregnancy intention

• Knowledge on contraceptive effectiveness

Horwitz et al. [42]

11.9%

Types of methods

• Age—younger group more pronounced negative relationship between diagnosis and usage

• Ethnicity (x)

Diagnosis of diabetes (-)

Scott et al. [56]

75%

• Types of methods

• Efficacy of methods

• Low efficacy

•    Moderate efficacy

• High efficacy

• Pregnancy intention and efficacy of methods (28% who were not planning used low efficacy methods)

Feutry et al. [41]

72.1%

• Types of methods

• Effectiveness of methods based on Pearl Index

• Usage of contraindicated methods

• Pregnancy intention (x)

• Type of diabetes (lower in T2DM)

  1. The following annotation represented when the factors were tested statistically, otherwise the factors were only reported descriptively:
  2. ( +) positively associated
  3. (−) negatively associated
  4. (x) not associated