Objective
To measure agreement between women's self-administered risk factor questionnaire and
their providers' evaluation of their medical eligibility for hormonal contraceptive
use.
Methods
This was an anonymous cross-sectional study. Participants were women 15���45 years
old who completed a 20-item self-administered questionnaire. Women were recruited
from six public health family planning clinics in the Seattle Metropolitan area. A
matching medical evaluation questionnaire was completed concurrently by each participant's
health care provider. Using provider evaluation as the ���gold standard��� against
which we compared self-reported medical history, we calculated participant���provider
agreement with point estimates and 95% confidence interval (CI).
Results
Of 399 participant and provider pairs, participant���provider agreement was obtained
for 392 participant pairs. The majority of the participants (90.3%) were 15���30 years
old and 77.7% had used a hormonal contraceptive method for more than 1 year. The estimated
proportion of the overall agreement was 96% (95% CI, 0.92���0.98). Women were more
likely to report severe headaches (12.4% vs. 3.3%), possible pregnancy (7.3% vs. 3.5%)
and smoking (6.2% vs. 2.1%) than providers, but less likely to report smoking more
than 15 cigarettes per day (2.6% vs. 9.2%) and irregular menses (6.5% vs. 9.9%).
Conclusion
Overall, a high proportion of the women in this study completed our medical history
questionnaire in concordance with their health care providers' same-day medical evaluation.
Agreement on critical medical eligibility criteria such as hypertension was well above
90%. For criteria on which there was disagreement, women were more likely to identify
contraindications than were their providers.
Keywords
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Article info
Publication history
Published online: March 21, 2006
Accepted:
December 16,
2005
Received in revised form:
December 15,
2005
Received:
November 11,
2005
Identification
Copyright
© 2006 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
