Advertisement

Weight and body mass index among female contraceptive clients

      Abstract

      Objectives

      As obesity may affect the efficacy of some contraceptives, we examined weight, body mass index (BMI) and prevalence of obesity among female contraceptive clients at 231 U.S. health centers. A secondary aim was to analyze differences in contraceptive method use by obesity status.

      Study design

      Cross-sectional study using de-identified electronic health record data from family planning centers. We analyzed contraceptive visits made by 147,336 females aged 15–44 years in 2013.

      Results

      A total of 46.1% of clients had BMI ≥25. Mean body weight was 154.4 lb (S.D.=41.9); mean BMI was 26.1 (S.D.=6.6). A total of 40% had BMI ≥26, when levonorgestrel emergency contraception may become less effective. Obese clients had higher odds of using a tier 1 or tier 3 contraceptive method and had lower odds of using a tier 2 or hormonal method than non-obese clients.

      Conclusions

      About half of contraceptive clients would be categorized as overweight or obese. Contraceptive method choices differed by obesity status.

      Implications

      About half of contraceptive clients in this study population were overweight or obese. Contraceptive method choices differed by obesity status. All women — regardless of body size — should receive unbiased, evidence-based counseling on the full range of contraceptive options so that they can make informed choices.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Contraception
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Lopez L.M.
        • Grimes D.A.
        • Chen M.
        • Otterness C.
        • Westhoff C.
        • Edelman A.
        • et al.
        Hormonal contraceptives for contraception in overweight or obese women.
        Cochrane Database Syst Rev. 2013; 4: CD008452
        • Robinson J.A.
        • Burke A.E.
        Obesity and hormonal contraceptive efficacy.
        J Womens Health. 2013; 5: 453-466
        • Kapp N.
        • Abitbol J.L.
        • Mathe H.
        • Scherrer B.
        • Guillard H.
        • Gainer E.
        • et al.
        Effect of body weight and BMI on the efficacy of levonorgestrel emergency contraception.
        Contraception. 2015; 91: 97-104
        • Glasier A.
        • Cameron S.T.
        • Blithe D.
        • Scherrer B.
        • Mathe H.
        • Levy D.
        • et al.
        Can we identify women at risk of pregnancy despite using emergency contraception? Data from randomized trials of ulipristal acetate and levonorgestrel.
        Contraception. 2011; 84: 363-367
        • Moreau C.
        • Trussell J.
        Results from pooled Phase III studies of ulipristal acetate for emergency contraception.
        Contraception. 2012; 86: 673-680
        • Ogden C.L.
        • Carroll M.D.
        • Kit B.K.
        • Flegal K.M.
        Prevalence of childhood and adult obesity in the United States, 2011–2012.
        JAMA. 2014; 311: 806-814
        • World Health Organization
        Obesity and overweight. Fact Sheet No. 311.
        (Available at)
        • Vahratian A.
        Prevalence of overweight and obesity among women of childbearing age: results from the 2002 National Survey of Family Growth.
        Matern Child Health J. 2009; 13: 268-273
        • Chuang C.H.
        • Chase G.A.
        • Bensyl D.M.
        • Weisman C.S.
        Contraceptive use by diabetic and obese women.
        Womens Health Issues. 2005; 15: 167-173
        • Kaneshiro B.
        • Jensen J.T.
        • Carlson N.E.
        • Harvey S.M.
        • Nichols M.D.
        • Edelman A.B.
        Body mass index and sexual behavior.
        Am J Obstet Gynecol. 2008; 112: 586-592