An Exploratory Analysis of Associations Between Eating Disordered Symptoms, Perceived Weight Changes and Oral Contraceptive Discontinuation Among Young Minority Women

dc.contributor.authorStidham Hall, Kelli
dc.contributor.authorO’Connell White, Katharine
dc.contributor.authorRickert, Vaughn I.
dc.contributor.authorReame, Nancy K.
dc.contributor.authorWesthoff, Carolyn L.
dc.contributor.departmentPediatrics, School of Medicine
dc.date.accessioned2025-05-30T10:42:19Z
dc.date.available2025-05-30T10:42:19Z
dc.date.issued2013
dc.description.abstractPurpose: To explore associations between eating-disordered (ED) symptoms, perceived oral contraceptive (OC)-related weight changes, and OC discontinuation among young minority women. Methods: We conducted a prospective substudy of a randomized controlled trial evaluating the impact of a pill pack supply (3 vs. 7 months) on OC continuation among young urban women presenting to a university-affiliated community-based family planning clinic for OC management. Participants (n = 354) were adolescent (n = 173) and young adult (n = 181) women aged 13-24 years, predominantly underinsured and largely Hispanic (92%). We conducted a structured baseline interview that included an ED screening instrument. At the 6-month follow-up, we conducted a telephone interview to determine OC continuation and dimensions of perceived OC-related weight changes during the study period. Results: At baseline, 24% of the subjects fulfilled the moderate/severe ED symptom screen criteria (n = 60). By 6 months, 57% of the subjects (n = 200) reported weight changes and 62% (n = 218) had discontinued OC use. Unadjusted discontinuation rates were similar across age- and ED symptom groups. In multivariate analysis, both ED symptoms (odds ratio = .49, 95% confidence interval = .25-.96, p = .04) and perceived weight changes (odds ratio = .60, 95% confidence interval = .38-.94, p = .03) were negatively associated with OC continuation. Conclusions: ED symptoms and perceived weight changes were associated with an increased likelihood of OC discontinuation among these young women. Reproductive health practitioners should consider psychological symptoms when managing OC.
dc.eprint.versionAuthor's manuscript
dc.identifier.citationStidham Hall K, O’Connell White K, Rickert VI, Reame NK, Westhoff CL. An exploratory analysis of associations between eating disordered symptoms, perceived weight changes, and oral contraceptive discontinuation among young minority women. J Adolesc Health. 2013;52(1):58-63. doi:10.1016/j.jadohealth.2012.04.015
dc.identifier.urihttps://hdl.handle.net/1805/48481
dc.language.isoen_US
dc.publisherElsevier
dc.relation.isversionof10.1016/j.jadohealth.2012.04.015
dc.relation.journalThe Journal of Adolescent Health
dc.rightsPublisher Policy
dc.sourcePMC
dc.subjectEating disorder
dc.subjectOral contraceptives
dc.subjectPerceived side effects
dc.subjectWeight gain
dc.subjectDiscontinuation
dc.titleAn Exploratory Analysis of Associations Between Eating Disordered Symptoms, Perceived Weight Changes and Oral Contraceptive Discontinuation Among Young Minority Women
dc.typeArticle
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