Autonomy in contraceptive choice and contraceptive satisfaction among women in Seine-Saint-Denis: protocol for ESAACO93 study
Abstract
Introduction: Despite high contraceptive coverage in France, unplanned pregnancies remain common. Contraceptive satisfaction and autonomy in contraceptive choice influence adherence to contraceptive methods, but their direct association remains underexplored. Seine-Saint-Denis, a department characterized by substantial social inequalities in health and contraceptive coverage below the national average, provides a particularly relevant setting in which to explore this issue. Aim: To investigate the association between contraceptive satisfaction and autonomy in contraceptive choice among women living in Seine-Saint-Denis. Method: This quantitative cross-sectional study includes women aged 18 to 54 years who use contraception. Data are collected in various public spaces in Seine-Saint-Denis to limit recruitment from healthcare settings. Contraceptive satisfaction is assessed using the validated Treatment Satisfaction with Medicines Questionnaire (SATMED-Q), and autonomy in contraceptive choice using the Family Planning Autonomous Decision-Making scale (FP-ADM). The sociodemographic characteristics and contraceptive methods are also recorded. Descriptive, bivariate, and multivariable analyses are performed to investigate associations between contraceptive satisfaction, autonomy in contraceptive choice, and variables of interest. Discussion: To our knowledge, this study is the first to explore the association between contraceptive satisfaction and autonomy in contraceptive choice in the French context. It could contribute to a better understanding of the determinants of contraceptive experience in primary care and highlight the value of a person-centered approach in contraceptive consultations. The findings could also guide the development of healthcare professional decision-making tools tailored to populations most affected by social inequalities in health.
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BibTeX
@article{mottais2026autonomy,
title = {{Autonomy in contraceptive choice and contraceptive satisfaction among women in Seine-Saint-Denis: protocol for ESAACO93 study}},
author = {Anne Mottais and Massilya Bellache and Souad Boundaoui and Cécile Cheam and Leatitia Domingues and Alice Mamoud and Yannick Ruelle},
journal = {French Academic Journal of Primary Care},
year = {2026},
month = sep,
doi = {10.46298/fajpc.19380},
url = {https://hal.science/hal-05753151v1},
note = {CC BY-NC 4.0},
}
RIS
TY - JOUR
TI - Autonomy in contraceptive choice and contraceptive satisfaction among women in Seine-Saint-Denis: protocol for ESAACO93 study
AU - Anne Mottais
AU - Massilya Bellache
AU - Souad Boundaoui
AU - Cécile Cheam
AU - Leatitia Domingues
AU - Alice Mamoud
AU - Yannick Ruelle
PY - 2026
DA - 2026/09/17
JO - French Academic Journal of Primary Care
DO - 10.46298/fajpc.19380
UR - https://hal.science/hal-05753151v1
AB - Introduction: Despite high contraceptive coverage in France, unplanned pregnancies remain common. Contraceptive satisfaction and autonomy in contraceptive choice influence adherence to contraceptive methods, but their direct association remains underexplored. Seine-Saint-Denis, a department characterized by substantial social inequalities in health and contraceptive coverage below the national average, provides a particularly relevant setting in which to explore this issue. Aim: To investigate the association between contraceptive satisfaction and autonomy in contraceptive choice among women living in Seine-Saint-Denis. Method: This quantitative cross-sectional study includes women aged 18 to 54 years who use contraception. Data are collected in various public spaces in Seine-Saint-Denis to limit recruitment from healthcare settings. Contraceptive satisfaction is assessed using the validated Treatment Satisfaction with Medicines Questionnaire (SATMED-Q), and autonomy in contraceptive choice using the Family Planning Autonomous Decision-Making scale (FP-ADM). The sociodemographic characteristics and contraceptive methods are also recorded. Descriptive, bivariate, and multivariable analyses are performed to investigate associations between contraceptive satisfaction, autonomy in contraceptive choice, and variables of interest. Discussion: To our knowledge, this study is the first to explore the association between contraceptive satisfaction and autonomy in contraceptive choice in the French context. It could contribute to a better understanding of the determinants of contraceptive experience in primary care and highlight the value of a person-centered approach in contraceptive consultations. The findings could also guide the development of healthcare professional decision-making tools tailored to populations most affected by social inequalities in health.
SN - 3130-334X
ER -