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López Rodríguez, Juan AntonioAuthorPolentinos-Castro, ElenaAuthorBeijinho Do Rosario, RafaelAuthor

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October 17, 2022
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Use of contraception with only progestogens in primary care: Study GESTAGAP

Publicated to: Atencion Primaria. 51 (8): 479-485 - 2019-10-01 51(8), DOI: 10.1016/j.aprim.2018.05.005

Authors:

Rodriguez-Rodriguez, Raquel; Polentinos-Castro, Elena; Azcoaga-Lorenzo, Amaya; Gonzalez-Fernandez, Cristina; Rodriguez, Raquel Rodriguez; Gonzalez Garcia, Vera; Zamarron Mendez, Isabel; Alonso Lopez, Alicia; Vigil-Escalera Villaamil, Aranzazu; Campodonico, Diana; Kloppe Villegas, Pilar; Beijinho do Rosario, Rafael; Antonio Lopez-Rodriguez, Juan; Sebastian Pessagc, Martin; Pescador Saster, Sergio; Garcia-Gutierrez Gomez, Rocio; Arellano Borreguero, Belen; Gonzalez Fernandez, Cristina; Martinez de Salinas, Cristina Munoz; Sanz Rodrigo, Carmen; Muros Munoz, Carmen M; Iglesias Pineiro, M Jose; Sanz Velasco, Pilar; Aylon Carrasco, M Rosario; Lopez Navarro, Rafael; Prada Mansilla, Santiago; Fernandez Virgala, Beatriz; Bravo Pache, Concepcion; Vaillo Munoz, Carmen; Penalva Merino, Dolores; Barrios Rueda, Elena; Melian Nuez, Francisca; Triano Sanchez, Rocio; Martinez Alvarez, Miguel Angel; Moreno Gomez, Ana I; Puerto Rodriguez, Margarita; Mora Navarro, Gustavo; Martin Alvarez, M Dolores; Perez Medina, Sara Ascension; Cabral Rodriguez, Raquel; Yanes Baonza, Monica; Arrebola Vivas, Emilia; Gonzalez Hernandez, Alberto; Sala Arnaiz, Celia; Gonzalez Romero, Elena A; Chamorro Gavela, Marta; Rodriguez Martin, Alejandra; Azcoaga Lorenzo, Amaya; Polentinos Castro, Elena
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Affiliations

CS Alpes, Madrid, Spain - Author
CS Jaime Vera, Leganes, Spain - Author
CS Las Calesas, Madrid, Spain - Author
CS Pintores, Parla, Spain - Author
CS Puerta Bonita, Madrid, Spain - Author
CS Rafael Alberti, Madrid, Spain - Author
CS San Fernando de Henares, San Fernando De Henares, Spain - Author
CS Vicente Soldevilla, Madrid, Spain - Author
SERMAS, CS Las Calesas, Madrid, Spain - Author
SERMAS, CS Pintores, Madrid, Spain - Author
SERMAS, CS Puerta Bonita, Madrid, Spain - Author
SERMAS, Unidad Docente Atenc Familiar & Comunitaria Norte, Madrid, Spain - Author
Unidad Docente Atenc Familiar & Comunitaria Norte, Madrid, Spain - Author
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Abstract

Aim: To estimate the prevalence of use of progestin-only contraceptive among women who request reversible contraception in Primary Care (PC).Design: Multicentre cross-sectional study.Setting: Primary Care Health Care Centres (Madrid).Participants: Women aged 16-50 years old, users of reversible contraception, who speak Spanish, and had attended the Primary Care Centre in the last year.Main measurements: Primary outcome: contraceptive method used: Contraception with progestins-only (yes/no). Age, parity, country of origin, type of contraceptive method used, reason for choice, source of information, satisfaction with the contraceptive method. Telephone survey.Results: A total of 417 women were interviewed. The median age was 30.3 years (SD: 7.7). Spanish 69%, and 82% of participants had secondary or university studies. More than half (57%) were nulliparous. The type of contraceptive used included: progestins only: 14%, combined hormonal contraceptive: 74%, copper IUD: 2%, and condom 10%. The prevalence of use of "progestins-only" was 13.9% (95% CI: 10.6-17.2). Medroxyprogesterone acetate injection was the most progestin-only method used (4.6%), desogestrel oral pill (4.1%), IUD-levonorgestrel IUD (3.9%), and etonogestrel subderrnal implant (1.9%). The family doctor was the prescriber in 71% of the women. Satisfaction: high (range 9-10). Using only progestogens was associated with older age, being non-Spanish, breastfeeding, and having a medical contraindication for combined contraception (P< 0.05).Conclusions: The prevalence of use for progestins was 14%, satisfaction was very high for all contraceptive methods. The user profile for the only progestins-only corresponds to older, and non-Spanish women with conditions such as breastfeeding or contraindications for other contraceptives. (C) 2018 The Authors. Published by Elsevier Espana, S.L.U.
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Keywords

AdolescentAdultAnticoncepciónAtencion primariaContraceptionContraceptive agents, hormonalCross-sectional studiesDrug utilizationFemaleGestágenosHormonal contraceptionHumansMiddle agedPatient satisfactionPrimary carePrimary health careProgesterone congenersProgestinsSatisfacción del pacienteSpainYoung adult

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Atencion Primaria due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2019, it was in position , thus managing to position itself as a Q2 (Segundo Cuartil), in the category Family Practice. Notably, the journal is positioned en el Cuartil Q3 for the agency WoS (JCR) in the category Medicine, General & Internal.

Independientemente del impacto esperado determinado por el canal de difusión, es importante destacar el impacto real observado de la propia aportación.

Según las diferentes agencias de indexación, el número de citas acumuladas por esta publicación hasta la fecha 2025-12-18:

  • WoS: 1
  • Scopus: 2
  • Europe PMC: 1
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Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-12-18:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 48.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 83 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 3.
  • The number of mentions on the social network X (formerly Twitter): 5 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.
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