Background: Over 100 million women worldwide are using oral contraceptives pills (OCP) and mood changes\r\nwere being as the primary reason for OCP discontinuation. The purpose of this study was to determine the\r\nprevalence and predicting factors of mood changes in oral contraceptive pills users.\r\nMethods: This was a cross-sectional study of 500 women aged 15ââ?¬â??49 years old using low dose (LD) pills attending\r\nfamily planning centers in Ahwaz, Iran. Data were collected via face-to-face interviews using a structured\r\nquestionnaire including items on demographic, self-efficacy and mood change. Both univarate and multiple logistic\r\nregression analyses were performed to assess the relationship between reported mood change and the\r\nindependent variables.\r\nResults: In all 406 women reported that they did experience OCP side effects. Of these, 37.7% of women (n =153)\r\nreported mood changes due to OCP use. The results of multiple logistic regression revealed that place of\r\nliving (OR =2.57, 95% CI = 1.06-6.20, p =0.03), not receiving information on OCP side effects (OR =1.80, 95%\r\nCI = 1.15-2.80, p =0.009), and lower self-efficacy (OR = 0.87, 95% CI = 0.80-0.94, p =0.001) were significant predictors\r\nof mood changes.\r\nConclusion: The findings from this study indicated that the prevalence of reported mood changes due to OCP use\r\namong Iranian women appeared to be consistent with other studies. In addition the findings showed that\r\nreceiving information on OCP side effects from health care workers and self-efficacy were important predicting\r\nfactors for mood changes. Indeed implementing educational programs and improving self-efficacy among women\r\nare recommended.
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