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  1. Home > Articles & Issues >
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  3. Autonomy in contrace ...
Article

Autonomy in contraceptive choice and contraceptive satisfaction among women in Seine-Saint-Denis: protocol for ESAACO93 study

Anne Mottais ORCID, Massilya Bellache ORCID, Souad Boundaoui, Cécile Cheam, Leatitia Domingues, Alice Mamoud, Yannick Ruelle ORCID
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Submitted on
September 18, 2026
Accepted on
September 18, 2026
Published on
September 18, 2026
Last modified on
September 18, 2026
Volume 2
Volume 2, October 2026
Research
DOI
10.46298/fajpc.19380
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52
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Autonomy in contraceptive choice and contraceptive satisfaction among women in Seine-Saint-Denis: protocol for ESAACO93 study

Anne Mottais ORCID, Massilya Bellache ORCID, Souad Boundaoui, Cécile Cheam, Leatitia Domingues, Alice Mamoud, Yannick Ruelle ORCID
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.
Keywords
  • [SDV]Life Sciences [q-bio]
  • [SHS]Humanities and Social Sciences
  • Health inequities
  • Choice behavior
  • Personal autonomy
  • Patient satisfaction
  • Contraception
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