‘But you can't reverse a hysterectomy!’ Perceptions of long acting reversible contraception (LARC) among young women aged 16–24 years: a qualitative study

Okpo, Emmanuel; Allerton, Lisa Anne; Brechin, Susan

doi:10.1016/j.puhe.2014.08.012

Cited by 23 publications

(19 citation statements)

References 12 publications

(22 reference statements)

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“…We found family, friends and doctors were influential and women largely formed their opinions based on stories they had heard. This is in line with other study findings 10 12 14–16 19 22. Based on an analysis of audio recorded consultations, Levy et al 22.…”

Section: Discussionsupporting

confidence: 91%

“…Although the effects of the implant can be reversed by its removal, women seem to value having control over the cessation of the method. Similarly, Okpo et al 19. found that women in their study perceived the term ‘reversible’ negatively, because they understood it to involve medical intervention and therefore a lack of user control over when and where to stop their chosen method.…”

Section: Discussionmentioning

confidence: 88%

See 1 more Smart Citation

Australian women's attitudes towards and understandings of the subdermal contraceptive implant: a qualitative study of never-users

Inoue

Kelly

Barratt

et al. 2016

J Fam Plann Reprod Health Care

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Women tended to form negative impressions from the stories of other women about the subdermal implant. Interventions to enhance evidence-informed awareness of the relative advantages and disadvantages of the implant - for example, improved access to supportive contraceptive counselling - need investigation in the Australian context. Avenues to improve women's perceived control over the device could also be usefully investigated.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 88%

Australian women's attitudes towards and understandings of the subdermal contraceptive implant: a qualitative study of never-users

Inoue

Kelly

Barratt

et al. 2016

J Fam Plann Reprod Health Care

View full text Add to dashboard Cite

show abstract

“… 4 However, it is important to note that these methods are not suitable for all women. 5 There is also evidence that negative attitudes and misconceptions about specific types of LARC may be pervasive 6 7 including among healthcare providers; 8 9 therefore, use of these methods remains much lower than the OCP in many countries. 1…”

Section: Introductionmentioning

confidence: 99%

Prescription contraception use: a cross-sectional population study of psychosocial determinants

et al. 2015

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ObjectiveMany forms of contraception are available on prescription only for example, the oral contraceptive pill (OCP) and long-acting reversible contraceptives (LARCs). In this analysis we aim to identify key determinants of prescription contraceptive use.DesignCross-sectional population survey. Data on sociodemographic indices, concerns about the OCP and perceived barriers to access were collected.SettingData set constructed from a representative population-based telephone survey of community dwelling adults in the Republic of Ireland (RoI)Participants1515 women aged between 18 and 45 yearsMain outcome measureSelf-reported user of the OCP or LARCs (intrauterine contraception, contraceptive injections or subdermal contraceptive implants) in the previous 12 months.ResultsFor at least some of the previous year, 35% had used the OCP and 14% had used LARCs, while 3% had used two or more of these methods. OCP users were significantly younger, more likely to be unmarried and had higher income than non-users. Overall, 68% agreed with the statement ‘that taking a break from long-term use of the contraceptive pill is a good idea’ and 37% agreed with the statement that ‘the OCP has dangerous side effects’ and this was the strongest predictor variable of non-use of the OCP. Intrauterine contraception users were significantly older, more likely to be married and had lower income than non-users. Injections or subdermal contraceptive implant users were significantly younger, less likely to be married, had lower income and were less likely to agree that taking a break from long-term use of the pill is a good idea than non-users.ConclusionsPrescription contraceptive use is sociodemographically patterned, with LARCs in particular being associated with lower incomes in the RoI. Concerns about the safety of the OCP remain prevalent and are important and modifiable determinants of contraceptive-related behaviour.

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“…7,20,26–28 Our interviews also revealed additional domains that influence adolescent interest in highly effective contraception methods, generating opportunities for adolescent-centered counseling to explore peer, family, and other contextual influences. Notably, we identified many factors beyond efficacy of a device that are important to adolescent contraception decision-making.…”

Section: Discussionmentioning

confidence: 91%

A Qualitative Study of Factors That Influence Contraceptive Choice among Adolescent School-Based Health Center Patients

Hoopes

Gilmore

Cady

et al. 2016

Journal of Pediatric and Adolescent Gynecology

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Study Objective Long-acting reversible contraceptive (LARC) methods can prevent teen pregnancy yet remain underutilized by adolescents in the United States. Pediatric providers are well positioned to discuss LARCs with adolescents, but little is known about how counseling should occur in pediatric primary care settings. We explored adolescent womens’ attitudes and experiences with LARCs to inform the development of adolescent-centered LARC counseling strategies. Design Qualitative analysis of one-on-one interviews. Setting Participants were recruited from 2 urban school-based, primary care centers. Participants Thirty adolescent women aged 14–18 years, diverse in race/ethnicity, and sexual experience. Interventions Interviews were audio-recorded, transcribed, and coded using inductive and deductive coding. Main Outcome Measure Major themes were identified to integrate LARC-specific adolescent preferences into existing counseling approaches. Results Participants (mean age, 16.2 years; range, 14–18 years) represented a diverse range of racial and/or ethnic identities. Half (15/30) were sexually active and 17% (5/30) reported current or past LARC use. Five themes emerged regarding key factors that influence LARC choice, including: (1) strong preferences about device-specific characteristics; (2) previous exposure to information about LARCs from peers, family members, or health counseling sessions; (3) knowledge gaps about LARC methods that affect informed decision-making; (4) personal circumstances or experiences that motivate a desire for effective and/or long-acting contraception; and (5) environmental constraints and supports that might influence adolescent access to LARCs. Conclusion We identified 5 factors that influence LARC choice among adolescent women and propose a framework for incorporating these factors into contraceptive counseling services in pediatric primary care settings.

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‘But you can't reverse a hysterectomy!’ Perceptions of long acting reversible contraception (LARC) among young women aged 16–24 years: a qualitative study

Cited by 23 publications

References 12 publications

Australian women's attitudes towards and understandings of the subdermal contraceptive implant: a qualitative study of never-users

Australian women's attitudes towards and understandings of the subdermal contraceptive implant: a qualitative study of never-users

Prescription contraception use: a cross-sectional population study of psychosocial determinants

A Qualitative Study of Factors That Influence Contraceptive Choice among Adolescent School-Based Health Center Patients

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