Chlamydia Infection Among Adolescent Long-Acting Reversible Contraceptive and Shorter-Acting Hormonal Contraceptive Users Receiving Services at New York City School-Based Health Centers

Mendoza, Rosa M.; Garbers, Samantha; Lin, Susan; Stockwell, Melissa S.; Warren, Mary; Gold, Melanie A.

doi:10.1016/j.jpag.2019.09.006

Cited by 9 publications

(2 citation statements)

References 25 publications

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“…Previous studies suggest that LARC users may be less likely to use condoms as dual protection compared to women using less effective contraceptive options such as SARCs making them to be at higher risk to contract sexually transmitted infections [ 23 – 27 ]. However, results in previous studies comparing the occurrence of STIs is between LARC users and SARC users are conflicting [ 23 , 27 , 28 ]. The CHOICE study found increased odds of STIs among LARC initiators, whereas a study on adolescents in New York reported a similar rate of chlamydia infections among LARC users and non-users [ 27 , 28 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, results in previous studies comparing the occurrence of STIs is between LARC users and SARC users are conflicting [ 23 , 27 , 28 ]. The CHOICE study found increased odds of STIs among LARC initiators, whereas a study on adolescents in New York reported a similar rate of chlamydia infections among LARC users and non-users [ 27 , 28 ]. Both these studies offered annual testing for STIs.…”

Section: Discussionmentioning

confidence: 99%

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Use of reproductive health services among women using long- or short-acting contraceptive methods – a register-based cohort study from Finland

et al. 2022

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Background Long-acting reversible contraceptives (LARCs) have superior contraceptive efficacy compared to short-acting reversible contraceptives (SARCs) and choosing LARCs over SARC methods reduces the need for abortion care. However, little is known how initiating these methods associates with the subsequent overall need of reproductive health services including family planning services, and visits for gynecological reasons in primary and specialized care. Methods We followed altogether 5839 non-sterilized women aged 15–44 years initiating free-of-charge LARC methods (n = 1689), initiating or switching SARC methods (n = 1524), or continuing with the same SARC method (n = 2626) at primary care family planning clinics in the City of Vantaa, Finland, 2013–2014 for 2 years using Finnish national health registers. We assessed the use of reproductive health services, namely attending public primary or specialized health care for gynecological reasons or attending the family planning clinics by applying unadjusted and adjusted negative binomial regression models on visit counts. Results A total of 11,290 visits accumulated during the two-year follow-up: 7260 (64.3%) at family planning clinics, 3385 (30.0%) for gynecological reasons in primary, and 645 (5.7%) in specialized health care. Altogether 3804 (52.4%) visits at the family planning clinics were for routine checkup, and 3456 (47.6%) for other reasons. Women initiating LARC methods used reproductive health services for reasons other than routine checkups similarly as women initiating or switching SARC methods (adjusted incidence rate ratio 0.93, 95% CI 0.82–1.05), while women continuing with SARC methods used the services less frequently (0.65, 0.59–0.72). Women initiating free-of-charge LARC and those continuing with the same SARC method used services less for abortion care than women initiating or switching SARC (adjusted incidence rate ratios 0.05, 95% CI 0.03–0.08 and 0.16, 95% CI 0.11–0.24, respectively). Conclusions While women initiating LARC methods have lower need for abortion care compared to women initiating SARC methods, women initiating both LARC and SARC methods have similar overall need for reproductive health services. In contrast, women continuing with their SARC method need reproductive health services less than women initiating LARC or a new SARC method. These service needs should be acknowledged when planning and organizing family planning services, and when promoting long-acting reversible contraception.

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