“…(Note: numbers do not add to 423 because some articles included perspectives from multiple population groups.) Separate systematic reviews examining the values and preferences of women with specific reproductive health experiences (i.e., pregnant, postpartum, seeking emergency contraception, or seeking abortion) [9] , adolescents and young adults [7] , people living with HIV [10] , other end-users in specific circumstances (i.e., sex workers, transmasculine individuals, people who inject drugs, and those living in humanitarian contexts) [8] , and health workers [11] are published in this same journal issue.…”
Section: Resultsmentioning
confidence: 99%
“…In these regards, we found few obvious gaps in the literature. We also conducted more focused reviews to delve into the values and preferences of several populations of interest [ 7 – 11 ], using subsets of articles identified in this global review.…”
Section: Discussionmentioning
confidence: 99%
“…In this manuscript, we present our overall findings from the global review [ 5 , 6 ]. Additional papers in this series detail values and preferences for specific populations of contraceptive end-users and health workers [ 7 – 11 ].…”
“…(Note: numbers do not add to 423 because some articles included perspectives from multiple population groups.) Separate systematic reviews examining the values and preferences of women with specific reproductive health experiences (i.e., pregnant, postpartum, seeking emergency contraception, or seeking abortion) [9] , adolescents and young adults [7] , people living with HIV [10] , other end-users in specific circumstances (i.e., sex workers, transmasculine individuals, people who inject drugs, and those living in humanitarian contexts) [8] , and health workers [11] are published in this same journal issue.…”
Section: Resultsmentioning
confidence: 99%
“…In these regards, we found few obvious gaps in the literature. We also conducted more focused reviews to delve into the values and preferences of several populations of interest [ 7 – 11 ], using subsets of articles identified in this global review.…”
Section: Discussionmentioning
confidence: 99%
“…In this manuscript, we present our overall findings from the global review [ 5 , 6 ]. Additional papers in this series detail values and preferences for specific populations of contraceptive end-users and health workers [ 7 – 11 ].…”
“…The factors impacting adolescent LARC decision-making involve a delicate balance between contraception characteristics and preferences, acceptability, anticipation of discomfort during insertion, health myths, and the role of shared cultural and interpersonal stories. 47 Many factors affecting adolescent LARC uptake discussed below mirror those affecting adults, except for romantic partners playing a smaller role in adolescent contraception decisions compared to adult women. 39 …”
Section: Larc Uptake Continuation and Barriers To Usementioning
confidence: 99%
“… 49 However, other important considerations impact adolescent contraceptive choices, including non-contraceptive benefits, anticipated side-effects, and changes to menstruation, with some preferring regular menses and others amenorrhea. 47 All LARC methods typically involve an adjustment period of irregular uterine bleeding after insertion, which may last weeks or months. Nearly all LARC methods affect cycle regularity; Mirena is the most likely to promote amenorrhea, whereas low-dose IUDs and the Cu-IUD are more likely to preserve monthly cycles.…”
Section: Larc Uptake Continuation and Barriers To Usementioning
Long-acting reversible contraception (LARC) methods, including levonorgestrel and copper intrauterine devices (IUDs) and the subdermal contraceptive implant, are the most effective reversible forms of contraception and thus are an important aspect of adolescent pregnancy prevention. While LARC efficacy, safety, and appropriateness are supported by major medical organizations and usage rates are increasing, overall LARC uptake among United States (US) adolescents remains lower than uptake of short-acting contraceptive methods. A better understanding of the barriers affecting adolescent LARC uptake and reasons for discontinuation could help facilitate effective communication. For example, learning how to improve adolescent-centered communication, shared decision-making, and motivational counseling strategies may be the first step to improving utilization rates. This narrative review includes three sections. First, this review will describe the history, mechanisms of action, and epidemiology of adolescent LARC use in the US and globally. Next, this review will describe key factors influencing adolescent LARC uptake, reasons for discontinuation, and multilevel barriers specific to adolescent LARC use. Finally, this review will characterize communication techniques and LARC counseling strategies for adolescents in the context of a reproductive justice approach set in the health belief model framework. The distinction between moving away from a presumptive counseling approach towards an adolescent-centered, shared decision-making approach to encourage parent-adolescent sexual health communication to lay the foundation of empowering adolescent reproductive autonomy should be the underpinning of all effective reproductive communication strategies.
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