Impact of the Rochester LARC Initiative on adolescents’ utilization of long-acting reversible contraception

Aligne, C. Andrew; Phelps, Rachael; VanScott, Jessica L.; Korones, Sarah A.; Greenberg, Katherine Blumoff

doi:10.1016/j.ajog.2020.01.029

Cited by 8 publications

(14 citation statements)

References 17 publications

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“…Nevertheless, when knowledge is very low, and the desired behavior change is perceived as simple and valuable, then dissemination of knowledge can change physician behavior. (Aligne et al, 2020 ). Future studies could determine the feasibility, acceptability, and impact of introducing educational interventions for medical professionals about the PPV.…”

Section: Discussionmentioning

confidence: 99%

A Visit to the Pediatrician as a Part of Comprehensive Prenatal Care?

Mei,

Aligne,

VanScott

2023

Matern Child Health J

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Introduction The American Academy of Pediatrics and the American College of Obstetricians and Gynecologists recommend that expectant parents receive a preventive visit with a pediatrician in the prenatal period (a pediatric prenatal visit, or PPV). Discussing newborn health topics in the prenatal period tends to be more effective than immediately postpartum, and research suggests, for example, that the PPV increases timely childhood immunizations. However, only 22% of expectant parents have these visits, and there are significant disparities by race and income. Methods A 2-min online survey with open-ended questions was emailed to 304 eligible obstetrics providers in Rochester, NY. Simple descriptive statistics and chisquare analysis were applied to survey responses. Responses were organized within the framework of knowledge, attitudes, and practices to identify barriers to guideline adherence resulting in chronic under-utilization of the PPV. Results Ninety obstetric providers completed the survey. 66 reported awareness of the PPV, and 45 reported referring patients for a PPV. However, in open-ended questions, respondents expressed confusion between the PPV and a “meet and greet” visit with a pediatrician. Some respondents believed that the PPV is not covered by insurance, even though these visits are covered by Medicaid and marketplace insurance. Providers who had personally received one as a parent expressed positive attitudes. Discussion These findings indicate that unfamiliarity with the PPV is one barrier to referral. Educating providers about the guideline recommendations, evidence base, and insurance coverage could overcome this barrier. Doing so could reduce disparities in utilization of the pediatric prenatal visit.

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Section: Discussionmentioning

confidence: 99%

A Visit to the Pediatrician as a Part of Comprehensive Prenatal Care?

Mei,

Aligne,

VanScott

2023

Matern Child Health J

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“…For instance, a program in New York state improved adolescent LARC access by partnering with nonmedical community-based organizations with established relationships within the adolescent community. Adolescents interested in contraception could then be referred for contraceptive counseling at a clinic with an adolescent-oriented provider (Aligne, Phelps, VanScott, Korenes, & Greenberg, 2020).…”

Section: Tailor Services To the Adolescent Populationmentioning

confidence: 99%

Long-Acting Reversible Contraception in Medicaid: Where Do We Go From Here?

Fuerst¹,

George²,

Moore³

2021

Women's Health Issues

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“…Since the early 2000s, Long-Acting Reversible Contraceptives (LARCs) use has become more prevalent among adolescents [ 15 , 16 ]. National and state-level initiatives have focused on expanding these resources to low-income individuals [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

How Can We Address What We Do Not Measure? A Systematic Scoping Review of the Measurement and Operationalization of Social Determinants of Health Research on Long-Acting Reversible Contraceptive among Adolescents in the US

et al. 2023

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Teen pregnancy is often considered an adverse health outcome that accentuates gender inequities, diminishes opportunities, and jeopardizes the safety of adolescent and young adult birthing people. Long-Acting Reversible Contraceptives (LARC) have been hailed as a panacea for teen pregnancy. However, adolescents and emerging adults intersect with multiple assaults on their health and well-being due to gender inequity and racism. To establish equitable care, it is imperative to discern all barriers that influence their reproductive autonomy. This study evaluates the measurement, operationalization, and quality of research conducted on adolescents and emerging adults that analyzed the use of LARC within the social determinant of health framework (SDOH) in the US. SDOH were assessed using the Dahlgren and Whitehead model, and reports were analyzed using a modified version of the Joanna Briggs Institute (JBI) Critical Appraisal tools. Nineteen articles were included in this study. Researchers found the insufficient measurement of race, ethnicity, sexuality, and gender among studies on LARC and SDOH in adolescents and emerging adults. Future studies must measure a full range of identities in data collection to generate knowledge on the impact of SDOH and LARC use among diverse populations.

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Impact of the Rochester LARC Initiative on adolescents’ utilization of long-acting reversible contraception

Cited by 8 publications

References 17 publications

A Visit to the Pediatrician as a Part of Comprehensive Prenatal Care?

A Visit to the Pediatrician as a Part of Comprehensive Prenatal Care?

Long-Acting Reversible Contraception in Medicaid: Where Do We Go From Here?

How Can We Address What We Do Not Measure? A Systematic Scoping Review of the Measurement and Operationalization of Social Determinants of Health Research on Long-Acting Reversible Contraceptive among Adolescents in the US

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