Incorporating Black women’s perspectives into long-acting reversible contraception implementation

Views and experiences of long-acting reversible contraception among ethnic minorities in high-income countries: a systematic review of qualitative studies

“…We identified 2996 articles from database searches and a further 19 from citation searching of our selected papers. After screening against the inclusion criteria, a total of 19 articles24–42 about 17 studies were included (figure 1), including a total of 559 participants. Studies excluded at the full-text stage are listed in online supplemental table 3.…”

“…Fourteen studies (16 articles) were conducted in the USA (of 507 participants, 227 identified as Latina, 222 as Black, 15 multiracial, 4 Asian)(table 1). 24–27 29–32 34–38 40–42 Two studies focused on Chinese women in the UK39 and Australia (32 women)28 and one on Aboriginal women in Australia (20 participants) 33. Four studies used focus groups,24 29 36 42 twelve used interviews25–28 30–33 35 37–41 and one used both 34.…”

“…24–27 29–32 34–38 40–42 Two studies focused on Chinese women in the UK39 and Australia (32 women)28 and one on Aboriginal women in Australia (20 participants) 33. Four studies used focus groups,24 29 36 42 twelve used interviews25–28 30–33 35 37–41 and one used both 34. Several studies also used surveys to collect demographic data.…”

“…Most studies reported negative perceptions of changes in the menstrual cycle,24 25 34 36 39 41 whether this was an increase, decrease or absence of bleeding (table 2). Chinese and Latina women liked knowing the timing and duration of their cycles, so they disliked irregular bleeding and ‘unnatural’ changes in their cycle 39 41.…”

“…Although uterine perforation is very rare, many studies reported that participants were concerned that the intrauterine device (IUD) or implant could migrate and embed into other parts of the body 24 29 36 40 41…”