Who uses long-acting reversible contraception? Profile of LARC users in the CUPID cohort

Coombe, Jacqueline; Harris, Melissa L.

doi:10.1016/j.srhc.2016.09.003

Cited by 21 publications

(23 citation statements)

References 31 publications

(42 reference statements)

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“…Furthermore, women from rich households were less likely to use LARCs. This is contrary to other studies, which found that household wealth has a positive association with the use, and wealthier women were more likely to use LARCs than poorer women 4 , 23 , 24 .…”

Section: Discussioncontrasting

confidence: 99%

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Knowledge and factors influencing long-acting reversible contraceptives use among women of reproductive age in Nigeria

Bolarinwa¹,

Olagunju²

2020

Gates Open Res

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Background: Approximately 48% of unintended pregnancies occur as a result of contraceptives failure around the world, which is mostly due to incorrect use, poor adherence, and/or technology failure. Long-acting reversible contraceptive (LARC) methods have been developed to close this gap. The main aim of this study is to identify factors associated with the use of LARCs among women of reproductive age and to examine the relationship between knowledge of LARCs and the current use of LARCs in Nigeria. Methods: This study assessed the PMA2020 methodology and secondary dataset using female datasets from PMA 2016 (Round 3) exercise. The survey was conducted out in seven states of Nigeria. The target population for this study was women of reproductive age (15-49 years) currently using contraception prior to the survey. The sample size of women that met the inclusion criteria was 1927. The data were analyzed using frequency distribution, chi-square, and logistic regression at a 5% level of significance. Results: The results showed that 21.0% of women were using traditional methods. 14.8% of the sampled women were using LARCs methods. Findings further showed that at both levels of analyses, there is a significant relationship (P<0.05 and P=0.00 for binary and logistic regression, respectively) between knowledge of LARCs and the use of LARCs. This means that knowledge of LARCs and socio-demographic variables among women of reproductive age in Nigeria can influence the use of LARCs. Conclusions: We concluded in this study that 14.8% of women using contraception were using LARCs. Additionally, the level of education, age of women, household wealth, and the number of living children were significantly associated with using LARCs in Nigeria. Also, when discussing contraception with women, health care practitioners should discuss the risks and benefits of LARCs with women of reproductive age and recommend them as a first-line method.

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Section: Discussioncontrasting

confidence: 99%

“…Women aged 25 years and above were more likely to use LARC methods as compared to women aged 15–24 years. This result is in line with previous studies, which reported that the age of mothers was found to be associated with the use of LARCs because the prevalence of LARC uses increased with age 3 , 4 , 23 , 24 , 26 .…”

Section: Discussionsupporting

confidence: 93%

Knowledge and factors influencing long-acting reversible contraceptives use among women of reproductive age in Nigeria

Bolarinwa¹,

Olagunju²

2020

Gates Open Res

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“…In a study carried out on 3155 participants by Jacqueline Coombes et al, it was found that the history of pregnancy was strongly associated with the increased use of LARC in Australian women (Coombe et al, 2017). A study on the relationship between LARC and parity has also suggested that women who have had one or more children were more likely to use these methods (Cea Soriano et al, 2014).…”

Section: Larc As a Choicementioning

confidence: 99%

An Investigation into Long-acting Reversible Contraception: Use, Awareness, and Associated Factors

Zendehdel

Jahanfar

Hamzehgardeshi

et al. 2020

EUROPEAN J ENV PUBLI

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We aimed to investigate the prevalence, awareness, perceived reliability, and factors associated with the use of long-acting reversible contraception among reproductive-aged, married women and men in Iran. Methods: In this cross-sectional study, 1520 men and women between 15-49 years of age who attended public health centers in Tehran were surveyed. Results: About 85% of the respondents reported that they were already familiar with intrauterine contraception and 61.9% with Medroxyprogesterone Acetate. The majority of women respondents had not considered IUDs (57.2%) or DMPA (59.1%) as reliable methods. As for men, IUDs (53.8%) or DMPA (39.8%) were considered as reliable methods of contraception. Moreover, a higher number of women thought it was better to refrain from using IUDs (60.3%) or DMPA (61.5%) than men [IUDs (53.4%) or DMPA (40.2%)]. Those who in the younger age group (18-40 years old), had younger partners (18-40 years old), had education beyond a high school diploma and had no history of unwanted pregnancy (58%) were less likely to use LARC. Conclusions: Men and women are familiar with LARC (Long-acting reversible contraception) methods, but few believe that these methods are reliable. Demonstration of the performance of long-term methods by health personnel will increase the belief and trust of women and men in longer-lasting ways of contraception.

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“…Although a wide range of LARCs is available in Australia, their uptake has been slow . Between 2004 and 2010, overall contraceptive use among women was reported to be 69%, with intrauterine or implantable LARCs comprising 6.8% .…”

Section: Introductionmentioning

confidence: 99%

“…The relative lack of uptake of LARCs has variously been explained by the attitudes and habits of doctors and women, the upfront costs of LARCs, and the lack of suitable training for LARC insertion . In Australia, it is likely that much can be explained by the popularity of the combined oral contraceptive pill (OC), which is well‐established and subsidised by the Australian government via the Pharmaceutical Benefits Scheme (PBS) . While some LARCs are also funded via the PBS (Mirena® and Implanon®), improving the uptake and use of LARCs more generally is a challenge given barriers to access and the broad experience base with OCs.…”

Section: Introductionmentioning

confidence: 99%

Reviewing the cost‐effectiveness of long‐acting reversible contraceptive methods in an Australian context

Lynch

Lourenço

Flattery

et al. 2018

Aust NZ J Obst Gynaeco

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Background: Relative to the oral contraceptive pill, uptake of long-acting reversible contraceptive methods (LARCs) in Australia continues to be lower than might be suggested by the evidence on their clinical and economic benefits. Aim:To undertake a critical appraisal of published economic evaluations of LARCs to assess the generalisability of their results to the Australian healthcare context. Materials and Methods:A search of the literature was conducted to identify studies of economic evaluations of LARCs using the Medline, Embase and PubMed databases. The quality of the studies was evaluated using the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) checklist. Results: A total of 1009 citations were screened, from which 20 papers, typically reporting the cost per pregnancy avoided, were reviewed. The overall quality of the studies varied but was generally poor (average score of 62/100). To aid comparisons, results have been grouped under the headings IUS (all hormonal intrauterine systems), IUDs (all non-hormonal intrauterine devices), injectables (all contraceptive injections) and implants (all subdermal contraceptive implants).Overall, the results indicated that LARCs were more effective and less costly than oral contraceptives. Conclusions:Despite evidence that LARCs represent value for money, limitations in study quality and approaches must be taken into account when applying these results to Australia. Differences in healthcare settings aside, LARCs may also have benefits beyond their effect on pregnancy that might be captured in broader analyses, such as cost-benefit analyses using willingness to pay methods. These would capture benefits beyond health, which seem to be particularly relevant to contraception. K E Y W O R D Scontraception, cost-effectiveness, costs, literature review, long-acting reversible contraceptive methods

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Who uses long-acting reversible contraception? Profile of LARC users in the CUPID cohort

Cited by 21 publications

References 31 publications

Knowledge and factors influencing long-acting reversible contraceptives use among women of reproductive age in Nigeria

Knowledge and factors influencing long-acting reversible contraceptives use among women of reproductive age in Nigeria

An Investigation into Long-acting Reversible Contraception: Use, Awareness, and Associated Factors

Reviewing the cost‐effectiveness of long‐acting reversible contraceptive methods in an Australian context

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