Predictors of long-acting reversible contraception use among unmarried young adults - 24/05/12
, Caroline C. Billingsley, MD a, Ashlyn H. Savage, MD a, Jeffrey E. Korte, PhD b
Reprints: Angela R. Dempsey, MD, Department of Obstetrics and Gynecology, Medical University of South Carolina, 96 Jonathan Lucas St, CSB 634, Charleston, SC 29425Résumé |
Objective |
The objective of the study was to improve the understanding of long-acting reversible contraception (LARC) use patterns among unmarried, young adults at risk of unintended pregnancy.
Study Design |
We performed a secondary data analysis of a national survey conducted by Guttmacher Institute of unmarried women and men aged 18-29 years. LARC is defined as an intrauterine device (IUD) or implant. Predictors of LARC use and IUD knowledge among those at risk for unintended pregnancy (n = 1222) were assessed using χ2 analysis and logistic regression models.
Results |
LARC use was associated with older age, high IUD knowledge, and earlier onset of sexual activity. Respondents with high IUD knowledge were 6 times more likely to be current LARC users (odds ratio [OR], 6.3; 95% confidence interval [CI], 1.4–28.8). Sociodemographic variables did not predict use. Respondents with lower education (OR, 1.76; 95% CI, 1.0–3.0), an external locus of control (OR, 1.6; 95% CI, 1.1–2.3), male sex (OR, 2.8; 95% CI, 1.9–4.1), and foreign language had less knowledge of IUD.
Conclusion |
Increasing knowledge of IUD among certain groups may improve LARC use among young, unmarried adults and in turn decrease unintended pregnancy.
Le texte complet de cet article est disponible en PDF.Key words : contraceptive implant, intrauterine device, knowledge of long-acting reversible contraception, long-acting reversible contraception use
Plan
| A.H.S. is on the speaker's bureau for Merck. The remaining authors report no conflict of interest. |
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| Cite this article as: Dempsey AR, Billingsley CC, Savage AH, et al. Predictors of long-acting reversible contraception use among unmarried young adults. Am J Obstet Gynecol 2012;206:526.e1-5. |
Vol 206 - N° 6
P. 526.e1-526.e5 - juin 2012 Retour au numéro
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