A Qualitative Analysis of Long-Acting Reversible Contraception

Sundstrom, Beth; Baker-Whitcomb, Annalise; DeMaria, Andrea L.

doi:10.1007/s10995-014-1655-0

Cited by 41 publications

(80 citation statements)

References 23 publications

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“…For many women, the necessity of obtaining the approval of the health care provider to obtain sterilization was a barrier to care . When women were selecting a contraceptive method after the birth of a child, health care providers were often perceived as coercive in their discussion of contraceptive options . Homeless or imprisoned women and transgender individuals vocalized poor treatment and marginalization by health care providers .…”

Section: Resultsmentioning

confidence: 99%

“…Health care providers described women as being too young or discussed a husband's potential desire to have more children as reasons to deny sterilization . Health care providers who attempted to convince women of something or who relied too heavily on close‐ended questions created barriers to care in 2 studies . Language between the health care provider and patient was especially important in the case of preferred pronouns of transgender individuals within the health care setting.…”

Section: Resultsmentioning

confidence: 99%

“…In a similar vein, contraceptive methods that enhanced women's control were examined in 6 studies . Findings from 3 studies indicated a personal preference for methods that enhanced control, such as the female‐inserted cervical cap, or methods that allowed women to decide when to stop and start contraception .…”

Section: Resultsmentioning

confidence: 99%

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Women's Contraceptive Perceptions, Beliefs, and Attitudes: An Integrative Review of Qualitative Research

Alspaugh

Barroso

Reibel

et al. 2019

J Midwife Womens Health

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Introduction: Unintended pregnancy rates will remain high until researchers explore the lived experience of women's relationships with contraception. This integrative review examines the extant qualitative literature on women's contraception to illuminate common themes in women's perspectives through the lens of the feminist poststructuralist framework. Methods: A literature review of PubMed and CINAHL databases was completed for English-language studies conducted in the United States from January 2008 through September 2018 that qualitatively examined women's perceptions, beliefs, and attitudes regarding contraception. Reports, dissertations, mixed-methods research, and literature reviews were excluded. The sample, methods, and findings of 19 studies were reviewed. Themes were identified using the 5 major tenets of the feminist poststructuralist framework: discourse, power, language, subjectivity, and agency. Results: Themes of power imbalance between partners and health care providers; societal and communal discourses on femininity and motherhood; distrust of hormonal contraception; the ability to enhance personal agency through contraceptive decision making; and a need for open, patient-focused communication arose from the 19 studies included in the review. Discussion: Using a feminist poststructuralist framework to examine women's contraceptive perceptions illuminates and magnifies the many ways in which contraceptive beliefs and use are dependent on gender roles and power dynamics. Gaps in knowledge specific to older women and exploration of women's subjectivity should be addressed. Clinicians should evaluate the power structures inherent to their practice while providing woman-focused, evidence-based contraceptive education.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Women's Contraceptive Perceptions, Beliefs, and Attitudes: An Integrative Review of Qualitative Research

Alspaugh

Barroso

Reibel

et al. 2019

J Midwife Womens Health

View full text Add to dashboard Cite

show abstract

“…They consider LARCs to be "more risky," "scary," and less appealing forms of contraception compared with the more familiar and popular oral contraceptive pill. 37 Young women also have cited concerns about cost, fear of pain during insertion, 11,38 and concern for developing adverse effects 38 as reasons to choose non-LARC methods.…”

Section: Young Women's Concerns About Larcsmentioning

confidence: 99%

Updates in Contraceptive Counseling for Adolescents

Eliscu

Burstein

2016

The Journal of Pediatrics

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“…The literature on preferences for long-acting contraception will be helpful to inform our field and studies have shown that patient resistance to new medical technologies (perceiving long-acting contraception as ‘alien’) [51], increased cost, and a perception of ‘loss of control’ when contraception is provider-administered, rather than self-administered, all can reduce interest in long-acting contraception. Given that distrust of the medical system and the benefits of ART have been key factors to racial/ethnic disparities in HIV treatment outcomes in the USA [52 ▪ ], and that historically-grounded distrust of Western medicine has contributed to ART nonadherence in Africa [53], studies on the acceptability of long-acting ART in various patient populations and educational interventions to enhance acceptability will be key to address this particular consumer challenge.…”

Section: Implementation Challengesmentioning

confidence: 99%

Implementation challenges for long-acting antivirals as treatment

Havlir

Gandhi

2015

Current Opinion in HIV and AIDS

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Purpose of review Long-acting injectable antiretroviral therapy (ART) formulations hold great promise in helping to close the significant gap between efficacy and effectiveness in HIV treatment by eliminating the requirement for lifelong daily pills. However, significant systems-level and individual challenges to implementation of long-acting ART in HIV treatment are anticipated. Recent findings Studies of long-acting ART formulations are burgeoning, but the drugs are still in early phases of investigation and key knowledge gaps in pharmacokinetics and pharmacodynamics, as well as their effectiveness in settings with the largest burden of HIV disease and in key populations, remain. Extrapolating from the literature on implementation barriers to using long-acting contraception on a global scale, we explore the implementation barriers to rolling-out long-acting ART, including country approval and endorsements; prioritization of patient populations for preferred use, clinic infrastructure requirements, steady supply chains, decentralization of care, provider and patient training programs, and laboratory monitoring; and the need to examine patient preferences and conduct rigorous implementation science research to effectively scale-up this intervention. Summary Long-acting ART for HIV treatment harbors exciting potential to shift treatment paradigms. Current knowledge gaps in the use of these agents remain, leading to multiple anticipated systems-level and individual-level barriers to implementation. Addressing these gaps and barriers will help fulfill the promise of these agents against the pandemic.

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A Qualitative Analysis of Long-Acting Reversible Contraception

Cited by 41 publications

References 23 publications

Women's Contraceptive Perceptions, Beliefs, and Attitudes: An Integrative Review of Qualitative Research

Women's Contraceptive Perceptions, Beliefs, and Attitudes: An Integrative Review of Qualitative Research

Updates in Contraceptive Counseling for Adolescents

Implementation challenges for long-acting antivirals as treatment

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