Closing the Gap between Need and Uptake: a Case for Proactive Contraception Provision to Adolescents

Duncan, Rebecca; Anderson, Lynley; Pickering, Neil

doi:10.1007/s41649-019-00082-6

Cited by 2 publications

(3 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Ethical acceptability relies upon weighing advantages in the balance with potential counter-arguments to PCP. 17 There are a number of ethical frameworks one can deploy to analyse the issue.…”

Section: Ethical Acceptabilitymentioning

confidence: 99%

“…Proactive offers would need to be respectful of the needs and wants of adolescents, and provide a range of contraceptives. 17…”

Section: Ethical Acceptabilitymentioning

confidence: 99%

“…13 This same all-options approach was discussed in an ethical inquiry. 17 In qualitative research, PCP for LARCs rather than for all methods was discussed. 1,2 The question of which contraceptives to offer remains unanswered.…”

Section: Which Contraceptives?mentioning

confidence: 99%

See 2 more Smart Citations

Proactively providing contraception to New Zealand adolescents

Duncan

Paterson

Anderson

et al. 2021

Aust NZ J Obst Gynaeco

Self Cite

View full text Add to dashboard Cite

Poor contraception provision results in poor uptake, which contributes to high adolescent pregnancy in New Zealand (NZ).Adolescents are interested in receiving contraception 1 and providers are willing to offer contraception, 2 but barriers remain. This paper puts forward a case for the consideration of proactive contraception provision (PCP) to adolescents, arguing it is in line with the rights of young people and policy aims, and there is evidence of its effectiveness and acceptability to potential recipients and providers. Following this, some practical and ethical issues around PCP are discussed.The term 'proactive contraception provision' refers to an offer to a person of advice and contraception without their requesting or being referred for it.The term 'adolescents' is used to refer to young people at the developmental stage between pubescence and early adulthood.It is difficult to define a precise age range because developmental stage and age are not straightforwardly related. Furthermore, different studies have been inconsistent with the adolescent age bracket. The term 'teenager' will be used interchangeably with 'adolescent'. BACKGROUND Unintended adolescent pregnancy in NZIn 2013, NZ had 23.8 births per 1000 women aged 15-19, and in the developed world only the USA was higher. 3 NZ's teenage fertility rate has been decreasing nationally, but remains high in some regions. 3 In NZ, 93% of pregnancies in adolescents aged 15-19 were unplanned. 4 Adolescent contraceptive access in NZBarriers remain to effective access to contraceptives for adolescents. 1,2 Current provision of contraception to NZ adolescents is reactive (rather than proactive) and not focused on long-acting reversible contraceptives (LARCs), and therefore may not be as effective as it could be. 1,2,5 Of NZ adolescents aged 17 and over, 40.5% have ever had sex, 6 but only 52% of sexually active adolescents in NZ use contraception consistently -consistent adolescent contraception use is actually decreasing. 6 A range of contraceptives are available to NZ adolescents. [7][8][9] These include LARC methods (implants, intrauterine contraceptives) which are 22 times as effective as oral

show abstract

Section: Ethical Acceptabilitymentioning

confidence: 99%

“…Proactive offers would need to be respectful of the needs and wants of adolescents, and provide a range of contraceptives. 17…”

Section: Ethical Acceptabilitymentioning

confidence: 99%