Interventions to increase access to long-acting reversible contraceptives

Matsushita, Tomomi; Hasegawa, Takeshi; Noma, Hisashi; Ota, Erika; Chou, Victoria B; Okada, Yoshiyuki

doi:10.1002/14651858.cd014987

Cited by 1 publication

(1 citation statement)

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“…Research into evidence-based interventions addressing LARC access and uptake is ongoing. 91 Several notable multilevel interventions have sought to address barriers to adolescent and adult LARC use. The CHOICE project, as mentioned previously, utilized “LARC-first” counseling alongside multilevel systemic interventions that led to LARC uptake by 72% of adolescents, greatly exceeding national adolescent LARC use rates between 5–15%.…”

Section: Larc Uptake Continuation and Barriers To Usementioning

confidence: 99%

Long-Acting Reversible Contraception for Adolescents: A Review of Practices to Support Better Communication, Counseling, and Adherence

Durante¹,

Sims²,

Jarin³

et al. 2023

AHMT

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Long-acting reversible contraception (LARC) methods, including levonorgestrel and copper intrauterine devices (IUDs) and the subdermal contraceptive implant, are the most effective reversible forms of contraception and thus are an important aspect of adolescent pregnancy prevention. While LARC efficacy, safety, and appropriateness are supported by major medical organizations and usage rates are increasing, overall LARC uptake among United States (US) adolescents remains lower than uptake of short-acting contraceptive methods. A better understanding of the barriers affecting adolescent LARC uptake and reasons for discontinuation could help facilitate effective communication. For example, learning how to improve adolescent-centered communication, shared decision-making, and motivational counseling strategies may be the first step to improving utilization rates. This narrative review includes three sections. First, this review will describe the history, mechanisms of action, and epidemiology of adolescent LARC use in the US and globally. Next, this review will describe key factors influencing adolescent LARC uptake, reasons for discontinuation, and multilevel barriers specific to adolescent LARC use. Finally, this review will characterize communication techniques and LARC counseling strategies for adolescents in the context of a reproductive justice approach set in the health belief model framework. The distinction between moving away from a presumptive counseling approach towards an adolescent-centered, shared decision-making approach to encourage parent-adolescent sexual health communication to lay the foundation of empowering adolescent reproductive autonomy should be the underpinning of all effective reproductive communication strategies.

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Section: Larc Uptake Continuation and Barriers To Usementioning

confidence: 99%