Knowledge of and Interest in the Copper Intrauterine Device Among Women Seeking Emergency Contraception

Edwards, Christine; Panjwani, Dilzayn; Pendrith, Ciara; Ly, Anna; Dunn, Sheila

doi:10.1016/j.jogc.2017.05.027

Cited by 5 publications

(4 citation statements)

References 22 publications

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“…Similar to studies conducted in other countries, the findings of this study suggest that an informative intervention can be effective in improving knowledge and attitudes regarding contraceptives and IUDs [7,9,13,20,21]. The intervention used in this study was similar to those used in studies that we previously conducted on increasing knowledge on cervical, breast, and prostate cancers in western Jamaica and was successful at dispelling common misconceptions about IUDs and their safety [22][23][24][25].…”

Section: Discussionsupporting

confidence: 71%

“…This finding is similar to other studies that found common misconceptions about IUDs; including misconceptions that IUDs can puncture the womb, cause infertility, and be used to induce abortions. [2,3,6,[17][18][19][20] Although the majority of women who reported discussing contraception with their HCP said that they also received information about IUDs (70.6%), many responded incorrectly to the IUD knowledge questions on the pre-test, showing insufficient communication or understanding regarding IUDs. Previous studies have found that HCPs in developing countries often do not possess the knowledge about IUDs that is needed to appropriately inform their patients, and that HCPs' beliefs and attitudes towards IUDs and other forms of contraceptives can affect the information that they provide to their clents [8,13,15].…”

Section: Discussionmentioning

confidence: 99%

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Effectiveness of an intrauterine device informative intervention among post-natal women in Western Jamaica

et al. 2021

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Introduction Intrauterine devices are the most effective long-acting reversible contraceptives, but in many developing countries, such as Jamaica, these devices remain underutilized. Methods A cross-sectional informative intervention was conducted among women ≥ 18 years of age attending postnatal clinics in western Jamaica from May to August 2018. Data were collected using an investigator-administered questionnaire/pre-test followed by a 12-slide PowerPoint® presentation and a post-test. Results Most of the 299 women who participated were 18–29 years of age, with a mean age of 27.1 (SD ± 6.1) years. Most had their first pregnancy between ages 18 and 24 years, with mean age at first pregnancy of 20.2 (SD ± 4.0) years. Only 3.0% of participants reported current use of an intrauterine device; 3.5% reported using an intrauterine device in the past. For nearly every measure of knowledge of intrauterine devices, there was a significant change in the proportion of participants who got the correct answer from the pre-test to the post-test. The mean summed pre-test knowledge score was 9.54 (SD ± 3.46) and the post-test score was 15.23 (SD ± 1.92); the possible total score is 18. The difference between the mean scores (5.69 points) was also significant. Conclusion The intervention resulted in significant change in knowledge of intrauterine devices among the women and cleared up many misconceptions that may have contributed to reluctance of women to use intrauterine devices. Women of reproductive age in Jamaica should be counseled on contraceptive methods including intrauterine devices so that these devices can be considered in their contraceptive choices.

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Section: Discussionsupporting

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Effectiveness of an intrauterine device informative intervention among post-natal women in Western Jamaica

et al. 2021

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“…In the US, emergency contraception is primarily available through intrauterine devices inserted after unprotected intercourse and two dedicated pill formulations: levonorgestrel (sold as sold as Plan B One-Step and several generic brands) and ulipristal acetate (sold as ella). Knowledge about forms of emergency contraception other than levonorgestrel emergency contraception remains limited among potential users, 30 31 32 33 medical providers, 34 35 and student reproductive rights activists. 36 Since 2013, levonorgestrel emergency contraception has been available over the counter with no age restrictions.…”

Section: Introductionmentioning

confidence: 99%

Retail demand for emergency contraception in United States following New Year holiday: time series study

Wagner,

Cleland

2023

BMJ

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Objective To estimate the increase in sales of emergency contraception following the New Year’s Eve/New Year’s Day holiday. Design Time series analysis using autoregressive integrated moving average (ARIMA) model. Setting Traditional (that is, “bricks and mortar”) retail outlets—grocery stores, drug stores, mass merchandisers, club stores, dollar stores, and military outlets—in the United States from 2016 to 2022. Data source Marketing data on weekly aggregated sales of items classified as emergency contraception gathered between 2016 and 2022 (n=362). On the basis of dates, weeks were classified as following the New Year holiday (n=6) or not (n=356). Main outcome measure Weekly sales of levonorgestrel emergency contraception per 1000 women of reproductive age in the US population. Results Sales of levonorgestrel emergency contraception significantly increased after the New Year holiday (0.63 (95% confidence interval 0.58 to 0.69) unit increase per 1000 women aged 15-44). Holidays that share some aspects of the elevated risks of unprotected sexual intercourse with the New Year holiday (Valentine’s Day, St Patrick’s Day, US Independence Day) were associated with increased sales, albeit to a lesser degree, with respective sales increases per 1000 women aged 15-44 of 0.31 (0.25 to 0.38), 0.14 (0.06 to 0.23), and 0.20 (0.11 to 0.29). Holidays without these expectations (Easter, Mother’s Day, Father’s Day) were not significantly associated with sales of levonorgestrel emergency contraception. Conclusions Increased sales of emergency contraception following the New Year’s holiday suggest that this period is associated with increased risks of unprotected vaginal intercourse compared with other holidays. Targeting behavioral risks, prevention strategies to mitigate sexual violence, and improving access to contraception around holidays may limit the risks associated with unprotected vaginal intercourse.

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“…However, studies suggest that women would be interested in using the IUD as EC, were they to have the knowledge and access [15–17]. A study in Utah family planning clinics found that over one-third of women seeking EC would be interested in a contraceptive method that was long term, highly effective and reversible, and 13% would be interested in the IUD as EC [16].…”

Section: Introductionmentioning

confidence: 99%

The intrauterine device as emergency contraception: how much do young women know?

Goodman¹,

Ayadi²,

Rocca³

et al. 2018

Contraception

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Knowledge of and Interest in the Copper Intrauterine Device Among Women Seeking Emergency Contraception

Cited by 5 publications

References 22 publications

Effectiveness of an intrauterine device informative intervention among post-natal women in Western Jamaica

Effectiveness of an intrauterine device informative intervention among post-natal women in Western Jamaica

Retail demand for emergency contraception in United States following New Year holiday: time series study

The intrauterine device as emergency contraception: how much do young women know?

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