Long-acting reversible contraceptives for teenagers

Atkin, Kathryn; Beal, Margaret W.; Long-Middleton, Ellen; Roncari, Danielle

doi:10.1097/01.npr.0000460853.60234.c2

Cited by 7 publications

(14 citation statements)

References 37 publications

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“…In the same line Darney et al [ 44 ] in a study conducted in Mexico, to determine associations between age and patient-reported quality of family planning services among adolescents and young women, showed that although a lower proportion of adolescents reported long-acting reversible contraception (LARC) use, in comparison with young women, the adolescents using hormonal and LARC had significantly lower odds of reporting high-quality care compared with women aged 25–29. The role of family planning services is essential because the evidence supports that teenagers are more likely to choose a LARC method and continue with that method if they are offered [ 45 ].…”

Section: Discussionmentioning

confidence: 99%

Trends in the use of oral contraceptives among adolescents and young women in Spain

et al. 2016

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BackgroundWe aimed to determine the prevalence of consumption of oral contraceptives (OCs) among adolescents and young women living in Spain and to identify the factors associated with this consumption.MethodsWe performed a cross-sectional study on the consumption of OCs by women aged 15–30 years residing in Spain. We used secondary individualized data from the 2006 (n = 2513) and 2012 (n = 1530) Spanish National Health Surveys. The dependent variable was the use of OCs in the previous 2 weeks. Independent variables included sociodemographic characteristics, comorbidity, lifestyle, and healthcare resource utilization.The prevalence of OC consumption was analysed by investigating the changes observed between 2006 and 2012. We used multivariate logistic regression to identify the independent factors associated with OC use in each year.ResultsIn 2006, 14.42 % of women reported using OCs; this percentage dropped to 10.21 % in 2012 (p < 0.05). Multivariate analysis revealed an association between OC use and visits to the gynaecologist (AOR, 5.60 [95 % CI, 2.93–10.73] in 2006; and AOR, 3.55 [95 % CI, 1.30–9.73] in 2012), Pap smear tests (AOR, 1.8 [95 % CI, 1.23–2.87] in 2006; and AOR, 2.42 [95 % CI, 1.30–4.51] in 2012), and smoking in 2006 (AOR, 1.42 [95 % CI, 1.04–1.93]).ConclusionsThere was a significant decrease in OC use from 2006 to 2012 among adolescents and young women living in Spain. In the present study, consumers of OCs were women who visited a gynaecologist more often and complied more with preventive measures such as Pap smear testing. Also, women who reported having used OCs were more likely to smoke than the rest of the study population, although the smoking habit is a risk factor for thrombotic events in women who take OCs.

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Section: Discussionmentioning

confidence: 99%

Trends in the use of oral contraceptives among adolescents and young women in Spain

et al. 2016

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“…We developed a new birth control decision aid, My Contraceptive Choice (MCC) 17,18 , aiming to fill the knowledge gaps among the young women in selecting appropriate contraceptive methods 20,21 , to accommodate their unique needs in contraceptive decision making, and to address the issues identified in the two existing contraceptive patient decision aids. We designed the MCC tool based on the CDC guidelines, additional medical literatures, the previous study on the two existing online tools, and the findings from a focus group 2,3,5,7,17,18,[21][22][23][24] . MCC focused on a list of contraceptive methods relevant to the target population, including condom 25 , copper IUD 26 , hormonal IUD 26 , ring 27 , mini pill 28 , combination pill 28 , implant 29 , patch 30 , shot 31 , and fertility awareness methods 32 .…”

Section: Development Of My Contraception Choice Toolmentioning

confidence: 99%

“…We designed the MCC tool based on the Centers for Disease Control and Prevention guidelines, additional medical literatures, the previous study on the two existing online tools, and the findings from a focus group. 2,3,5,7,17,18,[21][22][23][24] MCC focused on a list of contraceptive methods relevant to the target population, including condom, 25 copper IUD, 26 hormonal IUD, 26 ring, 27 mini pill, 28 combination pill, 28 implant, 29 patch, 30 shot, 31 and fertility awareness methods. 32 The functions of the MCC tool included three main sections: (1) a quiz to gather user preferences and prior experiences for specific contraceptive methods; (2) a sideby-side comparison of all contraceptive methods, with the customized recommendations highlighted; and (3) additional resources for educational purposes.…”

Section: Development Of My Contraception Choice Toolmentioning

confidence: 99%

Evaluation of an Online Decision Aid for Selection of Contraceptive Methods

2022

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OBJECTIVES Knowledge gaps in contraceptives led to their low adoption rates and misuse in young women. The existing online contraception decision aids missed certain decision factors deemed important to college-aged women and did not consistently provide clear and accurate recommendations. To address the needs of young women and the limitations in current tools, we developed a prototype contraception decision aid, My Contraceptive Choice (MCC). This paper reports an evaluation study of the MCC tool. METHODS We conducted a mixed methods study: (1) to assess MCC’s usefulness and usability through an online survey and a follow-up focus group; and (2) to provide a quantitative examination on the recommendations generated by MCC to match with individual user’s needs and preferences through simulated test cases. RESULTS The survey of 150 college-aged women showed very positive responses (reflecting personal preferences, 75%; helping people learn more about birth control methods, 88%; easy to navigate, 91%). The follow-up focus group of 10 survey participants re-confirmed most findings from the survey and provided detailed feedback on certain system functions, such as the inclusion of an important decision factor of weight gain and the efficient hybrid design to integrate the customized recommendations with the side-by-side comparison of all contraceptive methods. Simulated test cases showed that the MCC tool achieved an accuracy of 72% in addressing user preferences and an accuracy of 72% in satisfying user needs, which were significantly better than the existing Planned Parenthood tool. CONCLUSIONS The initial evaluations suggest that the MCC tool has achieved good levels of usefulness, usability, and appropriate recommendations to address user needs and preferences. Future research is required to assess the performance of the MCC tool in naturalistic setting and to examine the generalizability of the findings to other user populations.

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“…Of the studies analyzed, two ( 26 , 30 ) reflect on the importance of training for IUD and LNG-IUS insertion being based on evidence and the skills of professionals, aiming for a clear training program and comprehensive practice. In line with this, the recent experience of training nurses in a municipality in Brazil consists of a theoretical component with a workload of 30 hours, followed by insertion training in a simulator, case discussion and consent form.…”

Section: Discussionmentioning

confidence: 99%

“…Regarding the competency of nurses to insert IUD, mentioned in the studies, it is highlighted that, upon acquiring it, nurses can positively influence the reproductive planning of adult and adolescent women, qualification of care, in addition to enabling training other nurses ( 15 , 26 , 28 , 30 ) , an aspect also considered an attribute of APN ( 35 ) , overcoming hegemonic models and physician-centered ( 15 , 26 , 28 , 30 ) . Research carried out in England, published in 1999, already revealed favorable evidence in this regard, highlighting that trained nurses perform efficient and safe IUD insertions, regardless of patients’ age, in addition to a better cost-benefit ratio ( 13 ) .…”

Section: Discussionmentioning

confidence: 99%

Evidence of intrauterine device insertion by nurses in Primary Health Care: an integrative review

Oliveira,

Hermida,

Siqueira

et al. 2024

Rev. Bras. Enferm.

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Objectives: to synthesize and analyze evidence on intrauterine device insertion by nurses in Primary Health Care. Methods: an integrative review, carried out in the BDENF, CINAHL, LILACS, SciELO, Scopus, PubMed and Web of Science databases in June 2022, delimiting the period from 1960 to 2022. Results: 141 articles were identified in the initial search, and 10 studies made up the final sample. Four (40%) were developed in the United States and one (10%) in Brazil, with publications from 1979 to 2021. The findings were grouped into three categories: Nurse training to insert an intrauterine device; Nurses’ competency to insert an intrauterine device; and Women’s access to intrauterine devices. Conclusions: nurse theoretical and practical training is a prominent element, consolidated in the favorable outcomes of insertions performed by nurses and satisfaction among women, a practice that has expanded access to the contraceptive method in Primary Health Care.

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Long-acting reversible contraceptives for teenagers

Cited by 7 publications

References 37 publications

Trends in the use of oral contraceptives among adolescents and young women in Spain

Trends in the use of oral contraceptives among adolescents and young women in Spain

Evaluation of an Online Decision Aid for Selection of Contraceptive Methods

Evidence of intrauterine device insertion by nurses in Primary Health Care: an integrative review

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