The Contraceptive CHOICE Project: Reducing Barriers to Long-Acting Reversible Contraception
By G. Secura, J. Allsworth, T. Madden, Jennifer L Mullersman, J. Peipert. American Journal of Obstetrics and Gynecology, 2010
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OBJECTIVE To introduce and promote the use of long-acting reversible methods of contraception (LARC; intrauterine contraceptives and subdermal implant) by removing financial and knowledge barriers. STUDY DESIGN The Contraceptive CHOICE Project is a prospective cohort study of 10,000 women 14-45 years who want to avoid pregnancy for at least one year and are initiating a new form of reversible contraception. Women screened for this study are read a script regarding LARC to increase awareness of these options. Participants choose their contraceptive method that is provided at no cost. We report the contraceptive choice and baseline characteristics of the first 2,500 women enrolled August 2007 through December 2008. RESULTS Sixty-seven percent of women enrolled (95% confidence interval: 65.3, 69.0) chose long-acting methods. Fifty-six percent selected intrauterine contraception and 11% selected the subdermal implant. CONCLUSION Once financial barriers were removed and LARC methods were introduced to all potential participants as a first-line contraceptive option, two-thirds chose LARC.
Subfields: Pediatrics, Perinatology and Child Health, Public Health, Environmental and Occupational Health
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In Pediatrics, Perinatology and Child Health
In Public Health, Environmental and Occupational Health
Citations in the corpus
- Unintended pregnancy in the United States: Incidence and disparities, 2006 (2011, background): “Research indicates that when financial barriers are completely removed and comprehensive information is provided on all methods, women choose long-acting, highly effective methods in large numbers [38].”