TY - JOUR
T1 - Acceptance of long-acting reversible contraceptive methods by adolescent participants in the Contraceptive CHOICE Project
AU - Mestad, Renee
AU - Secura, Gina
AU - Allsworth, Jenifer E.
AU - Madden, Tessa
AU - Zhao, Qiuhong
AU - Peipert, Jeffrey F.
PY - 2011/11/1
Y1 - 2011/11/1
N2 - Background: Adolescent women have a high risk of unintended pregnancy. Currently, there are little data about their choice to initiate long-acting reversible contraception (LARC). Study Design: We evaluated the association of age and preference for a LARC vs. a non-LARC method among adolescent participants in the Contraceptive CHOICE Project, comparing those aged 14-17 years to adolescents aged 18-20 years. We then analyzed the association between age and choice of the implant vs. the intrauterine device (IUD) among adolescents. Results: Of the 5086 women enrolled, 70% (n=3557) of participants chose a LARC method. Among adolescents aged 14-20 years, 69% of 14-17-year-olds chose LARC, while 61% of 18-20-year-olds chose LARC (relative risk 1.16, 95% confidence interval 1.03-1.30). Among adolescents choosing a LARC method, 63% (n=93/148) of the 14-17-year-olds chose the implant, whereas 71% (n=364/510) of the 18-20-year-olds chose the IUD. Conclusion: Long-acting reversible contraception use is clearly acceptable and common among adolescents enrolled in the Contraceptive CHOICE Project, with the younger group being most interested in the implant.
AB - Background: Adolescent women have a high risk of unintended pregnancy. Currently, there are little data about their choice to initiate long-acting reversible contraception (LARC). Study Design: We evaluated the association of age and preference for a LARC vs. a non-LARC method among adolescent participants in the Contraceptive CHOICE Project, comparing those aged 14-17 years to adolescents aged 18-20 years. We then analyzed the association between age and choice of the implant vs. the intrauterine device (IUD) among adolescents. Results: Of the 5086 women enrolled, 70% (n=3557) of participants chose a LARC method. Among adolescents aged 14-20 years, 69% of 14-17-year-olds chose LARC, while 61% of 18-20-year-olds chose LARC (relative risk 1.16, 95% confidence interval 1.03-1.30). Among adolescents choosing a LARC method, 63% (n=93/148) of the 14-17-year-olds chose the implant, whereas 71% (n=364/510) of the 18-20-year-olds chose the IUD. Conclusion: Long-acting reversible contraception use is clearly acceptable and common among adolescents enrolled in the Contraceptive CHOICE Project, with the younger group being most interested in the implant.
KW - Adolescent contraception
KW - Adolescent pregnancy
KW - Contraception
KW - Contraceptive implant
KW - Intrauterine device
UR - http://www.scopus.com/inward/record.url?scp=80054924891&partnerID=8YFLogxK
U2 - 10.1016/j.contraception.2011.03.001
DO - 10.1016/j.contraception.2011.03.001
M3 - Article
C2 - 22018123
AN - SCOPUS:80054924891
VL - 84
SP - 493
EP - 498
JO - Contraception
JF - Contraception
SN - 0010-7824
IS - 5
ER -