Cost as a barrier to long-acting reversible contraceptive (LARC) use in adolescents

David Eisenberg, Colleen McNicholas, Jeffrey F. Peipert

Research output: Contribution to journalReview articlepeer-review

84 Scopus citations


Cost is a major barrier to adolescents' ability to obtain long-acting reversible contraception (LARC). By reviewing the available literature on this issue, we provide a framework to understand how insurance coverage, out-of-pocket expenses, parental involvement, and recent pregnancy can impact access. We provide examples of cost-free access to LARC for adolescents, such as the Contraceptive CHOICE Project. Universal coverage for contraception, without cost-sharing, could increase use of LARC among adolescents resulting in fewer unintended pregnancies, improved health outcomes, and considerable cost savings to the healthcare system.

Original languageEnglish
Pages (from-to)S59-S63
JournalJournal of Adolescent Health
Issue number4 SUPPL.
StatePublished - Apr 2013


  • Access
  • Adolescents
  • Barrier
  • Contraception
  • Contraceptive implant
  • Cost
  • IUD
  • Insurance
  • LARC
  • Long-acting reversible


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