Journal
CONTRACEPTION
Volume 84, Issue 5, Pages 493-498Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.contraception.2011.03.001
Keywords
Adolescent contraception; Intrauterine device; Contraceptive implant; Adolescent pregnancy; Contraception
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Funding
- anonymous foundation
- Midcareer Investigator Award in Women's Health Research [K24 HD01298]
- Clinical and Translational Science Awards [UL1RR024992]
- National Center for Research Resources (NCRR), a component of the National Institutes of Health (NTH) [KL2RR024994, K3054628]
- NIH Roadmap for Medical Research
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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. (C) 2011 Elsevier Inc. All rights reserved.
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