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Published in: Maternal and Child Health Journal 2/2024

29-12-2023 | Contraception | Brief Report

Patient Barriers to Discontinuing Long-Acting Reversible Contraception

Authors: Kacie R. Fox, Alyssa M. Kameoka, Shandhini Raidoo, Reni Soon, Mary Tschann, Tiana Fontanilla, Bliss Kaneshiro

Published in: Maternal and Child Health Journal | Issue 2/2024

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Abstract

Objectives

To describe how frequently a national sample of patients with experience discontinuing or desiring discontinuation of long-acting reversible contraception (LARC) experienced barriers to discontinuation.

Methods

We conducted an online survey of individuals ages 18 to 50 in the United States who had previously used and discontinued or attempted to discontinue LARC. We recruited respondents using the Amazon platform MTurk. Respondents provided demographic information and answered questions regarding their experience discontinuing LARC, including reasons removal was deferred or denied. We analyzed frequency of types of barriers encountered and compared these by demographic factors.

Results

Of the 376 surveys analyzed, 99 (26%) described experiencing at least one barrier to removal. Barriers were disproportionately reported by those who had public health insurance, a history of abortion, and a history of birth compared to those who did not report barriers to removal. They also more frequently identified as Latinx, Asian, or Middle Eastern. Most barriers were provider-driven and potentially modifiable.

Conclusions for Practice

Barriers to LARC discontinuation are common and may be provider- or systems-driven. Providers should be mindful of biases in their counseling and practices to avoid contributing to these barriers.
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Metadata
Title
Patient Barriers to Discontinuing Long-Acting Reversible Contraception
Authors
Kacie R. Fox
Alyssa M. Kameoka
Shandhini Raidoo
Reni Soon
Mary Tschann
Tiana Fontanilla
Bliss Kaneshiro
Publication date
29-12-2023
Publisher
Springer US
Keyword
Contraception
Published in
Maternal and Child Health Journal / Issue 2/2024
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-023-03878-z

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