Knowledge and Acceptability of Long-Acting Reversible Contraception Among Adolescent Women Receiving School-Based Primary Care Services
被引:15
|
作者:
Hoopes, Andrea J.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Colorado, Denver Sch Med, Aurora, CO 80045 USAUniv Colorado, Denver Sch Med, Aurora, CO 80045 USA
Hoopes, Andrea J.
[1
]
Ahrens, Kym R.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Washington, Sch Med, Seattle, WA USA
Seattle Childrens Res Inst, Seattle, WA USAUniv Colorado, Denver Sch Med, Aurora, CO 80045 USA
Ahrens, Kym R.
[2
,5
]
Gilmore, Kelly
论文数: 0引用数: 0
h-index: 0
机构:
Univ Washington, Sch Med, Seattle, WA USA
Univ Washington, Sch Publ Hlth, Seattle, WA 98195 USAUniv Colorado, Denver Sch Med, Aurora, CO 80045 USA
Gilmore, Kelly
[2
,3
]
Cady, Janet
论文数: 0引用数: 0
h-index: 0
机构:
Univ Colorado, Denver Sch Med, Aurora, CO 80045 USA
Univ Washington, Sch Publ Hlth, Seattle, WA 98195 USAUniv Colorado, Denver Sch Med, Aurora, CO 80045 USA
Cady, Janet
[1
,3
]
Haaland, Wren L.
论文数: 0引用数: 0
h-index: 0
机构:
Neighborcare Hlth, Seattle, WA USAUniv Colorado, Denver Sch Med, Aurora, CO 80045 USA
Haaland, Wren L.
[4
]
Oelschlager, Anne-Marie Amies
论文数: 0引用数: 0
h-index: 0
机构:
Univ Washington, Sch Med, Seattle, WA USAUniv Colorado, Denver Sch Med, Aurora, CO 80045 USA
Oelschlager, Anne-Marie Amies
[2
]
Prager, Sarah
论文数: 0引用数: 0
h-index: 0
机构:
Univ Washington, Sch Med, Seattle, WA USAUniv Colorado, Denver Sch Med, Aurora, CO 80045 USA
Prager, Sarah
[2
]
机构:
[1] Univ Colorado, Denver Sch Med, Aurora, CO 80045 USA
[2] Univ Washington, Sch Med, Seattle, WA USA
[3] Univ Washington, Sch Publ Hlth, Seattle, WA 98195 USA
[4] Neighborcare Hlth, Seattle, WA USA
[5] Seattle Childrens Res Inst, Seattle, WA USA
来源:
JOURNAL OF PRIMARY CARE AND COMMUNITY HEALTH
|
2016年
/
7卷
/
03期
关键词:
contraception;
adolescent health services;
intrauterine devices;
contraceptive devices;
school health services;
D O I:
10.1177/2150131916641095
中图分类号:
R1 [预防医学、卫生学];
学科分类号:
1004 ;
120402 ;
摘要:
Background: A key strategy to reduce unintended adolescent pregnancies is to expand access to long-acting reversible contraceptive (LARC) methods, including intrauterine devices and subdermal contraceptive implants. LARC services can be provided to adolescents in school-based health and other primary care settings, yet limited knowledge and negative attitudes about LARC methods may influence adolescents' utilization of these methods. This study aimed to evaluate correlates of knowledge and acceptability of LARC methods among adolescent women at a school-based health center (SBHC). Methods: In this cross-sectional study, female patients receiving care at 2 SBHCs in Seattle, Washington completed an electronic survey about sexual and reproductive health. Primary outcomes were (1) LARC knowledge as measured by percentage correct of 10 true-false questions and (2) LARC acceptability as measured by participants reporting either liking the idea of having an intrauterine device (IUD)/subdermal implant or currently using one. Results: A total of 102 students diverse in race/ethnicity and socioeconomic backgrounds completed the survey (mean age 16.2 years, range 14.4-19.1 years). Approximately half reported a lifetime history of vaginal sex. Greater LARC knowledge was associated with white race (regression coefficient [coef] = 26.8; 95% CI 13.3-40.4; P<.001), history of vaginal intercourse (coef = 29.9; 95% CI 17.1-42.7; P<.001), and current/prior LARC use (coef = 22.8; 95% CI 6.5-40.0; P=.007). Older age was associated with lower IUD acceptability (odds ratio = 0.53, 95% CI 0.30-0.94; P=.029) while history of intercourse was associated with greater implant acceptability (odds ratio 5.66, 95% CI 1.46-22.0; P=.012). Discussion: Adolescent women in this SBHC setting had variable knowledge and acceptability of LARC. A history of vaginal intercourse was the strongest predictor of LARC acceptability. Our findings suggest a need for LARC counseling and education strategies, particularly for young women from diverse cultural backgrounds and those with less sexual experience.
机构:
Brigham & Womens Hosp, Div Gen Internal Med, 75 Francis St, Boston, MA 02115 USA
Brigham & Womens Hosp, Div Womens Hlth, 75 Francis St, Boston, MA 02115 USABrigham & Womens Hosp, Div Gen Internal Med, 75 Francis St, Boston, MA 02115 USA
Pace, Lydia E.
Dolan, Brigid M.
论文数: 0引用数: 0
h-index: 0
机构:
Northwestern Univ, Div Gen Internal Med & Geriatr, Chicago, IL 60611 USABrigham & Womens Hosp, Div Gen Internal Med, 75 Francis St, Boston, MA 02115 USA
Dolan, Brigid M.
Tishler, Lori W.
论文数: 0引用数: 0
h-index: 0
机构:
Brigham & Womens Hosp, Div Gen Internal Med, 75 Francis St, Boston, MA 02115 USABrigham & Womens Hosp, Div Gen Internal Med, 75 Francis St, Boston, MA 02115 USA
Tishler, Lori W.
Gooding, Holly C.
论文数: 0引用数: 0
h-index: 0
机构:
Brigham & Womens Hosp, Div Gen Internal Med, 75 Francis St, Boston, MA 02115 USABrigham & Womens Hosp, Div Gen Internal Med, 75 Francis St, Boston, MA 02115 USA
Gooding, Holly C.
Bartz, Deborah
论文数: 0引用数: 0
h-index: 0
机构:
Brigham & Womens Hosp, Dept Obstet & Gynecol, 75 Francis St, Boston, MA 02115 USABrigham & Womens Hosp, Div Gen Internal Med, 75 Francis St, Boston, MA 02115 USA
机构:
Univ Otago, Dept Primary Hlth Care & Gen Practice, Wellington 6242, Wellington Sout, New ZealandUniv Otago, Dept Primary Hlth Care & Gen Practice, Wellington 6242, Wellington Sout, New Zealand
Rose, Sally B.
Garrett, Susan M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Otago, Dept Primary Hlth Care & Gen Practice, Wellington 6242, Wellington Sout, New ZealandUniv Otago, Dept Primary Hlth Care & Gen Practice, Wellington 6242, Wellington Sout, New Zealand
机构:
U Mass Mem Childrens Med Ctr, Dept Pediat, Div Adolescent Med, 55 Lake Ave North, Worcester, MA 01655 USAU Mass Mem Childrens Med Ctr, Dept Pediat, Div Adolescent Med, 55 Lake Ave North, Worcester, MA 01655 USA
Allen, Suzanne
Barlow, Erin
论文数: 0引用数: 0
h-index: 0
机构:
U Mass Med Sch, Dept Obstet Gynecol, Div Adolescent Gynecol, 55 Lake Ave North, Worcester, MA 01655 USA
U Mass Med Sch, Dept Pediat, Div Pediat, 55 Lake Ave North, Worcester, MA 01655 USAU Mass Mem Childrens Med Ctr, Dept Pediat, Div Adolescent Med, 55 Lake Ave North, Worcester, MA 01655 USA