Factors that influence the choice of long-acting reversible contraceptive use among adolescents post-abortion in Chongqing, China: a cross-sectional study

BackgroundInduced abortion can seriously harm the physical and mental health of adolescent women. Long-acting reversible contraception (LARC) can effectively reduce unplanned pregnancies and prevent repeated abortions among adolescents. This study aimed to analyse the factors affecting the choice of LARC among adolescents in Chongqing of China.MethodsA total of 555 adolescents who underwent induced abortions for unplanned pregnancies between January 2019 and October 2021 were selected as study subjects. Logistic regression analysis was used to determine the factors affecting adolescent LARC choices following induced abortions.ResultsThe factors that affected adolescent LARC choices included an average monthly income >= yen 3000 (OR = 3.432, 95% CI: 1.429 similar to 8.244), history of previous abortions (OR = 3.141, 95% CI: 1.632 similar to 6.045), worrying about unplanned pregnancy (OR = 0.365, 95% CI: 0.180 similar to 0.740), parental support for using LARC (OR = 3.549, 95% CI: 1.607 similar to 7.839), sexual partners' support for using LARC (OR = 2.349, 95% CI: 1.068 similar to 5.167), concerns about using LARC (OR = 0.362, 95% CI: 0.176 similar to 0.745), and willingness to use free IUDs (OR = 13.582, 95% CI: 7.173 similar to 25.717).ConclusionCost is one of the factors affecting LARC choices. Parents and sexual partners may play important role in the choice of LARC. The study analysed the choice of contraceptive methods and the factors affecting the choice of long-acting reversible contraception methods after induced abortion among adolescents in Chongqing, China. The results showed that the income level, history of previous abortions, extent of worrying about unplanned pregnancy, parents' and sexual partners' attitude towards to use long-acting reversible contraception methods, concerns about using long-acting reversible contraception methods, and willingness to use free intrauterine devices were the factors affecting the choice of long-acting reversible contraception methods after induced abortion among adolescents.