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Postabortion Initiation of Long-Acting Reversible Contraception by Adolescent and Nulliparous Women in New Zealand.
J Adolesc Health. 2016 Feb; 58(2):160-6.JA

Abstract

PURPOSE

To describe changes in receipt of immediate postabortion long-acting reversible contraception (LARC) by adolescent and nulliparous women in New Zealand.

METHODS

Nationally collected data on immediate postabortion receipt of an intrauterine method (intrauterine device [IUD]/intrauterine system [IUS]) or contraceptive implant were analyzed to describe proportions and demographic characteristics of women receiving LARC between 2007 and 2013. Changes in uptake over time were presented for adolescent, nulliparous, and parous women.

RESULTS

Postabortion LARC uptake increased between 2007 and 2013, rising from 7.9% to 42.7% for adolescents and from 8.8% to 36.9% for nulliparous women. The increase was highest among nulliparous adolescents with a seven-fold increase in LARC uptake between 2007 and 2013. Adolescents had a five-fold increase and nulliparous women (of all ages) a four-fold increase. In 2013, IUD/IUS use was lowest among adolescents (22.4%) and increased with increasing age (43% by ages 40+ years), whereas implant use was highest among adolescents (20.3%) and decreased with increasing age (to 4.6% by age 40+ years). Nulliparous women had the lowest use of both IUD/IUS and implants in 2013, with 24.6% receiving an intrauterine method (compared with 43.2% for para 3+), and 12.3% an implant (compared with 17.5% for para 3+).

CONCLUSIONS

Despite an overall trend toward increased uptake of postabortion LARC by adolescent and nulliparous women, uptake in these groups still lags behind that of parous and older women. Reasons for differential uptake need to be explored and addressed if necessary to ensure all women have equitable access to the most effective methods of contraception.

Authors+Show Affiliations

Department of Primary Health Care and General Practice, University of Otago, Wellington, Wellington South, New Zealand. Electronic address: sally.rose@otago.ac.nz.Department of Primary Health Care and General Practice, University of Otago, Wellington, Wellington South, New Zealand.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26603946

Citation

Rose, Sally B., and Susan M. Garrett. "Postabortion Initiation of Long-Acting Reversible Contraception By Adolescent and Nulliparous Women in New Zealand." The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, vol. 58, no. 2, 2016, pp. 160-6.
Rose SB, Garrett SM. Postabortion Initiation of Long-Acting Reversible Contraception by Adolescent and Nulliparous Women in New Zealand. J Adolesc Health. 2016;58(2):160-6.
Rose, S. B., & Garrett, S. M. (2016). Postabortion Initiation of Long-Acting Reversible Contraception by Adolescent and Nulliparous Women in New Zealand. The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, 58(2), 160-6. https://doi.org/10.1016/j.jadohealth.2015.09.025
Rose SB, Garrett SM. Postabortion Initiation of Long-Acting Reversible Contraception By Adolescent and Nulliparous Women in New Zealand. J Adolesc Health. 2016;58(2):160-6. PubMed PMID: 26603946.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Postabortion Initiation of Long-Acting Reversible Contraception by Adolescent and Nulliparous Women in New Zealand. AU - Rose,Sally B, AU - Garrett,Susan M, Y1 - 2015/11/18/ PY - 2015/06/10/received PY - 2015/08/24/revised PY - 2015/09/26/accepted PY - 2015/11/26/entrez PY - 2015/11/26/pubmed PY - 2016/10/25/medline KW - Adolescents KW - Induced abortion KW - Intrauterine devices KW - Long-acting reversible contraception (LARC) KW - Pregnancy prevention KW - Subdermal implants KW - Unintended pregnancy SP - 160 EP - 6 JF - The Journal of adolescent health : official publication of the Society for Adolescent Medicine JO - J Adolesc Health VL - 58 IS - 2 N2 - PURPOSE: To describe changes in receipt of immediate postabortion long-acting reversible contraception (LARC) by adolescent and nulliparous women in New Zealand. METHODS: Nationally collected data on immediate postabortion receipt of an intrauterine method (intrauterine device [IUD]/intrauterine system [IUS]) or contraceptive implant were analyzed to describe proportions and demographic characteristics of women receiving LARC between 2007 and 2013. Changes in uptake over time were presented for adolescent, nulliparous, and parous women. RESULTS: Postabortion LARC uptake increased between 2007 and 2013, rising from 7.9% to 42.7% for adolescents and from 8.8% to 36.9% for nulliparous women. The increase was highest among nulliparous adolescents with a seven-fold increase in LARC uptake between 2007 and 2013. Adolescents had a five-fold increase and nulliparous women (of all ages) a four-fold increase. In 2013, IUD/IUS use was lowest among adolescents (22.4%) and increased with increasing age (43% by ages 40+ years), whereas implant use was highest among adolescents (20.3%) and decreased with increasing age (to 4.6% by age 40+ years). Nulliparous women had the lowest use of both IUD/IUS and implants in 2013, with 24.6% receiving an intrauterine method (compared with 43.2% for para 3+), and 12.3% an implant (compared with 17.5% for para 3+). CONCLUSIONS: Despite an overall trend toward increased uptake of postabortion LARC by adolescent and nulliparous women, uptake in these groups still lags behind that of parous and older women. Reasons for differential uptake need to be explored and addressed if necessary to ensure all women have equitable access to the most effective methods of contraception. SN - 1879-1972 UR - https://www.unboundmedicine.com/medline/citation/26603946/Postabortion_Initiation_of_Long_Acting_Reversible_Contraception_by_Adolescent_and_Nulliparous_Women_in_New_Zealand_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1054-139X(15)00381-X DB - PRIME DP - Unbound Medicine ER -