Mohini Dasari1, Sonya Borrero2, Aletha Y Akers3, Gina S Sucato4, Rebecca Dick5, Angela Hicks5, Elizabeth Miller6. 1. University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania. Electronic address: mod13@pitt.edu. 2. Division of General Internal Medicine, University of Pittsburgh School of Medicine and Center for Health Equity Research and Promotion (CHERP), VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania. 3. The Craig Dalsimer Division of Adolescent Medicine, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. 4. Adolescent Health, Group Health Cooperative, Seattle Children's Hospital, Seattle, Washington. 5. Division of Adolescent and Young Adult Medicine, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania. 6. Division of Adolescent and Young Adult Medicine, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania; Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Abstract
STUDY OBJECTIVE: To identify barriers to long-acting reversible contraception (LARC) uptake among homeless young women. DESIGN: In this mixed methods study surveys and guided interviews were used to explore women's contraceptive and reproductive experiences, interactions with the health care system, and their histories of homelessness. SETTING: All surveys and interviews were conducted at a homeless drop-in center or shelter. PARTICIPANTS: Fifteen women between 18 and 24 years of age with a past year history of homelessness. INTERVENTIONS: None. MAIN OUTCOME MEASURES: Perceived barriers to contraceptive use, including knowledge and access barriers and interactions with the health care system around reproductive health. RESULTS: Confusion about the possibility of early termination of LARC, and the perception that providers deliberately withhold selective information about contraceptive options to bias contraceptive decision-making, were 2 key new findings. Women also reported interest in visual aids accompanying verbal contraceptive counseling. Pregnancy attitudes and history of reproductive and sexual coercion also influenced contraceptive decision-making and reported interest in LARC methods. CONCLUSION: Comprehensive counseling about all contraceptive options, including LARC, are important for targeting the perceived gaps in contraceptive education and care among homeless young women.
STUDY OBJECTIVE: To identify barriers to long-acting reversible contraception (LARC) uptake among homeless young women. DESIGN: In this mixed methods study surveys and guided interviews were used to explore women's contraceptive and reproductive experiences, interactions with the health care system, and their histories of homelessness. SETTING: All surveys and interviews were conducted at a homeless drop-in center or shelter. PARTICIPANTS: Fifteen women between 18 and 24 years of age with a past year history of homelessness. INTERVENTIONS: None. MAIN OUTCOME MEASURES: Perceived barriers to contraceptive use, including knowledge and access barriers and interactions with the health care system around reproductive health. RESULTS: Confusion about the possibility of early termination of LARC, and the perception that providers deliberately withhold selective information about contraceptive options to bias contraceptive decision-making, were 2 key new findings. Women also reported interest in visual aids accompanying verbal contraceptive counseling. Pregnancy attitudes and history of reproductive and sexual coercion also influenced contraceptive decision-making and reported interest in LARC methods. CONCLUSION: Comprehensive counseling about all contraceptive options, including LARC, are important for targeting the perceived gaps in contraceptive education and care among homeless young women.
Authors: Anna W Brittain; Ana Carolina Loyola Briceno; Karen Pazol; Lauren B Zapata; Emily Decker; Julia M Rollison; Nikita M Malcolm; Lisa M Romero; Emilia H Koumans Journal: Am J Prev Med Date: 2018-11 Impact factor: 5.043
Authors: Edith Fox; Arlene Reyna; Nikita M Malcolm; Rachel B Rosmarin; Lauren B Zapata; Brittni N Frederiksen; Susan B Moskosky; Christine Dehlendorf Journal: Am J Prev Med Date: 2018-11 Impact factor: 5.043
Authors: Lori M Gawron; Rebecca G Simmons; Jessica N Sanders; Kyl Myers; Adi V Gundlapalli; David K Turok Journal: Contraception Date: 2019-12-24 Impact factor: 3.375