The Role of Reproductive Autonomy in Adolescent Contraceptive Choice and Acceptance of Long-acting Reversible Contraception - 24/09/20
Abstract |
Study Objective |
To examine the association between reproductive autonomy and adolescent receptivity toward long-acting reversible contraceptive (LARC) methods.
Design |
A survey to assess sexual history and contraceptive practices/knowledge/attitudes was administered. Reproductive autonomy was measured with an adapted validated scale.
Setting |
Adolescent medicine clinic in an urban academic medical center in the Midwestern United States.
Participants |
Girls ages 14-21 years who presented for well or contraceptive visits.
Interventions and Main Outcome Measures |
Primary outcome was a favorable rating toward the question “How much do you like the idea of LARC for yourself?” The primary independent variable was the reproductive autonomy decision-making subscale score (higher score indicating increased autonomy).
Results |
Eighty-nine participants with a mean age of 16 years completed surveys. Almost all (92%) identified as African American. At study enrollment 56.2% were using Depo-Provera (Pfizer), 15.7% oral contraceptives, 3.4% implants, and 24.7% no method. Only 13.5% of participants liked the idea of LARC for themselves. The mean score on the decision-making subscale was 9 (range, 4-12). In bivariable analysis, age was associated with decision-making subscale score, but was not retained as a confounder in multivariable analysis. The odds of liking LARC decreased by 30% with each unit increase in the autonomy decision-making subscale score (odds ratio, 0.70; 95% confidence interval, 0.52-0.94; P = .02).
Conclusion |
Our findings suggest that adolescents with higher reproductive autonomy, measured according to their score on the decision-making subscale, were less likely to favor LARC. Further research should explore participants’ perceptions of autonomy and the relational dynamics between adolescents and their parents/partners in contraceptive choice.
Le texte complet de cet article est disponible en PDF.Key Words : Adolescent, Contraception, Long-acting reversible contraception, Reproductive autonomy
Plan
The authors indicate no conflicts of interest. |
|
These data were presented, in part, at the National Society for Pediatric and Adolescent Gynecology Annual Clinical and Research Meeting, West Palm Beach, Florida, April 12-14, 2018. |
Vol 33 - N° 5
P. 494-499 - octobre 2020 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?