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|Title||Barriers to Long-Acting Reversible Contraceptive Uptake Among Homeless Young Women.|
|Publication Type||Journal Article|
|Year of Publication||2016|
|Authors||Dasari M, Borrero S, Akers AY, Sucato GS, Dick R, Hicks A, Miller E|
|Journal||J Pediatr Adolesc Gynecol|
|Date Published||2016 Apr|
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.
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.
|Alternate Journal||J Pediatr Adolesc Gynecol|