Barriers to Long-Acting Reversible Contraceptive Uptake Among Homeless Young Women.

TitleBarriers to Long-Acting Reversible Contraceptive Uptake Among Homeless Young Women.
Publication TypeJournal Article
Year of Publication2016
AuthorsDasari M, Borrero S, Akers AY, Sucato GS, Dick R, Hicks A, Miller E
JournalJ Pediatr Adolesc Gynecol
Volume29
Issue2
Pagination104-10
Date Published2016 Apr
ISSN1873-4332
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.

DOI10.1016/j.jpag.2015.07.003
Alternate JournalJ Pediatr Adolesc Gynecol
PubMed ID26210293