- Title
- Who uses long-acting reversible contraception? Profile of LARC users in the CUPID cohort
- Creator
- Coombe, Jacqueline; Harris, Melissa L.; Loxton, Deborah
- Relation
- Sexual & Reproductive Healthcare Vol. 11, Issue March, p. 19-24
- Publisher Link
- http://dx.doi.org/10.1016/j.srhc.2016.09.003
- Publisher
- Elsevier
- Resource Type
- journal article
- Date
- 2017
- Description
- Objective: To explore the characteristics of long-acting reversible contraception (LARC) users in a nationally representative cohort of young Australian women aged 18–23. Methods: Data from 3155 women who responded to a question about their contraceptive use in the previous six months at the baseline Contraceptive Use, Pregnancy Intention and Decisions (CUPID) survey were included. Results: 726 (19.1%) women reported LARC use, with the Implanon being the most popular method (n = 478; 65.8%). A history of pregnancy was strongly associated with increased odds of LARC use in the multivariate model (OR = 2.67, 95% CI = 2.11, 3.34, p ≤ 0.001). Comparatively, using contraception for reasons other than pregnancy prevention was associated with decreased odds of LARC use in the multivariate model (period management: OR = 0.74, 95% CI = 0.60, 0.91, p = 0.004, body management: OR = 0.53, 95% CI = 0.37, 0.77, p = 0.001, medical condition: OR = 0.25, 95% CI = 0.09, 0.66, p = 0.005). Highest education and Medicare card status also contributed to the final multivariate model, and were associated with decreased odds of LARC use. Conclusion: Reproductive history and reasons for contraceptive use are strong indications of method choice. Promoting LARC as highly effective may not be a sufficient incentive for young women to take up the method when pregnancy prevention may be equal or secondary to their desired non-contraceptive effects.
- Subject
- long-acting reversible contraception; Australia; young women
- Identifier
- http://hdl.handle.net/1959.13/1328190
- Identifier
- uon:25842
- Identifier
- ISSN:1877-5756
- Rights
- ©2017. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0
- Language
- eng
- Full Text
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