Back to Search
Start Over
Factors associated with never-use of long-acting reversible contraception among adult reproductive-aged women in Ohio.
- Source :
-
Perspectives on sexual and reproductive health [Perspect Sex Reprod Health] 2023 Mar; Vol. 55 (1), pp. 38-48. Date of Electronic Publication: 2022 Nov 06. - Publication Year :
- 2023
-
Abstract
- Background: The number of women using long-acting reversible contraception (LARC)-intrauterine devices (IUDs) and implants-is increasing and 14% of contraceptive users in the United States adopt LARC. We examined correlates of LARC never-use in a population-based survey of reproductive-aged women in Ohio.<br />Methods: We analyzed data from the 2018-19 Ohio Survey of Women. We examined the prevalence of LARC never-use and reasons for never-use among ever users of contraception (N = 2388). Using Poisson regression to generate prevalence ratios (PRs), we examined associations between selected correlates (demographic factors, healthcare access/quality measures, and religious/political views) and LARC never-use.<br />Results: Most Ohio women (74%) had never used LARC. Commonly reported reasons for not using an IUD or an implant were preferring a different method (46% and 45%, respectively), not wanting an object inside their body (45% and 43%), side effect concerns (39% and 33%), insertion/removal concerns (31% and 25%), and unfamiliarity (13% and 20%). Conservative political views (PR: 1.12, 95% confidence interval [CI]: 1.04-1.22), pro-life affiliation (PR: 1.11, 95% CI: 1.02-1.20), placing high importance on religion in daily life (PR: 1.15, 95% CI: 1.06-1.26), and being non-Hispanic white as compared to non-Hispanic Black (PR: 1.20, 95% CI: 1.02-1.41) were significantly associated with LARC never-use. Findings were generally similar for models analyzing IUD and implant never-use separately.<br />Conclusions: Among ever-users of contraception, LARC never-use was associated with having conservative political views, being religious, and having a pro-life affiliation. Except for race/ethnicity, demographic and healthcare measures were not associated with LARC never-use among women in Ohio.<br /> (© 2022 The Authors. Perspectives on Sexual and Reproductive Health published by Wiley Periodicals LLC on behalf of University of Ottawa.)
Details
- Language :
- English
- ISSN :
- 1931-2393
- Volume :
- 55
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Perspectives on sexual and reproductive health
- Publication Type :
- Academic Journal
- Accession number :
- 36336335
- Full Text :
- https://doi.org/10.1363/psrh.12212