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Long-acting reversible contraception: findings from the understanding fertility management in contemporary Australia survey
journal contribution
posted on 2016-01-01, 00:00 authored by Sara HoltonSara Holton, Heather Rowe, Maggie Kirkman, Lynne Jordan, Kathy McNamee, Chris Bayly, John McBain, Vikki Sinnott, Jane FisherOBJECTIVES: The aim of this research was to investigate awareness, perceived reliability and consideration of use of long-acting reversible contraception (LARC) among Australians of reproductive age. METHODS: A sample of 18- to 50-year-old women and men (N = 2235) was randomly recruited from the Australian electoral roll in 2013. Respondents completed a self-administered, anonymous questionnaire. Data were weighted to reduce non-response bias. Factors associated with perceived reliability and consideration of use of LARC were identified in multivariable analyses. RESULTS: Most respondents had heard of implants (76.5%) and intrauterine contraception (63.7%). However, most did not think implants (56.3%) or IUDs (63.9%) were reliable and would not consider using implants (71.6%) or IUDs (77.5%). Those significantly more likely to perceive LARC as reliable were younger, did not regard religion as important in fertility choices, had private health insurance, had been pregnant and had had an abortion; and women who had a partner. Those more likely to consider using LARC were younger and did not regard religion as important in fertility choices; women who had private health insurance, lived in an area of socioeconomic advantage and had had an abortion; and men without a partner, born in Australia and comfortable talking to a health care provider about contraceptive matters. CONCLUSIONS: Despite high awareness of LARC among Australian adults, its perceived reliability and willingness to use it remain low in certain groups. Targeted interventions that aim to increase knowledge of the benefits and reliability of LARC and allow informed use are recommended.
History
Journal
European journal of contraception and reproductive health careVolume
21Issue
2Pagination
116 - 131Publisher
Taylor & FrancisLocation
Abingdon, Eng.Publisher DOI
ISSN
1362-5187eISSN
1473-0782Language
engPublication classification
C1.1 Refereed article in a scholarly journalCopyright notice
2015, The European Society of Contraception and Reproductive HealthUsage metrics
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AustraliaImplantIUDIntrauterine contraceptionLong-acting reversible contraceptionkeywordsAbortion, InducedAdolescentAdultAge FactorsContraception BehaviorContraceptive AgentsDrug ImplantsFemaleHealth Knowledge, Attitudes, PracticeInsurance, HealthIntrauterine DevicesMaleMiddle AgedMultivariate AnalysisReligionSocial ClassSurveys and QuestionnairesYoung AdultScience & TechnologyLife Sciences & BiomedicinePublic, Environmental & Occupational HealthObstetrics & GynecologyRESPONSE RATESUNITED-STATESWOMENEXPERIENCESSTRATEGIESPREGNANCYATTITUDES
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