EC Method: Determinants for Copper IUD Use and Future Unintended Pregnancy

EC 方法：含铜宫内节育器使用和未来意外怀孕的决定因素

• 批准号: 8144848
• 负责人: David Turok
• 金额: $ 18.06万
• 依托单位: UNIVERSITY OF UTAH
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-29 至 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8144848
• 关键词: Abortion Rates; Address; Adoption; Affect; Area; Birth Rate; Clinic; Commit; Communication; Contraceptive Agents; Contraceptive Usage; Contraceptive methods; Copper Intrauterine Devices; Data; Decision Making; Educational Technics; Europe; Family Planning; Focus Groups; Future; Intervention; Interview; Levonorgestrel; Literature; Low Income Population; Low income; Methods; Observational Study; Oral; Participant; Plan B; Policies; Pregnancy; Pregnancy Rate; Prevention; Problem Solving; Provider; Qualitative Methods; Qualitative Research; Research; Research Methodology; Research Project Grants; Risk; Shapes; Social Sciences; Solutions; Sterilization; United States; Unplanned pregnancy; Woman; Women' s Group; abortion; base; cohort; emergency contraception; follow-up; high risk; information gathering; meetings; prevent; prospective; public health relevance; tool; unintended pregnancy; willingness

DESCRIPTION (provided by applicant): Widely available oral levonorgestrel for emergency contraception (EC) has not reduced unplanned pregnancy rates. However, the use of the copper IUD may do so, because it is a much more effective method of EC and also provides highly effective long-term contraception. The objective of this research project is to use qualitative and quantitative research methods to investigate the ambivalence of women about committing to long term contraception when they present for EC at a family planning clinic, and to assess how the selection of oral levonorgestrel versus the copper IUD for EC affects future risk of unplanned pregnancy. This research will address the current gap in the social science and contraceptive literature by determining whether women accept the copper IUD for EC, and if so, whether they continue using it long-term and ultimately, whether they have fewer unplanned pregnancies than women that choose levonorgestrel for EC. Our multi-disciplinary Family Planning Research Group proposes the following aims to provide needed information to this understudied area: Aim 1: Determine factors that shape low-income womens' decisions about using the copper IUD and oral levonorgestrel for emergency contraception. Aim 2: Compare one year unplanned pregnancy rates between low-income women selecting oral levonorgestrel vs. those selecting the copper IUD for EC. Aim 3: Compare 3, 6, 9, and 12-month rates of adoption/continuation of effective contraception between low- income women selecting oral levonorgestrel vs. those selecting the copper IUD for EC. The study aims will be accomplished by a qualitative research project to determine factors that shape decisions made by women presenting for EC, and by a prospective observational trial of low -income women presenting for EC who choose the copper IUD or oral levonorgestrel. We will approach for recruitment all women who present for EC at two participating PPAU clinics and will follow study participants for 12 months. Data obtained from our qualitative research will be used in our future research to create and assess the impact of educational tools informing women presenting for EC about their options for long-term contraception. Our research will aid family planning practitioners to meet the long term contraceptive needs of women presenting for EC and prevent unplanned pregnancies in this high risk group. PUBLIC HEALTH RELEVANCE: This project will compare two groups of women who present for emergency contraception: those who choose the copper IUD and those who choose Plan B (oral levonorgestrel). We will determine the reasons women choose to accept long-term contraception in this setting and compare long-term use of contraception and future unintended pregnancies. This project will help family planning clinics meet the long term contraceptive needs of women presenting for emergency contraception and prevent unplanned pregnancies in this high risk group.

描述(由申请人提供)：广泛使用的口服左旋诺孕酮用于紧急避孕(EC)并未降低计划外妊娠率。然而，使用铜宫内节育器可能会做到这一点，因为它是一种更有效的EC方法，也提供了高效的长期避孕。本研究项目的目的是使用定性和定量的研究方法来调查妇女在计划生育诊所接受EC时对承诺长期避孕的矛盾心理，并评估EC中口服左旋诺孕酮与铜IUD的选择对未来意外妊娠风险的影响。这项研究将解决目前社会科学和避孕文献中的差距，确定妇女是否接受用于EC的铜IUD，如果接受，她们是否继续长期使用它，最终确定她们的意外怀孕是否比选择左旋诺孕酮的妇女更少。我们的多学科计划生育研究小组提出以下目标，旨在为这一未被研究的领域提供必要的信息：目标1：确定影响低收入妇女决定使用铜质宫内节育器和口服左旋诺孕酮紧急避孕的因素。目的2：比较低收入妇女口服左旋诺孕酮与选择铜质宫内节育器用于EC的一年计划外妊娠率。目的3：比较低收入妇女选择口服左旋诺孕酮与选择铜质宫内节育器用于EC的3、6、9和12个月的有效避孕采用率/续用率。这项研究的目标将通过一项定性研究项目来实现，该项目旨在确定影响参加EC的妇女做出决定的因素，并通过一项针对选择铜质宫内节育器或口服左旋诺孕酮的低收入妇女的前瞻性观察试验来实现。我们将招募在两个参与PPAU诊所的EC的所有女性，并将对研究参与者进行为期12个月的跟踪调查。我们从定性研究中获得的数据将用于我们未来的研究，以创建和评估教育工具的影响，这些工具向提交给EC的妇女介绍她们的长期避孕选择。我们的研究将帮助计划生育从业者满足提交给EC的妇女的长期避孕需求，并防止这一高危群体的意外怀孕。 公共卫生相关性：该项目将比较两组接受紧急避孕的妇女：选择铜质宫内节育器的妇女和选择B计划(口服左旋诺孕酮)的妇女。我们将确定女性在这种情况下选择接受长期避孕的原因，并比较长期使用避孕措施和未来意外怀孕的情况。该项目将帮助计划生育诊所满足申请紧急避孕的妇女的长期避孕需要，并防止这一高危群体的意外怀孕。

项目成果

A qualitative exploration of emergency contraception users' willingness to select the copper IUD.

紧急避孕使用者选择含铜宫内节育器意愿的定性探究

• DOI: 10.1016/j.contraception.2011.04.005
• 发表时间: 2012
• 期刊: Contraception
• 影响因子: 2.9
• 作者: Wright,RachelL;Frost,CarenJ;Turok,DavidK
• 通讯作者: Turok,DavidK

Failed IUD insertions in community practice: an under-recognized problem?

社区实践中宫内节育器置入失败：一个未被充分认识的问题？

• DOI: 10.1016/j.contraception.2012.06.015
• 发表时间: 2013
• 期刊: Contraception
• 影响因子: 2.9
• 作者: Dermish,AmnaI;Turok,DavidK;Jacobson,JanetC;Flores,MarieES;McFadden,Molly;Burke,Kathy
• 通讯作者: Burke,Kathy