Knowledge of and concerns about long-acting reversible contraception among women in medication-assisted treatment for opioid use disorder
Knowledge of and concerns about long-acting reversible contraception among women in medication-assisted treatment for opioid use disorder
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DOI：
10.1016/j.contraception.2017.07.167
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发表时间：
2017-11-01
期刊：
影响因子：
2.9
通讯作者：
Heil, Sarah H.
中科院分区：
文献类型：
--
作者：
Matusiewicz, Alexis K.;Melbostad, Heidi S.;Heil, Sarah H.
目的：评估有意外怀孕风险的阿片类药物使用障碍(MAT)女性对长效可逆避孕药(LARC)的兴趣、关注和知识。研究设计：作为正在进行的评估该人群计划生育干预措施的试验的资格筛选的一部分，使用长效可逆避孕药(LARC)的妇女完成了一项关于避孕药使用、态度和知识的调查，包括LARC方法。结果：83名有意外怀孕风险的妇女完成了调查，并完成了51个关于植入物的补充问题。所有参与者都听说过宫内节育器，75/83(90%)听说过植入物，但分别只有34/83(41%)和14/51(27%)报告可能使用宫内节育器和植入物。35名女性报告她们不太可能使用宫内节育器，其中29/35(83%)的人表示这一立场的原因不详，24/35(69%)的人支持对副作用的担忧。17名女性表示她们不太可能使用植入物，其中8/17(47%)的女性表示担心植入和移除，9/17(53%)和10/17(59%)的女性表示担心植入和移除。参与者报告说，他们对LARC知之甚少，但他们对植入物的了解有限。只有50/83(60%)的参与者知道宫内节育器的优越效果，26/51(51%)的参与者知道植入物相对于其他可逆方法的优势。许多女性不使用LARC的原因不详。参与者也缺乏关于LARC安全性和有效性的信息，特别是关于植入物的信息。(C)2017 Elsevier Inc.保留所有权利。
Objectives: To assess interest in, concerns about and knowledge of long-acting reversible contraceptives (LARC) among women in medication-assisted treatment (MAT) for opioid use disorder who were at risk for unintended pregnancy.Study design: Women in MAT completed a survey on contraceptive use, attitudes and knowledge, including LARC methods, as part of eligibility screening for an ongoing trial evaluating family planning interventions for this population.Results: Eighty-three women at risk for unintended pregnancy completed the survey, and a subset of 51 completed supplemental questions about implants. All participants had heard of IUDs and 75/83 (90%) had heard of implants, but only 34/83 (41%) and 14/51 (27%) reported being likely to use IUDs and implants, respectively. Thirty-five women reported they were unlikely to use IUDs, with 29/35 (83%) citing unspecified "other reasons" for this position and 24/35 (69%) endorsing concerns about side effects. Seventeen women reported they were unlikely to use implants, with 8/17 (47%) citing "other reasons" and 9/17 (53%) and 10/17 (59%) reporting concerns about insertion and removal, respectively. Participants reported they knew "a little" about LARCs, but only their knowledge of implants was limited. Only 50/83 (60%) participants were aware of the superior effectiveness of IUDs and 26/51 (51%) were aware of the superior effectiveness of implants relative to other reversible methods.Conclusions: Participants reported relatively low interest in LARCs. Many women had unspecified reasons for not using LARCs. Participants also lacked information about LARC safety and effectiveness, especially with regard to implants. (C) 2017 Elsevier Inc. All rights reserved.