New- Provision of no cost LARC & Teen pregnancy

Question 1

Provision of no cost Long acting contraception & teenage pregnancy
- study type, N, groups

New Lndmk 2020 Dec

Answer 1

Prospective cohort
Followup comparison from CHOICe study
Secura et al, 2014

N 9256, 14-45yo
split into 2 groups: <21, >21
No desire for pregnancy, sexually active
- 72% chose LARC IUCD or implanon
- 28% another method COCP, patch, ring

Question 2

Aim: No cost LARC & Teen pregnancy study

Answer 2

Aim:
Contraceptive CHOICE project results compared to age matched population data
Education about reversible contraception, emphasis on LARC, provided no cost, followed up for 2-3 years

vs national US rates of unintended pregnancy 2008-2013

Question 3

Results of No cost LARC & Teen pregnancy study

Answer 3

• Average pregnancy, abortion, birth much lower then US average of same age group
  preg 34 vs 156/ 1000
  birth 19 vs 95/ 1000
  abortion 9 vs 41/1000
• followed up 12mo (92%), 24 (82%), 36 (75%) through phone, survey
• LARC shown to be acceptable to teens, higher continuation rate then shorter action methods
• Barriers: cost, lack of information, limited access

Question 4

Limitations of No cost LARC & Teen pregnancy study

Answer 4

• Pregnancy was self-reported & therefore could be underreported
• Teens were surveyed regularly on their contraceptive use  which may have influenced their adherence to their contraceptive method
• Generalizability of results
• Comparison of results of cohort with mean national rate which has a drop/decline in birth rate, study done in 2006, rates 2008-2013