TY - JOUR
T1 - Trends and determinants of use of long-acting reversible contraception use among young women in France
T2 - Results from three national surveys conducted between 2000 and 2010
AU - Moreau, Caroline
AU - Bohet, Aline
AU - Hassoun, Danielle
AU - Teboul, Michel
AU - Bajos, Nathalie
N1 - Funding Information:
The Health Barometer surveys were carried out by the Institut national de prévention et l'éducation pour la santé (INPES) with the financial support of the French Ministry of Health , the National Insurance Agency (CNAMTS) , the “ Haut comité de la santé Publique ,” the “ Délégation générale a la lute contre la drogue et la toxicomanie ,” and the “ commission de la sécurité des consommateurs .” The FECOND study was supported by a grant from the French Ministry of Health , a grant from the French National Agency of Research (#ANR-08-BLAN-0286–01), and funding from the National Institute of Health and Medical Research (INSERM) and the National Institute for Demographic Research (INED) . The data analysis for this paper was supported by a grant from Bayer Pharmaceuticals to INSERM .
PY - 2013/8
Y1 - 2013/8
N2 - Objective: To investigate trends and determinants in the use of long-acting reversible contraceptives (LARCs), including intrauterine devices and implants, over the last decade among young women in France. Design: Data drawn from three cross-sectional national probability surveys. Setting: Not applicable. Patient(s): A total of 1,204 women, ages 15 to 29, who are at potential risk of an unintended pregnancy in 2000; 1,921 in 2005; and 1,281 in 2010. Intervention(s): None. Main Outcome Measure(s): Logistic regression models were used to explore trends in LARC use since 2000 and to examine determinants of LARC use in 2010. Result(s): A minority of women were using LARC methods, with a significant increase between 2000 and 2010, from 4.6% to 6.4%. The odds of LARC use in 2010 were higher among women 20 to 29 years, parous women, women with a history of unintended pregnancy, women in difficult financial situations, smokers, and women in the care of a gynecologist. Conclusion(s): This study shows that little progress has been made in LARC use among young women in France, despite these methods being widely available and reimbursed by the national health system.
AB - Objective: To investigate trends and determinants in the use of long-acting reversible contraceptives (LARCs), including intrauterine devices and implants, over the last decade among young women in France. Design: Data drawn from three cross-sectional national probability surveys. Setting: Not applicable. Patient(s): A total of 1,204 women, ages 15 to 29, who are at potential risk of an unintended pregnancy in 2000; 1,921 in 2005; and 1,281 in 2010. Intervention(s): None. Main Outcome Measure(s): Logistic regression models were used to explore trends in LARC use since 2000 and to examine determinants of LARC use in 2010. Result(s): A minority of women were using LARC methods, with a significant increase between 2000 and 2010, from 4.6% to 6.4%. The odds of LARC use in 2010 were higher among women 20 to 29 years, parous women, women with a history of unintended pregnancy, women in difficult financial situations, smokers, and women in the care of a gynecologist. Conclusion(s): This study shows that little progress has been made in LARC use among young women in France, despite these methods being widely available and reimbursed by the national health system.
KW - Contraception behavior
KW - France
KW - IUD
KW - implant
KW - long-acting methods of contraception
KW - population-based survey
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U2 - 10.1016/j.fertnstert.2013.04.002
DO - 10.1016/j.fertnstert.2013.04.002
M3 - Article
C2 - 23663994
AN - SCOPUS:84881133764
SN - 0015-0282
VL - 100
SP - 451
EP - 458
JO - Fertility and sterility
JF - Fertility and sterility
IS - 2
ER -