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29.10.2018 | Family Planning (A Burke, Section Editor) | Ausgabe 4/2018

Current Obstetrics and Gynecology Reports 4/2018

Factors Associated with Adolescents’ Choice to Use Long Acting Reversible Contraceptives: a Systematic Review

Zeitschrift:
Current Obstetrics and Gynecology Reports > Ausgabe 4/2018
Autoren:
Yedda Nunes Reis, Ana Luiza Vilela, Annielson de Souza Costa, Mayra Rayane Freire Andrade, Edson Santos Ferreira Filho, Luiz Carlos de Abreu, José Maria Soares Júnior, Edmund Chada Baracat, Isabel Cristina Esposito Sorpreso
Wichtige Hinweise

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1007/​s13669-018-0252-4) contains supplementary material, which is available to authorized users.
This article is part of the Topical Collection on Family Planning

Abstract

Purpose of Review

This review aims to update the published literature to summarize our understanding about the associated factors with adolescents’ willingness to use long-acting reversible contraceptives.

Recent Findings

Long acting reversible contraception (LARCs), specifically intrauterine devices and implants, have been successful in preventing unintended pregnancy and repeat pregnancy among adolescents. Unfortunately, many misconceptions about eligibility, fears of the insertion procedure, and health effects prevent adolescents from choosing them.

Summary

A total of 1316 articles were identified and only nine met the inclusion criteria. Included studies reported findings on 12,851 adolescents aged 12 to 19 years old, revealing many correlates like the knowledge/information about these contraceptives, age, marital status, and cultural aspects. Few articles compared the correlates of choosing intrauterine devices versus implants. All articles presented studies performed in contexts where access barriers to contraceptives were removed, including the costs. In the future, it could prove useful to develop a study that could compare types of LARCs, as well as in an exclusive adolescent population in different countries. It would also be helpful to compare adolescents’ use in low- and middle-income countries, and in different contexts with limited access to family planning services and contraceptives.

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