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

  • Family Planning (A Burke, Section Editor)
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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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Authors and Affiliations

  1. Disciplina de Ginecologia, Departamento de Obstetrícia e Ginecologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo, Enéas de Carvalho Aguiar Avenue, n 255, 10° Floor, Room 10166, São Paulo, SP, 05403-000, Brazil

    Yedda Nunes Reis, Annielson de Souza Costa, Mayra Rayane Freire Andrade, Edson Santos Ferreira Filho, José Maria Soares Júnior, Edmund Chada Baracat & Isabel Cristina Esposito Sorpreso

  2. School of Nursing, University of São Paulo, Av. Dr. Enéas de Carvalho Aguiar, 419, CEP, São Paulo, SP, 05403-000, Brazil

    Ana Luiza Vilela

  3. Escola Superior de Ciências da Santa Casa de Misericórdia, Vitoria, Espirito Santo, Brazil

    Luiz Carlos de Abreu

Authors
  1. Yedda Nunes Reis
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  2. Ana Luiza Vilela
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  3. Annielson de Souza Costa
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  4. Mayra Rayane Freire Andrade
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  5. Edson Santos Ferreira Filho
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  6. Luiz Carlos de Abreu
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  7. José Maria Soares Júnior
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  8. Edmund Chada Baracat
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  9. Isabel Cristina Esposito Sorpreso
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Contributions

ALV, ASC, MRFA, LCA, JMSJ, ECB, and ICES developed the study design and methodology. YNR, ASC, ESFF, ICES were involved in data management. YNR, ASC, MRFA, and ESFF conducted the data analyses and drafted the manuscript. YNR, ALV, ICES were involved in editing the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Isabel Cristina Esposito Sorpreso.

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Conflict of Interest

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, and Isabel Cristina Esposito Sorpreso declare no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Family Planning

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Reis, Y.N., Vilela, A.L., de Souza Costa, A. et al. Factors Associated with Adolescents’ Choice to Use Long Acting Reversible Contraceptives: a Systematic Review. Curr Obstet Gynecol Rep 7, 153–162 (2018). https://doi.org/10.1007/s13669-018-0252-4

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  • DOI: https://doi.org/10.1007/s13669-018-0252-4

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