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Long acting reversible contraceptive attitudes and acceptability in adolescents and young adults (AYA): A key to patient-centered contraceptive counseling

Journal of Pediatric and Adolescent Gynecology Aug 29, 2020

Richards MJ, et al. - In this investigation involving 332 participants, researchers sought to investigate adolescent and young adults’ long acting reversible contraceptive (LARC) attitudes and to evaluate how attitudes are correlated with acceptability. Between March and August 2018, young people, aged 14 to 24 years, presenting for any type of visit were included. Data reported that most participants (62.3%) had high LARC-acceptability. The authors observed 5 “attitude” factors: 77.7% of the sample endorsed “Effective” attitudes (eg, wants most effective method), 37.3% endorsed “Good attributes” (eg, discrete, convenient), 23.1% endorsed “Scary” (eg, fears device will move), 16.1% endorsed “Bad for health,” (eg, too many side-effects), and 9% endorsed “Not for me” (eg, concerns about pain). While most candidates had high LARC acceptability and valued contraceptive efficacy, there is a complex relationship between LARC attitudes and acceptability. Providers should identify and discuss the contraceptive knowledge, attitudes, and acceptability of young people.

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