Trends in Continuation of Long-Acting Reversible Contraception Among Adolescents Receiving Medicaid.

ABSTRACT:

Purpose

Despite increasing use of long-acting reversible contraception (LARC) among U.S. adolescents, there is limited literature on factors affecting intrauterine device (IUD) or subdermal implant use. This study aimed to describe statewide rates, and associated patient and provider factors of adolescent IUD or implant initiation and continuation.

Methods

This retrospective cohort study used N.C. Medicaid claims data. 10,408 adolescents were eligible (i.e., 13-19 years, female sex, continuous Medicaid enrollment, had an IUD or implant insertion or removal code from January 1, 2013, to October 1, 2015). Bivariate analyses assessed differences in adolescents using IUD versus implant. Kaplan-Meier curves were created to assess IUD or implant discontinuation through December 31

SUBMITTER: Allison BA 

PROVIDER: S-EPMC11330372 | biostudies-literature | 2024 Sep

REPOSITORIES: biostudies-literature