Attitudes and beliefs about the intrauterine device among teenagers and young women

Kendra L Fleming, Abby Sokoloff, Tina R Raine, Kendra L Fleming, Abby Sokoloff, Tina R Raine

Abstract

Background: Little is known about attitudes and beliefs among teenagers and young women about the intrauterine device (IUD).

Study design: We surveyed 252 women, ages 14-27 years, presenting for appointments at an urban family planning clinic about demographics, sexual and birth control history, and opinions about the IUD.

Results: Fifty-five percent had not heard of the IUD. Participants who were parous were 4.4 times more likely to be interested in the IUD than nulliparous participants. Independent of parity, participants who had heard of the IUD from a health care provider were 2.7 times more likely to be interested in using the method. The study population was at high risk for sexually transmitted infections (STIs); however, 82% of participants predicted that they would increase or experience no change in their condom use with an IUD in place.

Conclusions: Health care providers should be encouraged to talk to teenagers and young women who are at high risk for unintended pregnancy, both parous and nulliparous, about using the IUD.

Copyright 2010 Elsevier Inc. All rights reserved.

References

    1. Hamilton BE, Martin JA, Ventura SJ. Natl Vital Stat Rep. no 12. Vol. 57. National Center for Health Statistics; Hyattsville, MD: [Released March 18, 2009]. Births: preliminary data for 2007. Web Release.
    1. Darroch JE, Singh S, Frost JJ. Differences in teenage pregnancy rates among five developed countries: the roles of sexual activity and contraceptive use. Fam Plann Perspect. 2001;33:244–50. 281.
    1. Finer LB, Henshaw SK. Disparities in rates of unintended pregnancy in the United States, 1994 and 2001. Perspect Sex Reprod Health. 2006;38:90–6.
    1. Zibners A, Cromer BA, Hayes J. Comparison of continuation rates for hormonal contraception among adolescents. J Pediatr Adolesc Gynecol. 1999;12:90–4.
    1. World Health Organization . Medical Eligibility Criteria for Contraceptive Use. 3rd ed WHO; Geneva: 2004. Intrauterine devices; pp. 99–122.
    1. Intrauterine device and adolescents. ACOG Committee Opinion No. 392. American College of Obstetricians and Gynecologists. Obstet Gynecol. 2007;110:1493–5.
    1. Harper CC, Blum M, de Bocanegra HT, et al. Challenges in translating evidence to practice: the provision of intrauterine contraception. Obstet Gynecol. 2008;111:1359–69.
    1. Mosher WD, Martinez GM, Chandra A, Abma JC, Willson SJ. Use of contraception and use of family planning services in the United States: 1982–2002. Adv Data. 2004;350:1–36.
    1. Stanwood NL, Bradley KA. Young pregnant women’s knowledge of modern intrauterine devices. Obstet Gynecol. 2006;108:1417–22.
    1. Whitaker AK, Johnson LM, Harwood B, Chiappetta L, Creinin MD, Gold MA. Adolescent and young adult women’s knowledge of and attitudes toward the intrauterine device. Contraception. 2008;78:211–7.
    1. Farley TM, Rosenburg MJ, Rowe PJ, Chen JH, Meirik O. Intrauterine devices and pelvic inflammatory disease: an international perspective. Lancet. 1992;339:785–8.
    1. Grimes DA. Intrauterine device and upper-genital-tract infection. Lancet. 2000;356:1013–9.
    1. Ott MA, Adler NE, Millstein SG, Tschann JM, Ellen JM. The trade-off between hormonal contraceptives and condoms among adolescents. Perspect Sex Reprod Health. 2002;34:6–14.

Source: PubMed

3
購読する