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European Journal of Environment and Public Health

An Investigation into Long-acting Reversible Contraception: Use, Awareness, and Associated Factors
Mojgan Zendehdel 1, Shayesteh Jahanfar 2 * , Zainab Hamzehgardeshi 3 4, Ensiyeh Fooladi 5
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1 Reproductive and Sexual Health Research Centre, School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Mazandaran, IRAN
2 School of Health Sciences, Central Michigan University, Health Professions Building 2242, Mount Pleasant, MI, 48859, USA
3 Sexual and Reproductive Health Research Center, Mazandaran University of Medical Sciences, Sari, IRAN
4 Associate Professor, Department of Reproductive Health and Midwifery, Nasibeh Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, IRAN
5 Women’s Health Research Program, School of Public Health and Preventive Medicine, Monash University, Melbourne, AUSTRALIA
* Corresponding Author
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Research Article

European Journal of Environment and Public Health, 2020 - Volume 4 Issue 2, Article No: em0039
https://doi.org/10.29333/ejeph/7837

Published Online: 17 Mar 2020

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APA 6th edition
In-text citation: (Zendehdel et al., 2020)
Reference: Zendehdel, M., Jahanfar, S., Hamzehgardeshi, Z., & Fooladi, E. (2020). An Investigation into Long-acting Reversible Contraception: Use, Awareness, and Associated Factors. European Journal of Environment and Public Health, 4(2), em0039. https://doi.org/10.29333/ejeph/7837
Vancouver
In-text citation: (1), (2), (3), etc.
Reference: Zendehdel M, Jahanfar S, Hamzehgardeshi Z, Fooladi E. An Investigation into Long-acting Reversible Contraception: Use, Awareness, and Associated Factors. EUROPEAN J ENV PUBLI. 2020;4(2):em0039. https://doi.org/10.29333/ejeph/7837
AMA 10th edition
In-text citation: (1), (2), (3), etc.
Reference: Zendehdel M, Jahanfar S, Hamzehgardeshi Z, Fooladi E. An Investigation into Long-acting Reversible Contraception: Use, Awareness, and Associated Factors. EUROPEAN J ENV PUBLI. 2020;4(2), em0039. https://doi.org/10.29333/ejeph/7837
Chicago
In-text citation: (Zendehdel et al., 2020)
Reference: Zendehdel, Mojgan, Shayesteh Jahanfar, Zainab Hamzehgardeshi, and Ensiyeh Fooladi. "An Investigation into Long-acting Reversible Contraception: Use, Awareness, and Associated Factors". European Journal of Environment and Public Health 2020 4 no. 2 (2020): em0039. https://doi.org/10.29333/ejeph/7837
Harvard
In-text citation: (Zendehdel et al., 2020)
Reference: Zendehdel, M., Jahanfar, S., Hamzehgardeshi, Z., and Fooladi, E. (2020). An Investigation into Long-acting Reversible Contraception: Use, Awareness, and Associated Factors. European Journal of Environment and Public Health, 4(2), em0039. https://doi.org/10.29333/ejeph/7837
MLA
In-text citation: (Zendehdel et al., 2020)
Reference: Zendehdel, Mojgan et al. "An Investigation into Long-acting Reversible Contraception: Use, Awareness, and Associated Factors". European Journal of Environment and Public Health, vol. 4, no. 2, 2020, em0039. https://doi.org/10.29333/ejeph/7837
ABSTRACT
Objectives: We aimed to investigate the prevalence, awareness, perceived reliability, and factors associated with the use of long-acting reversible contraception among reproductive-aged, married women and men in Iran.
Methods: In this cross-sectional study, 1520 men and women between 15-49 years of age who attended public health centers in Tehran were surveyed.
Results: About 85% of the respondents reported that they were already familiar with intrauterine contraception and 61.9% with Medroxyprogesterone Acetate. The majority of women respondents had not considered IUDs (57.2%) or DMPA (59.1%) as reliable methods. As for men, IUDs (53.8%) or DMPA (39.8%) were considered as reliable methods of contraception. Moreover, a higher number of women thought it was better to refrain from using IUDs (60.3%) or DMPA (61.5%) than men [IUDs (53.4%) or DMPA (40.2%)]. Those who in the younger age group (18-40 years old), had younger partners (18-40 years old), had education beyond a high school diploma and had no history of unwanted pregnancy (58%) were less likely to use LARC.
Conclusions: Men and women are familiar with LARC (Long-acting reversible contraception) methods, but few believe that these methods are reliable. Demonstration of the performance of long-term methods by health personnel will increase the belief and trust of women and men in longer-lasting ways of contraception.
KEYWORDS
long-acting reversible contraception use awareness associated factors
REFERENCES
  • Azmat, S. K., Shaikh, B. T., Hameed, W., Bilgrami, M., Mustafa, G., et al. (2012). Rates of IUCD discontinuation and its associated factors among the clients of a social franchising network in Pakistan. BMC women’s health, 12, 8. https://doi.org/10.1186/1472-6874-12-8
  • Bateson, D., Kang, S., Paterson, H., & Singh, K. (2017). A review of intrauterine contraception in the Asia-Pacific region. Contraception, 95, 40-49. https://doi.org/10.1016/j.contraception.2016.08.008
  • Bracken, J., & Graham, C. A. (2014). Young women’s attitudes towards, and experiences of, long-acting reversible contraceptives. The European Journal of Contraception & Reproductive Health Care, 19, 276-284. https://doi.org/10.3109/13625187.2014.917623
  • Brown, S. S., & Eisenberg, L. (1995). The best intentions: Unintended pregnancy and the well-being of children and families. National Academies Press.
  • Buhling, K. J., Zite, N. B., Lotke, P., & Black, K. (2014). Worldwide use of intrauterine contraception: a review. Contraception, 89, 162-173. https://doi.org/10.1016/j.contraception.2013.11.011
  • Burns, B., Grindlay, K., & Dennis, A. (2015). Women’s awareness of, interest in, and experiences with long-acting reversible and permanent contraception. Women’s Health Issues, 25, 224-231. https://doi.org/10.1016/j.whi.2014.12.006
  • Çalikoğlu, E. O., Yerli, E. B., Kavuncuoğlu, D., Yılmaz, S., Koşan, Z., & Aras, A. (2018). Use of Family Planning Methods and Influencing Factors Among Women in Erzurum. Medical science monitor: international medical journal of experimental and clinical research, 24, 5027. https://doi.org/10.12659/MSM.908388
  • Cea Soriano, L., Wallander, M.-A., Andersson, S., Filonenko, A., & García Rodríguez, L. A. (2014). Use of long-acting reversible contraceptives in the UK from 2004 to 2010: an analysis using the health improvement network database. The European Journal of Contraception & Reproductive Health Care, 19, 439-447. https://doi.org/10.3109/13625187.2014.948613
  • Committee A. (2009). Opinion no. 450: increasing use of contraceptive implants and intrauterine devices to reduce unintended pregnancy. Obstet Gynecol., 114, 1434-1438. https://doi.org/10.1097/AOG.0b013e3181c6f965
  • Coombe, J., Harris, M. L., & Loxton, D. (2017). Who uses long-acting reversible contraception? Profile of LARC users in the CUPID cohort. Sexual & Reproductive Healthcare, 11, 19-24. https://doi.org/10.1016/j.srhc.2016.09.003
  • Coombe, J., Harris, M. L., Wigginton, B., Lucke, J. C., & Loxton, D. (2016). Contraceptive use at the time of unintended pregnancy: Findings from the contraceptive use, pregnancy intention and decisions study. Australian family physician, 45, 842.
  • Curtis, K. (2010). The World Health Organization’s Medical eligibility criteria for contraceptive use: example of a national adaptation. IPPF Medical Bulletin, 44, 3-4.
  • Daniele, M. A., Cleland, J., Benova, L., & Ali, M. (2017). Provider and lay perspectives on intra-uterine contraception: a global review. Reproductive health, 14, 119. https://doi.org/10.1186/s12978-017-0380-8
  • Daniels, K., Daugherty, J. D., & Jones, J. (2014). Current contraceptive status among women aged 15-44: the United States, 2011-2013.
  • Dobry, A., Rojas-Mendez, P., Sanchez, S., & Reddy, S. (2018). Influence of Acculturation in Knowledge and Acceptability of Intrauterine Devices in Hispanic Adolescents. Journal of Pediatric and Adolescent Gynecology, 31, 172. https://doi.org/10.1016/j.jpag.2018.02.037
  • Eeckhaut, M. C., Sweeney, M. M., & Gipson, J. D. (2014). Who Is Using Long‐Acting Reversible Contraceptive Methods? Findings from Nine Low‐Fertility Countries. Perspectives on sexual and reproductive health, 46, 149-155. https://doi.org/10.1363/46e1914
  • Erfani, A. (2013). Fertility in Tehran city and Iran: rates, trends and differentials. Population Studies, 1, 87-107.
  • Goldstone, P. (2014). Factors predicting uptake of long-acting reversible methods of contraception among women presenting for abortion. America (North and South), 77, 1.2. https://doi.org/10.5694/mja14.00011
  • Group, L.-A. R. C. W. (2009). ACOG Committee Opinion no. 450: Increasing the use of contraceptive implants and intrauterine devices to reduce unintended pregnancy. Obstet Gynecol., 114, 1434-1438. https://doi.org/10.1097/AOG.0b013e3181c6f965
  • Holton, S., Rowe, H., Kirkman, M., Jordan, L., McNamee, K., Bayly, C., et al. (2016). Long-acting reversible contraception: Findings from the Understanding Fertility Management in Contemporary Australia survey. The European Journal of Contraception & Reproductive Health Care, 21, 116-131. https://doi.org/10.3109/13625187.2015.1052394
  • Hoopes, A. J., Teal, S. B., Akers, A. Y., & Sheeder, J. (2018). Low Acceptability of Certain Contraceptive Methods among Young Women. Journal of Pediatric and Adolescent Gynecology, 31, 274-280. https://doi.org/10.1016/j.jpag.2017.11.008
  • Jalal Abbasi-Shavazi, M., & McDonald, P. (2006). Fertility decline in the Islamic Republic of Iran: 1972-2000. Asian Population Studies, 2, 217-237. https://doi.org/10.1080/17441730601073789
  • Kaneshiro, B., & Aeby, T. (2010). Long-term safety, efficacy, and patient acceptability of the intrauterine Copper T-380A contraceptive device. International journal of women’s health, 2, 211. https://doi.org/10.2147/IJWH.S6914
  • Kavanaugh, M. L., Jerman, J., Hubacher, D., Kost, K., & Finer, L. B. (2011). Characteristics of women in the United States who use long-acting reversible contraceptive methods. Obstetrics & Gynecology, 117, 1349-1357. https://doi.org/10.1097/AOG.0b013e31821c47c9
  • Likis, F. E. (2014). A new year’s resolution: Promoting long‐acting reversible contraception. Journal of midwifery & women’s health, 59, 1-2. https://doi.org/10.1111/jmwh.12181
  • Mehryar, A., Delavar, B., Farjadi, G., Hosseini-Chavoshi, M., Naghavi, M., & Tabibian, M. (2001). Iranian miracle: how to raise contraceptive prevalence rate to above 70% and cut TFR by two-thirds in less than a decade. IUSSP Conference, p. 18-24.
  • Moosazadeh, M., Nekoei‐moghadam, M., Emrani, Z., & Amiresmaili, M. (2014). Prevalence of unwanted pregnancy in Iran: a systematic review and meta‐analysis. The International journal of health planning and management, 29(3). https://doi.org/10.1002/hpm.2184
  • Moreau, C., Bohet, A., Hassoun, D., Teboul, M., Bajos, N., & Group, F. W. (2013). Trends and determinants of use of long-acting reversible contraception use among young women in France: results from three national surveys conducted between 2000 and 2010. Fertility and sterility, 100, 451-458. https://doi.org/10.1016/j.fertnstert.2013.04.002
  • Motlaq, M. E., Eslami, M., Yazdanpanah, M., & Nakhaee, N. (2013). Contraceptive use and unmet need for family planning in Iran. International Journal of Gynecology & Obstetrics, 121(2), 157-161. https://doi.org/10.1016/j.ijgo.2012.11.024
  • Namazi, A. (2015). The investigation of demographic variables associated with the phenomenon of unwanted pregnancy in Rasht. Nursing of the Vulnerables, 2, 29-38.
  • Nansseu, J. R. N., Nchinda, E. C., Katte, J.-C., Nchagnouot, F. M, & Nguetsa, G. D. (2015). Assessing the knowledge, attitude and practice of family planning among women living in the Mbouda health district, Cameroon. Reproductive health, 12(1), 92. https://doi.org/10.1186/s12978-015-0085-9
  • Peipert, J. F., Zhao, Q., Allsworth, J. E., Petrosky, E., Madden, T., Eisenberg, D., et al. (2011). Continuation and satisfaction of reversible contraception. Obstetrics and gynecology, 117, 1105. https://doi.org/10.1097/AOG.0b013e31821188ad
  • Salem, R., & Setty, V. (2006). When contraceptives change monthly bleeding: How family planning providers and programs can help clients choose and use suitable methods. Population Reports Series J: Family Planning Programs, 1-20.
  • Santoso, B. I., & Surya, R. (2017). Knowledge, attitude, and practice of contraception among pregnant women in Ende districet, east Nusa Tennaggara, Indonesia. J South Asian Feder Obst Gynae., 9, 110-118. https://doi.org/10.5005/jp-journals-10006-1470
  • Sedgh, G., Singh, S., & Hussain, R. (2014). Intended and unintended pregnancies worldwide in 2012 and recent trends. Studies in family planning, 45, 301-314. https://doi.org/10.1111/j.1728-4465.2014.00393.x
  • Simbar, M. (2010). Achievements of the family planning program in Iran. Journal of School of Public Health & Institute of Public Health Research, 7(4).
  • Simbar, M. (2012). Achievements of the Iranian family planning programmes 1956-2006. Eastern Mediterranean health journal, 18(3). https://doi.org/10.26719/2012.18.3.279
  • Soltani S. (2005). The sin of women in Ardavirafnameh.
  • Zaheri, F., Ranaie, F., Karimeh, R., & Shahoi, R. (2015). Unwanted pregnancy and associated factors among pregnant women who referred to Sanandaj health centers in 2011. The Iranian Journal of Obstetrics, Gynecology and Infertility, 17, 10-15.
  • Zendehdel, M., & Elyasi, F. (2018). Biopsychosocial etiology of premenstrual syndrome: A narrative review. Journal of family medicine and primary care, 7, 346. https://doi.org/10.4103/jfmpc.jfmpc_336_17
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