Proactive Long Acting Reversible Contraception Provision: Adolescents' Perspectives
ESC Congress Library. Duncan R. May 10, 2018; 208091; ESC76
Ms. Rebeccca Duncan
Ms. Rebeccca Duncan
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Objectives - There is very little knowledge about the views of young women toward Long Acting Reversible Contraceptives (LARCs). Specifically, we lack information about health literacy within this group about these methods and how to access them. This qualitative research study of New Zealand adolescents, recruited from high schools, seeks to fill this gap.   Methods - Four focus groups of 6 - 10 adolescent (15 to 18 year old) girls explored their knowledge about contraceptive use and access. Furthermore, these adolescents were asked to consider LARC use and the option of a proactive LARC provision programme. The focus groups were conducted in varied populations to include adolescents from different geographical and socioeconomic backgrounds. The data collected was transcribed and analysed using a general inductive approach to identify common themes and ideas. Results - Identified themes were reproductive health fear, sex and body shame, adolescents' requirements for sexual health provision, barriers to contraception, and sexual health knowledge. Adolescents appreciated the opportunity to ask questions about contraception and discuss it openly. When asked how they felt about proactive LARC provision, they responded positively, finding the concept acceptable. As one participant said: '[If] all the females has that ins[erted], then it would just be like… …it would just be the same as what boys have all the time [not having the fear of accidentally becoming pregnant]' Conclusion - Through the data, it is clear that there are knowledge gaps, misconceptions, and myths around contraception. Furthermore, adolescents would not be a barrier to proactive LARC provision.
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