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Eliminating health disparities in unintended pregnancy with long-acting reversible contraception (LARC).

Abstract：

:Significant public health disparities exist surrounding teen and unplanned pregnancy in the United States. Women of color and those with lower education and socioeconomic status are at much greater risk of unplanned pregnancy and the resulting adverse outcomes. Unplanned pregnancies reduce educational and career opportunities and may contribute to socioeconomic deprivation and widening income disparities. Long-acting reversible contraception (LARC), including intrauterine devices and implants, offer the opportunity to change the default from drifting into parenthood to planned conception. LARC methods are forgettable; once placed, they offer highly effective, long-term pregnancy prevention. Increasing evidence in the medical literature demonstrates the population benefits of use of these methods. However, barriers to more widespread use of LARC methods persist and include educational, access, and cost barriers. With increasing insurance coverage under the Affordable Care Act and more widespread, no-cost coverage of methods, more and more women are choosing intrauterine devices and the contraceptive implant. Increasing the use of highly effective contraceptive methods may provide one solution to the persistent problem of the health disparities of unplanned and teen pregnancies in the United States and improve women's and children's health.

journal_name

Am J Obstet Gynecol

journal_title

American journal of obstetrics and gynecology

authors

Parks C,Peipert JF

doi

10.1016/j.ajog.2016.02.017

subject

Has Abstract

pub_date

2016-06-01 00:00:00

pages

681-8

issue

6

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(16)00301-X

journal_volume

214

pub_type

杂志文章,评审

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