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A Retrospective Chart Review of Contraceptive Use among Adolescents with Opioid Use Disorder.

Abstract：

STUDY OBJECTIVE:To describe contraceptive use among female adolescents initiating outpatient treatment for opioid use disorder. DESIGN:Retrospective chart review. SETTING:Outpatient clinic providing medication-assisted treatment for substance use disorders to adolescents and young adults. PARTICIPANTS:Nonpregnant female adolescents who presented for treatment from January 1, 2013 to January 31, 2016 (N = 123). INTERVENTIONS:None. MAIN OUTCOME MEASURES:Prescription contraceptive use at baseline and initiation of a new method within 90 days. RESULTS:Of 123 female adolescents who presented for treatment of opioid use disorder, 113 (91.9%) reported sexual activity and 80 (65.0%) were not using prescription contraception at intake. Previous pregnancy was reported by 43 (35.0%) and 20 (16.3%) were positive for a sexually transmitted infection. Contraceptive counseling was not documented for 73 (59.3%) patients. Among patients with no prescription contraception at baseline, 56 of 80 (70.0%) initiated a method within the study window. Significant predictors (odds ratio [OR]; 95% confidence interval) of contraceptive initiation included previous pregnancy (8.6; 1.39-52.99), education of less than a high school diploma/general equivalency diploma (7.4; 1.63-33.41), and return for follow-up visit (9.8; 2.18-43.69). CONCLUSION:Young women who presented for opioid use disorder treatment were at high risk of adverse reproductive health outcomes. Most were sexually active and not using prescription contraception. Findings underscore the need for contraceptive counseling in this patient population. Optimally, these services would be provided in conjunction with substance use treatment. Improved contraceptive counseling documentation will allow evaluation of effective contraceptive counseling strategies for adolescents with opioid use disorders and might serve to inform future interventions.

journal_name

J Pediatr Adolesc Gynecol

journal_title

Journal of pediatric and adolescent gynecology

authors

Handy CJ,Lange HLH,Manos BE,Berlan ED,Bonny AE

doi

10.1016/j.jpag.2017.11.002

subject

Has Abstract

pub_date

2018-04-01 00:00:00

pages

122-127

issue

2

eissn

1083-3188

issn

1873-4332

pii

S1083-3188(17)30508-9

journal_volume

31

pub_type

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