Adolescents and Long-Acting Reversible Contraception: Lessons from Mexico

Biani Saavedra-Avendano, Zafiro Andrade-Romo, Maria Rodriguez, Blair Darney

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objectives We describe current use of long acting reversible contraception LARC (tier 1), hormonal (tier 2), barrier and traditional contraceptive methods (tier 3) by adolescent women in Mexico. We test whether knowledge of contraceptive methods is associated with current use of LARC. Methods We used the 1992, 1997, 2006, 2009 and 2014 waves of a nationally representative survey (ENADID). We used information from n = 10,376 (N = 3,635,558) adolescents (15–19 years) who reported ever using any contraceptive method. We used descriptive statistics and logistic regression models to test the association of knowledge of method tiers with use of tier 1 (LARC) versus tier 2, tier 3, and no contraceptive use. Results Over time, LARC use in the overall sample was flat (21 % in 1992, 23 % in 2014; p = 0.130). Among adolescents who have had a pregnancy, LARC use has increased (24 % in 1992 to 37 % in 2014). Among adolescents who did not report a pregnancy, current LARC use has remained low (1 % in 1992 and 2 % in 2014). We found positive association between LARC use and knowledge of tier 1 methods. In the overall sample LARC use is strongly correlated with exposure to marriage compared to use of tier 2 or tier 3 methods. Discussion Among adolescents in Mexico who are currently using modern methods, LARC use is relatively high, but remains primarily tied to having had a pregnancy. Our study highlights the need to expand access to LARC methods outside the post-partum hospital setting.

Original languageEnglish (US)
Pages (from-to)1-10
Number of pages10
JournalMaternal and Child Health Journal
DOIs
StateAccepted/In press - May 5 2016

Fingerprint

Mexico
Contraception
Pregnancy
Barrier Contraception
Logistic Models
Contraceptive Agents
Marriage

Keywords

  • Adolescents
  • IUD
  • LARC
  • Mexico

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology
  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health

Cite this

Adolescents and Long-Acting Reversible Contraception : Lessons from Mexico. / Saavedra-Avendano, Biani; Andrade-Romo, Zafiro; Rodriguez, Maria; Darney, Blair.

In: Maternal and Child Health Journal, 05.05.2016, p. 1-10.

Research output: Contribution to journalArticle

@article{e65795ce2f46437598a6c2fa6628621f,
title = "Adolescents and Long-Acting Reversible Contraception: Lessons from Mexico",
abstract = "Objectives We describe current use of long acting reversible contraception LARC (tier 1), hormonal (tier 2), barrier and traditional contraceptive methods (tier 3) by adolescent women in Mexico. We test whether knowledge of contraceptive methods is associated with current use of LARC. Methods We used the 1992, 1997, 2006, 2009 and 2014 waves of a nationally representative survey (ENADID). We used information from n = 10,376 (N = 3,635,558) adolescents (15–19 years) who reported ever using any contraceptive method. We used descriptive statistics and logistic regression models to test the association of knowledge of method tiers with use of tier 1 (LARC) versus tier 2, tier 3, and no contraceptive use. Results Over time, LARC use in the overall sample was flat (21 {\%} in 1992, 23 {\%} in 2014; p = 0.130). Among adolescents who have had a pregnancy, LARC use has increased (24 {\%} in 1992 to 37 {\%} in 2014). Among adolescents who did not report a pregnancy, current LARC use has remained low (1 {\%} in 1992 and 2 {\%} in 2014). We found positive association between LARC use and knowledge of tier 1 methods. In the overall sample LARC use is strongly correlated with exposure to marriage compared to use of tier 2 or tier 3 methods. Discussion Among adolescents in Mexico who are currently using modern methods, LARC use is relatively high, but remains primarily tied to having had a pregnancy. Our study highlights the need to expand access to LARC methods outside the post-partum hospital setting.",
keywords = "Adolescents, IUD, LARC, Mexico",
author = "Biani Saavedra-Avendano and Zafiro Andrade-Romo and Maria Rodriguez and Blair Darney",
year = "2016",
month = "5",
day = "5",
doi = "10.1007/s10995-016-2013-1",
language = "English (US)",
pages = "1--10",
journal = "Maternal and Child Health Journal",
issn = "1092-7875",
publisher = "Springer GmbH & Co, Auslieferungs-Gesellschaf",

}

TY - JOUR

T1 - Adolescents and Long-Acting Reversible Contraception

T2 - Lessons from Mexico

AU - Saavedra-Avendano, Biani

AU - Andrade-Romo, Zafiro

AU - Rodriguez, Maria

AU - Darney, Blair

PY - 2016/5/5

Y1 - 2016/5/5

N2 - Objectives We describe current use of long acting reversible contraception LARC (tier 1), hormonal (tier 2), barrier and traditional contraceptive methods (tier 3) by adolescent women in Mexico. We test whether knowledge of contraceptive methods is associated with current use of LARC. Methods We used the 1992, 1997, 2006, 2009 and 2014 waves of a nationally representative survey (ENADID). We used information from n = 10,376 (N = 3,635,558) adolescents (15–19 years) who reported ever using any contraceptive method. We used descriptive statistics and logistic regression models to test the association of knowledge of method tiers with use of tier 1 (LARC) versus tier 2, tier 3, and no contraceptive use. Results Over time, LARC use in the overall sample was flat (21 % in 1992, 23 % in 2014; p = 0.130). Among adolescents who have had a pregnancy, LARC use has increased (24 % in 1992 to 37 % in 2014). Among adolescents who did not report a pregnancy, current LARC use has remained low (1 % in 1992 and 2 % in 2014). We found positive association between LARC use and knowledge of tier 1 methods. In the overall sample LARC use is strongly correlated with exposure to marriage compared to use of tier 2 or tier 3 methods. Discussion Among adolescents in Mexico who are currently using modern methods, LARC use is relatively high, but remains primarily tied to having had a pregnancy. Our study highlights the need to expand access to LARC methods outside the post-partum hospital setting.

AB - Objectives We describe current use of long acting reversible contraception LARC (tier 1), hormonal (tier 2), barrier and traditional contraceptive methods (tier 3) by adolescent women in Mexico. We test whether knowledge of contraceptive methods is associated with current use of LARC. Methods We used the 1992, 1997, 2006, 2009 and 2014 waves of a nationally representative survey (ENADID). We used information from n = 10,376 (N = 3,635,558) adolescents (15–19 years) who reported ever using any contraceptive method. We used descriptive statistics and logistic regression models to test the association of knowledge of method tiers with use of tier 1 (LARC) versus tier 2, tier 3, and no contraceptive use. Results Over time, LARC use in the overall sample was flat (21 % in 1992, 23 % in 2014; p = 0.130). Among adolescents who have had a pregnancy, LARC use has increased (24 % in 1992 to 37 % in 2014). Among adolescents who did not report a pregnancy, current LARC use has remained low (1 % in 1992 and 2 % in 2014). We found positive association between LARC use and knowledge of tier 1 methods. In the overall sample LARC use is strongly correlated with exposure to marriage compared to use of tier 2 or tier 3 methods. Discussion Among adolescents in Mexico who are currently using modern methods, LARC use is relatively high, but remains primarily tied to having had a pregnancy. Our study highlights the need to expand access to LARC methods outside the post-partum hospital setting.

KW - Adolescents

KW - IUD

KW - LARC

KW - Mexico

UR - http://www.scopus.com/inward/record.url?scp=84966262554&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84966262554&partnerID=8YFLogxK

U2 - 10.1007/s10995-016-2013-1

DO - 10.1007/s10995-016-2013-1

M3 - Article

C2 - 27150948

AN - SCOPUS:84966262554

SP - 1

EP - 10

JO - Maternal and Child Health Journal

JF - Maternal and Child Health Journal

SN - 1092-7875

ER -