Pregnant or recently pregnant opioid users: contraception decisions, perceptions and preferences
Abstract Background Multiple factors are linked to extremely high unintended pregnancy rates among women who use opioids, including various barriers to contraception adherence. These include patient level barriers such as lack of knowledge and education about highly effective contraception, and pote...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-03-01
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| Series: | Contraception and Reproductive Medicine |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40834-018-0056-y |
| _version_ | 1828484945914363904 |
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| author | Rebecca L. Fischbein Bethany G. Lanese Lynn Falletta Kelsey Hamilton Jennifer A. King Deric R. Kenne |
| author_facet | Rebecca L. Fischbein Bethany G. Lanese Lynn Falletta Kelsey Hamilton Jennifer A. King Deric R. Kenne |
| author_sort | Rebecca L. Fischbein |
| collection | DOAJ |
| description | Abstract Background Multiple factors are linked to extremely high unintended pregnancy rates among women who use opioids, including various barriers to contraception adherence. These include patient level barriers such as lack of knowledge and education about highly effective contraception, and potential provider barriers. Using a mixed-methods framework to examine the contraception-related perceptions and preferences of opioid using women is a necessary next step to understanding this phenomenon. Methods A mixed-method study was conducted which included both self-report questionnaires along with a semi-structured qualitative interview of opioid-using pregnant or recently pregnant women in two drug treatment facilities in Ohio. Results Forty-two women completed the study. The majority of recent (75%) and total pregnancies were unintended. Male condoms were reported as the highest form of lifetime contraception used within the present sample (69%). Participants reported low lifetime use of long acting reversible contraception (LARC) (ranging from 5 to 12%). Participants preferred hormonal injections first (40%), followed by IUDs (17%). Reasons for preferences of injections and LARC were similar: not needing to remember, side effects, and long-term effectiveness. Conclusions Most of the study population participants stated they would utilize contraception, particularly Tier 1 LARC methods, if freely available; however, high rates of unintended pregnancy were observed in this sample. This indicates the need for contraception education, and addressing the procedural, logistical and economic barriers that may be preventing the use of LARC among this population. |
| first_indexed | 2024-12-11T09:04:39Z |
| format | Article |
| id | doaj.art-9f4f580e57dc4fd096f933fc30225c5e |
| institution | Directory Open Access Journal |
| issn | 2055-7426 |
| language | English |
| last_indexed | 2024-12-11T09:04:39Z |
| publishDate | 2018-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Contraception and Reproductive Medicine |
| spelling | doaj.art-9f4f580e57dc4fd096f933fc30225c5e2022-12-22T01:13:40ZengBMCContraception and Reproductive Medicine2055-74262018-03-01311910.1186/s40834-018-0056-yPregnant or recently pregnant opioid users: contraception decisions, perceptions and preferencesRebecca L. Fischbein0Bethany G. Lanese1Lynn Falletta2Kelsey Hamilton3Jennifer A. King4Deric R. Kenne5Department of Family and Community Medicine, Northeast Ohio Medical UniversityCollege of Public Health, Department of Health Policy and Management, Kent State UniversityCollege of Public Health, Department of Health Policy and Management, Kent State UniversityCollege of Public Health, Department of Health Policy and Management, Kent State UniversityOld Brooklyn Community Development CorporationCollege of Public Health, Department of Health Policy and Management, Kent State UniversityAbstract Background Multiple factors are linked to extremely high unintended pregnancy rates among women who use opioids, including various barriers to contraception adherence. These include patient level barriers such as lack of knowledge and education about highly effective contraception, and potential provider barriers. Using a mixed-methods framework to examine the contraception-related perceptions and preferences of opioid using women is a necessary next step to understanding this phenomenon. Methods A mixed-method study was conducted which included both self-report questionnaires along with a semi-structured qualitative interview of opioid-using pregnant or recently pregnant women in two drug treatment facilities in Ohio. Results Forty-two women completed the study. The majority of recent (75%) and total pregnancies were unintended. Male condoms were reported as the highest form of lifetime contraception used within the present sample (69%). Participants reported low lifetime use of long acting reversible contraception (LARC) (ranging from 5 to 12%). Participants preferred hormonal injections first (40%), followed by IUDs (17%). Reasons for preferences of injections and LARC were similar: not needing to remember, side effects, and long-term effectiveness. Conclusions Most of the study population participants stated they would utilize contraception, particularly Tier 1 LARC methods, if freely available; however, high rates of unintended pregnancy were observed in this sample. This indicates the need for contraception education, and addressing the procedural, logistical and economic barriers that may be preventing the use of LARC among this population.http://link.springer.com/article/10.1186/s40834-018-0056-yContraceptionPregnancyOpioid Drug Use |
| spellingShingle | Rebecca L. Fischbein Bethany G. Lanese Lynn Falletta Kelsey Hamilton Jennifer A. King Deric R. Kenne Pregnant or recently pregnant opioid users: contraception decisions, perceptions and preferences Contraception and Reproductive Medicine Contraception Pregnancy Opioid Drug Use |
| title | Pregnant or recently pregnant opioid users: contraception decisions, perceptions and preferences |
| title_full | Pregnant or recently pregnant opioid users: contraception decisions, perceptions and preferences |
| title_fullStr | Pregnant or recently pregnant opioid users: contraception decisions, perceptions and preferences |
| title_full_unstemmed | Pregnant or recently pregnant opioid users: contraception decisions, perceptions and preferences |
| title_short | Pregnant or recently pregnant opioid users: contraception decisions, perceptions and preferences |
| title_sort | pregnant or recently pregnant opioid users contraception decisions perceptions and preferences |
| topic | Contraception Pregnancy Opioid Drug Use |
| url | http://link.springer.com/article/10.1186/s40834-018-0056-y |
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