Integration of a contraception clinic into an opioid treatment setting to improve contraception knowledge, accessibility and uptake: a pilot study
Abstract Objective: To assess the feasibility and acceptability of integrating a contraception clinic within an opioid agonist treatment (OAT) service to improve access to contraception, especially long‐acting reversible methods of contraception (LARC), for women receiving OAT, who have increased ri...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-10-01
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| Series: | Australian and New Zealand Journal of Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/1753-6405.13025 |
| _version_ | 1797764008000880640 |
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| author | Carolyn A. Day Bethany White Sharon E. Reid Molly Fowler Kirsten I. Black |
| author_facet | Carolyn A. Day Bethany White Sharon E. Reid Molly Fowler Kirsten I. Black |
| author_sort | Carolyn A. Day |
| collection | DOAJ |
| description | Abstract Objective: To assess the feasibility and acceptability of integrating a contraception clinic within an opioid agonist treatment (OAT) service to improve access to contraception, especially long‐acting reversible methods of contraception (LARC), for women receiving OAT, who have increased risk of unplanned pregnancies and adverse pregnancy outcomes. Methods: A contraception clinic was established at a Sydney OAT service. Forty‐eight female OAT clients were surveyed regarding their contraception knowledge and needs. Interested and eligible women were referred to the contraception clinic. Results: Women were aged a median of 39 years (range 24–54 years). Most women (83%) agreed it was acceptable for their OAT clinician to discuss contraception with them. Eight women reported current LARC use and 21 reported they would consider using LARC. Twenty‐three women were eligible for contraception (sexually active, aged <50 years, not using contraception, wishing to avoid pregnancy). Six months post‐survey two women had presented to the clinic and two reported an unintended pregnancy. Conclusion: Uptake of an on‐site contraception service within OAT clinic was low, despite participants’ expressed willingness to use the service. Access is therefore not the only driver of low contraception uptake for this group. Implications for public health: Other issues besides access to contraception warrant investigation to improve contraception uptake for women receiving OAT. |
| first_indexed | 2024-03-12T19:50:30Z |
| format | Article |
| id | doaj.art-e0d79ee6a7c247028945878db475fbd3 |
| institution | Directory Open Access Journal |
| issn | 1326-0200 1753-6405 |
| language | English |
| last_indexed | 2024-03-12T19:50:30Z |
| publishDate | 2020-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Australian and New Zealand Journal of Public Health |
| spelling | doaj.art-e0d79ee6a7c247028945878db475fbd32023-08-02T03:17:25ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052020-10-0144536036210.1111/1753-6405.13025Integration of a contraception clinic into an opioid treatment setting to improve contraception knowledge, accessibility and uptake: a pilot studyCarolyn A. Day0Bethany White1Sharon E. Reid2Molly Fowler3Kirsten I. Black4Addiction Medicine The Sydney University Central Clinical School New South WalesAddiction Medicine The Sydney University Central Clinical School New South WalesSydney School of Public Health, Faculty of Medicine and Health University of Sydney New South WalesAddiction Medicine The Sydney University Central Clinical School New South WalesObstetrics, Gynaecology and Neonatology The Sydney University Central Clinical School New South WalesAbstract Objective: To assess the feasibility and acceptability of integrating a contraception clinic within an opioid agonist treatment (OAT) service to improve access to contraception, especially long‐acting reversible methods of contraception (LARC), for women receiving OAT, who have increased risk of unplanned pregnancies and adverse pregnancy outcomes. Methods: A contraception clinic was established at a Sydney OAT service. Forty‐eight female OAT clients were surveyed regarding their contraception knowledge and needs. Interested and eligible women were referred to the contraception clinic. Results: Women were aged a median of 39 years (range 24–54 years). Most women (83%) agreed it was acceptable for their OAT clinician to discuss contraception with them. Eight women reported current LARC use and 21 reported they would consider using LARC. Twenty‐three women were eligible for contraception (sexually active, aged <50 years, not using contraception, wishing to avoid pregnancy). Six months post‐survey two women had presented to the clinic and two reported an unintended pregnancy. Conclusion: Uptake of an on‐site contraception service within OAT clinic was low, despite participants’ expressed willingness to use the service. Access is therefore not the only driver of low contraception uptake for this group. Implications for public health: Other issues besides access to contraception warrant investigation to improve contraception uptake for women receiving OAT.https://doi.org/10.1111/1753-6405.13025opioid agonist treatmentservice integrationwomenlong‐acting reversible contraception |
| spellingShingle | Carolyn A. Day Bethany White Sharon E. Reid Molly Fowler Kirsten I. Black Integration of a contraception clinic into an opioid treatment setting to improve contraception knowledge, accessibility and uptake: a pilot study Australian and New Zealand Journal of Public Health opioid agonist treatment service integration women long‐acting reversible contraception |
| title | Integration of a contraception clinic into an opioid treatment setting to improve contraception knowledge, accessibility and uptake: a pilot study |
| title_full | Integration of a contraception clinic into an opioid treatment setting to improve contraception knowledge, accessibility and uptake: a pilot study |
| title_fullStr | Integration of a contraception clinic into an opioid treatment setting to improve contraception knowledge, accessibility and uptake: a pilot study |
| title_full_unstemmed | Integration of a contraception clinic into an opioid treatment setting to improve contraception knowledge, accessibility and uptake: a pilot study |
| title_short | Integration of a contraception clinic into an opioid treatment setting to improve contraception knowledge, accessibility and uptake: a pilot study |
| title_sort | integration of a contraception clinic into an opioid treatment setting to improve contraception knowledge accessibility and uptake a pilot study |
| topic | opioid agonist treatment service integration women long‐acting reversible contraception |
| url | https://doi.org/10.1111/1753-6405.13025 |
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