Advances in Reproductive Sciences

Volume 8, Issue 3 (August 2020)

ISSN Print: 2330-0744   ISSN Online: 2330-0752

Google-based Impact Factor: 0.86  Citations  

Impact of Social Determinants of Health on the Choice and Use of Long Acting Reversible Contraceptives

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DOI: 10.4236/arsci.2020.83014    245 Downloads   637 Views  


Modern women have increased options for birth control with the development of Long Acting Reversible Contraceptives (LARCs). These methods are reliable, easy to use, and require less daily maintenance while providing contraception for an extended period of time. However, despite the surge of LARCs as contraceptive options, the prevalence of unintended pregnancies is still alarmingly high in the United States. As LARCs are the most effective reversible method of birth control at preventing pregnancy, and therefore the potential social, financial, and medical complications associated, we examined whether social determinants of health play a role in LARC usage. While parity and marriage do not seem to affect LARC utilization, increased research is needed to determine the effects of race. Age can affect the type of LARC implemented, as younger women prefer implants to intrauterine devices (IUDs). Insurance coverage was an apparent influencer of LARC usage, as low out-of-pocket costs translate to increased utilization. This is linked to socioeconomic status (SES), as lower SES is associated with decreased access to healthcare in general. Increased research is needed in order to draw conclusions about the effects of education, intimate partner violence, geographic location, and other SDH on LARC usage.

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Zoorob, D. , McNamee, C. , Reilly, M. , Loss, L. and VanHook, J. (2020) Impact of Social Determinants of Health on the Choice and Use of Long Acting Reversible Contraceptives. Advances in Reproductive Sciences, 8, 166-174. doi: 10.4236/arsci.2020.83014.

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