Breaking Barriers to Long Acting Reversible Contraception: Preventing Rapid Repeat Pregnancy in Latina Teens
Public Deposited- Last Modified
- February 26, 2019
- Creator
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Allen, Lauren
- Affiliation: School of Nursing
- Abstract
- Despite evidence of the disparity between the most common and the most effective contraceptive methods, slow progress has been made to reduce it. In a poll of 816 physicians and advanced practice clinicians in 2008, 40% did not offer intrauterine contraception to patients seeking contraception (Russo, Miller, & Gold, 2013). The cost of LARC methods has been one of the main barriers to use. When LARC has been provided free of charge to patients, it has resulted in significantly higher use, and therefore lower birth rates and abortions (Eisenberg et al., 2013). Myths about LARC have persisted as well, deterring patients from choosing these methods. These myths are especially prominent among populations who could receive the greatest benefit from LARC (Russo et al., 2013). Adolescent mothers are less likely to be informed about different types of contraceptives and are more likely to have misconceptions about the risks and adverse effects of each type. Communication and education through counseling between the patient and provider is the third barrier to promoting the most effective contraceptive use and reducing teen pregnancy and RRP. The emphasis of family planning has been the provider giving objective information to the patient without suggesting one method over another. In recent studies, patients have shown a preference for the provider to give advice about methods they recommend rather than delegating the decision entirely to the patient (Dehlendorf, Levy, Kelley, Grumbach & Steinauer, 2013). In this paper, my goal is to address the barriers to providing LARC for adolescent Latina patients who have had one previous pregnancy and to create a tool to facilitate communication between the provider and the patient that can address these barriers. The goal of this study is to improve the lives of Latina teens and their children by giving them the knowledge and resources to make an informed decision about contraception, which can ultimately affect their quality of life and potential for success.
- Date of publication
- spring 2014
- Keyword
- DOI
- Resource type
- Rights statement
- In Copyright
- Note
- Funding: None
- Advisor
- Gingrich, Pat
- Degree
- Bachelor of Science
- Honors level
- Highest Honors
- Degree granting institution
- University of North Carolina at Chapel Hill
- Extent
- 41
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