{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T02:37:36Z","timestamp":1789699056641,"version":"4.0.1"},"reference-count":39,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2019,12,1]],"date-time":"2019-12-01T00:00:00Z","timestamp":1575158400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,12,1]],"date-time":"2019-12-01T00:00:00Z","timestamp":1575158400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100006823","name":"Boston Children\u2019s Hospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006823","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jpagonline.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pediatric and Adolescent Gynecology"],"published-print":{"date-parts":[[2019,12]]},"DOI":"10.1016\/j.jpag.2019.08.004","type":"journal-article","created":{"date-parts":[[2019,8,8]],"date-time":"2019-08-08T12:49:31Z","timestamp":1565268571000},"page":"615-621","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":29,"title":["Will it Hurt? The Intrauterine Device Insertion Experience and Long-Term Acceptability Among Adolescents and Young Women"],"prefix":"10.1016","volume":"32","author":[{"given":"Dana G.","family":"Callahan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura F.","family":"Garabedian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen F.","family":"Harney","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy D.","family":"DiVasta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jpag.2019.08.004_bib1","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1016\/j.jadohealth.2016.06.024","article-title":"Understanding the decline in adolescent fertility in the United States, 2007-2012","volume":"59","author":"Lindberg","year":"2016","journal-title":"J Adolesc Health"},{"key":"10.1016\/j.jpag.2019.08.004_bib2","first-page":"1","article-title":"Births: final data for 2016","volume":"67","author":"Martin","year":"2018","journal-title":"Natl Vital Stat Rep"},{"key":"10.1016\/j.jpag.2019.08.004_bib3","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1016\/j.jadohealth.2014.09.007","article-title":"Adolescent pregnancy, birth, and abortion rates across countries: levels and recent trends","volume":"56","author":"Sedgh","year":"2015","journal-title":"J Adolesc Health"},{"key":"10.1016\/j.jpag.2019.08.004_bib4","doi-asserted-by":"crossref","first-page":"983","DOI":"10.1097\/AOG.0b013e3182723b7d","volume":"120","year":"2012","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.jpag.2019.08.004_bib5","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1016\/j.jadohealth.2018.10.291","article-title":"Do adolescent women\u2019s contraceptive preferences predict method use and satisfaction? A survey of northern California family planning clients","volume":"64","author":"Walker","year":"2019","journal-title":"J Adolesc Health"},{"key":"10.1016\/j.jpag.2019.08.004_bib6","doi-asserted-by":"crossref","first-page":"S54","DOI":"10.1016\/j.jadohealth.2012.09.022","article-title":"Use of levonorgestrel intrauterine system for medical indications in adolescents","volume":"52","author":"Bayer","year":"2013","journal-title":"J Adolesc Health"},{"key":"10.1016\/j.jpag.2019.08.004_bib7","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1016\/j.jadohealth.2013.04.011","article-title":"Use of the intrauterine device among adolescent and young adult women in the United States from 2002 to 2010","volume":"53","author":"Whitaker","year":"2013","journal-title":"J Adolesc Health"},{"key":"10.1016\/j.jpag.2019.08.004_bib8","series-title":"Current contraceptive status among women aged 15-49: United States, 2015-2017. NCHS Data Brief, no 327","author":"Daniels","year":"2018"},{"key":"10.1016\/j.jpag.2019.08.004_bib9","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1016\/j.contraception.2010.02.020","article-title":"Attitudes and beliefs about the intrauterine device among teenagers and young women","volume":"82","author":"Fleming","year":"2010","journal-title":"Contraception"},{"key":"10.1016\/j.jpag.2019.08.004_bib10","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1016\/j.contraception.2014.01.011","article-title":"Fear of intrauterine contraception among adolescents in New York City","volume":"89","author":"Potter","year":"2014","journal-title":"Contraception"},{"key":"10.1016\/j.jpag.2019.08.004_bib11","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1016\/j.whi.2015.03.011","article-title":"Do knowledge and attitudes regarding intrauterine devices predict interest in their use?","volume":"25","author":"Gomez","year":"2015","journal-title":"Womens Health Issues"},{"key":"10.1016\/j.jpag.2019.08.004_bib12","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1016\/j.contraception.2016.02.007","article-title":"\u201cI don\u2019t know enough to feel comfortable using them\u201d: Women\u2019s knowledge of and barriers to long-acting reversible contraceptives on a college campus","volume":"93","author":"Hall","year":"2016","journal-title":"Contraception"},{"key":"10.1016\/j.jpag.2019.08.004_bib13","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1016\/j.fertnstert.2018.11.012","article-title":"Evaluating different pain lowering medications during intrauterine device insertion: a systematic review and network meta-analysis","volume":"111","author":"Samy","year":"2019","journal-title":"Fertil Steril"},{"key":"10.1016\/j.jpag.2019.08.004_bib14","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1016\/j.jpag.2018.05.008","article-title":"Pain perception during levonorgestrel-releasing intrauterine device insertion in nulliparous women: a systematic review","volume":"31","author":"Anthoulakis","year":"2018","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"10.1016\/j.jpag.2019.08.004_bib15","first-page":"CD007373","article-title":"Interventions for pain with intrauterine device insertion","volume":"29","author":"Lopez","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.jpag.2019.08.004_bib16","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1097\/AOG.0000000000002242","article-title":"Reducing pain during intrauterine device insertion \u2013 a randomized controlled trial in adolescent and young women","volume":"130","author":"Akers","year":"2017","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.jpag.2019.08.004_bib17","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/j.jadohealth.2018.02.001","article-title":"Association of anticipated insertional pain with intrauterine device initiation","volume":"63","author":"Narayan","year":"2018","journal-title":"J Adolesc Health"},{"key":"10.1016\/j.jpag.2019.08.004_bib18","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1016\/j.jpag.2016.06.007","article-title":"Intrauterine contraception continuation in adolescents and young women: a systematic review","volume":"29","author":"Usinger","year":"2016","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"10.1016\/j.jpag.2019.08.004_bib19","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1186\/1471-2288-13-3","article-title":"Participant recruitment in sensitive surveys: a comparative trial of \u2018opt in\u2019 versus \u2018opt out\u2019 approaches","volume":"13","author":"Hunt","year":"2013","journal-title":"BMC Med Res Methodol"},{"key":"10.1016\/j.jpag.2019.08.004_bib20","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/j.pain.2006.05.006","article-title":"Systematic review of the psychometric properties, interpretability and feasibility of self-report pain intensity measures for use in clinical trials in children and adolescents","volume":"125","author":"Stinson","year":"2006","journal-title":"Pain"},{"key":"10.1016\/j.jpag.2019.08.004_bib21","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1093\/aje\/kwg017","article-title":"Can we rely on retrospective pain assessments?","volume":"157","author":"Brauer","year":"2003","journal-title":"Am J Epidemiol"},{"key":"10.1016\/j.jpag.2019.08.004_bib22","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1016\/j.jclinepi.2006.07.015","article-title":"A one-item question with a Likert or Visual Analog Scale adequately measured current anxiety","volume":"60","author":"Davey","year":"2007","journal-title":"J Clin Epidemiol"},{"key":"10.1016\/j.jpag.2019.08.004_bib23","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/j.ijgo.2016.04.014","article-title":"A randomized controlled trial of nitrous oxide for intrauterine device insertion in nulliparous women","volume":"135","author":"Singh","year":"2016","journal-title":"Int J Gynecol Obstet"},{"key":"10.1016\/j.jpag.2019.08.004_bib24","doi-asserted-by":"crossref","first-page":"1130","DOI":"10.1097\/AOG.0000000000002596","article-title":"Satisfaction with the intrauterine device insertion procedure among adolescent and young adult women","volume":"131","author":"Akers","year":"2018","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.jpag.2019.08.004_bib25","doi-asserted-by":"crossref","first-page":"1007","DOI":"10.1017\/S0033291700009934","article-title":"Clinical applications of visual analogue scales: a critical review","volume":"18","author":"McCormack","year":"1988","journal-title":"Psychol Med"},{"key":"10.1016\/j.jpag.2019.08.004_bib26","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1016\/S1526-5900(03)00716-8","article-title":"Interpretation of visual analog scale ratings and change scores: a reanalysis of two clinical trials of postoperative pain","volume":"4","author":"Jensen","year":"2003","journal-title":"J Pain"},{"key":"10.1016\/j.jpag.2019.08.004_bib27","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1016\/j.jadohealth.2015.05.001","article-title":"Adolescent experiences with IUDs: a qualitative study","volume":"57","author":"Schmidt","year":"2015","journal-title":"J Adolesc Health"},{"key":"10.1016\/j.jpag.2019.08.004_bib28","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1097\/OGX.0000000000000272","article-title":"Pain management for gynecologic procedures in the office","volume":"71","author":"Ireland","year":"2016","journal-title":"Obstet Gynecol Surv"},{"key":"10.1016\/j.jpag.2019.08.004_bib29","first-page":"8","article-title":"Guarding against coercion while ensuring access: a delicate balance","volume":"17","author":"Gold","year":"2014","journal-title":"Guttmacher Policy Review"},{"key":"10.1016\/j.jpag.2019.08.004_bib30","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1016\/j.contraception.2014.01.027","article-title":"Celebration meets caution: LARC\u2019s boons, potential busts, and the benefits of a reproductive justice approach","volume":"89","author":"Higgins","year":"2014","journal-title":"Contraception"},{"key":"10.1016\/j.jpag.2019.08.004_bib31","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1016\/j.jadohealth.2012.07.004","article-title":"Identifying counseling needs of nulliparous adolescent intrauterine contraceptive users: a qualitative approach","volume":"52","author":"Brown","year":"2013","journal-title":"J Adolesc Health"},{"key":"10.1016\/j.jpag.2019.08.004_bib32","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/j.jpag.2016.07.002","article-title":"Barriers and facilitators to adolescents\u2019 use of long-acting reversible contraceptives","volume":"30","author":"Pritt","year":"2017","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"10.1016\/j.jpag.2019.08.004_bib33","doi-asserted-by":"crossref","first-page":"263","DOI":"10.3109\/01443615.2013.868424","article-title":"A prospective cohort study of pain with intrauterine device insertion among women with and without vaginal deliveries","volume":"34","author":"Allen","year":"2014","journal-title":"J Obstet Gynaecol"},{"key":"10.1016\/j.jpag.2019.08.004_bib34","doi-asserted-by":"crossref","first-page":"236.e1","DOI":"10.1016\/j.ajog.2017.10.017","article-title":"Anticipated pain as a predictor of discomfort with intrauterine device placement","volume":"218","author":"Dina","year":"2018","journal-title":"Am J Obstetrics Gynecol"},{"key":"10.1016\/j.jpag.2019.08.004_bib35","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1016\/j.contraception.2015.05.009","article-title":"Effect of an atraumatic vulsellum versus a single-tooth tenaculum on pain perception during intrauterine device insertion: a randomized controlled trial","volume":"92","author":"Doty","year":"2015","journal-title":"Contraception"},{"key":"10.1016\/j.jpag.2019.08.004_bib36","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1007\/s10397-015-0895-3","article-title":"Anxiety at outpatient hysteroscopy","volume":"12","author":"Gambadauro","year":"2015","journal-title":"Gynecol Surg"},{"key":"10.1016\/j.jpag.2019.08.004_bib37","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1111\/jocn.13751","article-title":"Intrauterine contraception insertion pain: nursing interventions to improve patient experience","volume":"27","author":"McCarthy","year":"2018","journal-title":"J Clin Nurs"},{"key":"10.1016\/j.jpag.2019.08.004_bib39","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1136\/jfprhc-2014-101046","article-title":"Intrauterine contraception in nulliparous women: a prospective survey","volume":"42","author":"Hall","year":"2016","journal-title":"J Fam Plann Reprod Health Care"},{"key":"10.1016\/j.jpag.2019.08.004_bib40","doi-asserted-by":"crossref","DOI":"10.1016\/j.jpag.2019.02.121","article-title":"Practical tips for intrauterine device counseling and pain relief in adolescents: an update","author":"Hillard","year":"2019","journal-title":"J Pediatr Adolesc Gynecol"}],"container-title":["Journal of Pediatric and Adolescent Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1083318819302608?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1083318819302608?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T13:46:25Z","timestamp":1761054385000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1083318819302608"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12]]},"references-count":39,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2019,12]]}},"alternative-id":["S1083318819302608"],"URL":"https:\/\/doi.org\/10.1016\/j.jpag.2019.08.004","relation":{},"ISSN":["1083-3188"],"issn-type":[{"value":"1083-3188","type":"print"}],"subject":[],"published":{"date-parts":[[2019,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Will it Hurt? The Intrauterine Device Insertion Experience and Long-Term Acceptability Among Adolescents and Young Women","name":"articletitle","label":"Article Title"},{"value":"Journal of Pediatric and Adolescent Gynecology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jpag.2019.08.004","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}