{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T01:43:09Z","timestamp":1792028589399,"version":"4.4.0"},"reference-count":26,"publisher":"CSIRO Publishing","issue":"1","license":[{"start":{"date-parts":[[2025,8,19]],"date-time":"2025-08-19T00:00:00Z","timestamp":1755561600000},"content-version":"vor","delay-in-days":3557,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,2,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Long-acting reversible contraceptives are an effective means of preventing unwanted pregnancies and associated negative consequences. The Sexual Health and Family Planning Association of Australia has called for efforts to address barriers to the uptake of long-acting reversible contraceptives (LARCs) in Australia, where LARC uptake is thought to be low, though comprehensive data describing use and associated factors is scarce. The aims of this study were to describe patterns of prescriptions for the etonogestrel-releasing subdermal implant (SDI) in Australia, 2008\u20132012, and associated factors. Methods: Records of prescriptions written through Australia\u2019s Pharmaceutical Benefits Scheme from 2008 to 2012 were obtained, including patient age and geographic location. Direct, age-standardised rates (ASR) of prescriptions were calculated for each year and location, with multivariate analysis used to examine associations between prescription rates and patient age, location and proximity to family planning clinics (FPC) or Aboriginal Medical Services (AMS). Results: ASR of prescriptions rose ~6% per year (OR 1.06, 95%CI: 1.05\u20131.06) from 13.05 per 1000 (2008) to 15.76 per 1000 (2012; P &amp;lt; 0.01). Rates were highest among 15- to 19-year-olds, increasing from 20.81 (2008) to 29.09 per 1000 (2012: P &amp;lt; 0.01) and lowest among 45- to 49-year-olds, increasing from 3.37 to 3.73 per 1000 (P &amp;lt; 0.01). ASR by location were significantly higher in regional than metropolitan areas. Conclusions:This is the first analysis of SDI prescriptions across all ages and regions of Australia. Uptake of SDI in Australia is increasing but remains low. Significant associations were found between prescription rates and patient age and residence in regional\/remote areas.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh15141","type":"journal-article","created":{"date-parts":[[2015,11,22]],"date-time":"2015-11-22T17:11:19Z","timestamp":1448212279000},"page":"87-90","source":"Crossref","is-referenced-by-count":3,"title":["Prescription rates of the contraceptive implant in Australia 2008\u20132012: impact of patient age and area of residence"],"prefix":"10.1071","volume":"13","author":[{"given":"Amie L.","family":"Bingham","sequence":"first","affiliation":[{"name":"AGender & Women\u2019s Health Unit, Centre for Health Equity, Melbourne School of Population & Global Health, 207 Bouverie Street, University of Melbourne, Melbourne, Vic. 3010, Australia."},{"name":"CCorresponding author. Email: binghama@unimelb.edu.au"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cameryn C.","family":"Garrett","sequence":"additional","affiliation":[{"name":"AGender & Women\u2019s Health Unit, Centre for Health Equity, Melbourne School of Population & Global Health, 207 Bouverie Street, University of Melbourne, Melbourne, Vic. 3010, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne M.","family":"Kavanagh","sequence":"additional","affiliation":[{"name":"AGender & Women\u2019s Health Unit, Centre for Health Equity, Melbourne School of Population & Global Health, 207 Bouverie Street, University of Melbourne, Melbourne, Vic. 3010, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise A.","family":"Keogh","sequence":"additional","affiliation":[{"name":"AGender & Women\u2019s Health Unit, Centre for Health Equity, Melbourne School of Population & Global Health, 207 Bouverie Street, University of Melbourne, Melbourne, Vic. 3010, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca J.","family":"Bentley","sequence":"additional","affiliation":[{"name":"AGender & Women\u2019s Health Unit, Centre for Health Equity, Melbourne School of Population & Global Health, 207 Bouverie Street, University of Melbourne, Melbourne, Vic. 3010, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane S.","family":"Hocking","sequence":"additional","affiliation":[{"name":"BCentre for Epidemiology & Biostatistics, Melbourne School of Population & Global Health, 207 Bouverie Street, University of Melbourne, Melbourne, Vic. 3010, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"67","published-online":{"date-parts":[[2015,11,23]]},"reference":[{"key":"2025102616002814400_R1","doi-asserted-by":"publisher","first-page":"969","DOI":"10.2165\/11591290-000000000-00000","article-title":"Efficacy and safety of long-acting reversible contraception.","volume":"71","author":"Stoddard","year":"2011","journal-title":"Drugs"},{"key":"2025102616002814400_R2","doi-asserted-by":"publisher","first-page":"1998","DOI":"10.1056\/NEJMoa1110855","article-title":"Effectiveness of long-acting reversible contraception.","volume":"366","author":"Winner","year":"2012","journal-title":"N Engl J Med"},{"key":"2025102616002814400_R3","doi-asserted-by":"publisher","first-page":"304","DOI":"10.1016\/j.contraception.2008.11.003","article-title":"The cost-effectiveness of a long-acting reversible contraceptive (Implanon\u00ae) relative to oral contraception in a community setting.","volume":"79","author":"Lipetz","year":"2009","journal-title":"Contraception"},{"key":"2025102616002814400_R4","doi-asserted-by":"publisher","first-page":"1108","DOI":"10.1186\/1471-2458-12-1108","article-title":"Contraception matters: indicators of poor usage of contraception in sexually active women attending family planning clinics in Victoria, Australia.","volume":"12","author":"Ong","year":"2012","journal-title":"BMC Public Health"},{"key":"2025102616002814400_R5","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1080\/13625180902741436","article-title":"Profile of long-acting reversible contraception users in Europe.","volume":"14","author":"Haimovich","year":"2009","journal-title":"Eur J Contracept Reprod Health Care"},{"key":"2025102616002814400_R6","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1363\/46e1914","article-title":"Who is using long-acting reversible contraceptive methods? Findings from nine low-fertility countries.","volume":"46","author":"Eeckhaut","year":"2014","journal-title":"Perspect Sex Reprod Health"},{"key":"2025102616002814400_R7","unstructured":"Gray E, Arnunachalam D. Patterns of contraceptive use. HILDA Survey Research Conference 2013. Available online at: http:\/\/www.melbourneinstitute.com\/downloads\/conferences\/HILDA_2013\/HILDA_2013_papers\/Gray,%20Edith_final%20paper.pdf [verified 2 February 2015]."},{"key":"2025102616002814400_R8","unstructured":"Sexual Health & Family Planning Australia. Time for a change: increasing the use of long acting reversible contraceptive methods in Australia: a statement from Sexual Health and Family Planning Australia 2013. Available online at: http:\/\/www.shfpa.org.au\/sites\/shfpa.drupalgardens.com\/files\/201310\/LARCstatementSHFPAFINAL.pdf [verified 28 October 2013]."},{"key":"2025102616002814400_R9","unstructured":"National Institutes for Health and Clinical Excellence. Long-acting reversible contraception: NICE Guidelines CG30. Available online at: https:\/\/www.nice.org.uk\/guidance\/cg30 [verified 12 October 2015]."},{"key":"2025102616002814400_R10","doi-asserted-by":"publisher","first-page":"533","DOI":"10.1016\/j.contraception.2009.05.122","article-title":"Changing patterns of contraceptive use in Australian women.","volume":"80","author":"Lucke","year":"2009","journal-title":"Contraception"},{"key":"2025102616002814400_R11","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1017\/S0021932009990381","article-title":"Using a reproductive life course approach to understand contraceptive method use in Australia.","volume":"42","author":"Gray","year":"2010","journal-title":"J Biosoc Sci"},{"key":"2025102616002814400_R12","doi-asserted-by":"publisher","first-page":"115.e1","DOI":"10.1016\/j.ajog.2010.04.017","article-title":"The Contraceptive CHOICE Project: reducing barriers to long-acting reversible contraception.","volume":"203","author":"Secura","year":"2010","journal-title":"Am J Obstet Gynecol"},{"key":"2025102616002814400_R13","doi-asserted-by":"publisher","first-page":"372","DOI":"10.1016\/j.jadohealth.2012.11.003","article-title":"Factors associated with provision of long-acting reversible contraception among adolescent health care providers.","volume":"52","author":"Greenberg","year":"2013","journal-title":"J Adolesc Health"},{"key":"2025102616002814400_R14","doi-asserted-by":"publisher","first-page":"527","DOI":"10.1016\/j.contraception.2009.05.132","article-title":"Continuation rates and reasons for removal among Implanon\u00ae users accessing two family planning clinics in Queensland, Australia.","volume":"80","author":"Harvey","year":"2009","journal-title":"Contraception"},{"key":"2025102616002814400_R15","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1111\/1753-6405.12208","article-title":"Higher uptake of LARC and permanent contraceptive methods by Australian women living in rural and remote areas.","volume":"38","author":"Lucke","year":"2014","journal-title":"Aust N Z J Public Health"},{"key":"2025102616002814400_R16","unstructured":"Marie Stopes International. 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