{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T09:54:50Z","timestamp":1775814890569,"version":"3.50.1"},"reference-count":35,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,2,15]],"date-time":"2016-02-15T00:00:00Z","timestamp":1455494400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100001605","name":"Epilepsy Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100001605","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Epilepsia"],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To report the contraceptive practices of women with epilepsy (<jats:styled-content style=\"fixed-case\">WWE<\/jats:styled-content>) in the community, predictors of highly effective contraception use, and reasons <jats:styled-content style=\"fixed-case\">WWE<\/jats:styled-content> provide for the selection of a particular method.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>These cross\u2010sectional data come from the Epilepsy Birth Control Registry (<jats:styled-content style=\"fixed-case\">EBCR<\/jats:styled-content>) web\u2010based survey regarding the contraceptive practices of 1,144 <jats:styled-content style=\"fixed-case\">WWE<\/jats:styled-content> in the community, ages 18\u201347 years. We report demographic, epilepsy, and antiepileptic drug (<jats:styled-content style=\"fixed-case\">AED<\/jats:styled-content>) characteristics as well as contraceptive use. We determined the frequency of use of highly effective contraception use, that is, methods with failure rate &lt;10%\/year, and conducted binary logistic regression analysis to determine predictors of highly effective contraception use. We report frequencies of <jats:styled-content style=\"fixed-case\">WWE<\/jats:styled-content> who consult various health care providers regarding the selection of a method and the reasons cited for selection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 796 <jats:styled-content style=\"fixed-case\">WWE<\/jats:styled-content> at risk of unintended pregnancy, 69.7% use what is generally considered to be highly effective contraception (hormonal, intrauterine device [<jats:styled-content style=\"fixed-case\">IUD<\/jats:styled-content>], tubal, vasectomy). Efficacy in <jats:styled-content style=\"fixed-case\">WWE<\/jats:styled-content>, especially for the 46.6% who use hormonal contraception, remains to be proven. Significant predictors of highly effective contraception use are insurance (insured 71.6% vs. noninsured 56.0%), race\/ethnicity (Caucasian 71.3% vs. minority 51.0%), and age (38\u201347, 77.5%; 28\u201337, 71.8%; 18\u201327, 67.0%). Of the 87.2% who have a neurologist, only 25.4% consult them regarding selection of a method, although <jats:styled-content style=\"fixed-case\">AED<\/jats:styled-content> interaction is cited as the top reason for selection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Significance<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">EBCR<\/jats:styled-content> web\u2010based survey is the first large\u2010scale study of the contraceptive practices of <jats:styled-content style=\"fixed-case\">WWE<\/jats:styled-content> in the community. The findings suggest a need for the development of evidence\u2010based guidelines that address the efficacy and safety of contraceptive methods in this special population, and for greater discourse between neurologists and <jats:styled-content style=\"fixed-case\">WWE<\/jats:styled-content> regarding contraception.<\/jats:p><\/jats:sec>","DOI":"10.1111\/epi.13320","type":"journal-article","created":{"date-parts":[[2016,2,16]],"date-time":"2016-02-16T08:28:01Z","timestamp":1455611281000},"page":"630-637","source":"Crossref","is-referenced-by-count":46,"title":["Contraceptive practices of women with epilepsy: Findings of the epilepsy birth control registry"],"prefix":"10.1111","volume":"57","author":[{"given":"Andrew G.","family":"Herzog","sequence":"first","affiliation":[{"name":"Harvard Neuroendocrine Unit Beth Israel Deaconess Medical Center Boston Massachusetts U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannah B.","family":"Mandle","sequence":"additional","affiliation":[{"name":"Harvard Neuroendocrine Unit Beth Israel Deaconess Medical Center Boston Massachusetts U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaitlyn E.","family":"Cahill","sequence":"additional","affiliation":[{"name":"Harvard Neuroendocrine Unit Beth Israel Deaconess Medical Center Boston Massachusetts U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristen M.","family":"Fowler","sequence":"additional","affiliation":[{"name":"Harvard Neuroendocrine Unit Beth Israel Deaconess Medical Center Boston Massachusetts U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W. Allen","family":"Hauser","sequence":"additional","affiliation":[{"name":"Gertrude H. Sergievsky Center Mailman School of Public Health Columbia University New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne R.","family":"Davis","sequence":"additional","affiliation":[{"name":"Department of OBGYN Columbia University Medical Center New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,2,15]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.yebeh.2012.05.010"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(11)70107-7"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e3182574f39"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/med\/9780199746545.003.0077"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.seizure.2015.02.024"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.2165\/00023210-200216040-00005"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.seizure.2007.11.012"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000344167.78102.f0"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1528-1167.2010.02917.x"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2010.06.013"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.34.7.959"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.49.1.47"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2125.2005.02539.x"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.yebeh.2009.01.024"},{"key":"e_1_2_9_16_1","volume-title":"Educational attainment","author":"U.S. Census Bureau"},{"key":"e_1_2_9_17_1","volume-title":"Current population survey, 2013 annual social and economic supplement","author":"U.S. Census Bureau"},{"key":"e_1_2_9_18_1","volume-title":"State characteristics: vintage 2013","author":"U.S. Census Bureau"},{"key":"e_1_2_9_19_1","volume-title":"Health insurance coverage in the United States: 2013. 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