{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T15:23:58Z","timestamp":1761578638433},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,12,20]],"date-time":"2018-12-20T00:00:00Z","timestamp":1545264000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["5U54MD007584\u201005"],"award-info":[{"award-number":["5U54MD007584\u201005"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Midwife Womens Health"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Intrauterine devices and contraceptive implants are recommended as first\u2010line contraceptives by health care professional societies. However, uptake among US women lags substantially behind other developed countries. Little information is available on the extent to which clinicians document discussion about long\u2010acting reversible contraception (LARC) in this patient population. We sought to determine the frequency with which clinicians document LARC discussion with eligible women aged 14 to 25 years in a training clinic and evaluate factors associated with LARC discussion and uptake.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a retrospective chart review of all visits of nonpregnant women aged 14 to 25 years seen at an obstetrics and gynecology resident physician clinic during a calendar year. A logistic regression model was used to assess demographic factors associated with LARC education and uptake.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 450 visits by eligible patients, LARC discussion was documented during 47.8% (215\/450) of visits. Among visits with documentation of LARC counseling, 45.6% (98\/215) had documentation of a LARC placement plan. Among patients who decided to initiate LARC, 40.8% (40\/98) had a device placed at the same visit. LARC placement was documented during 8.9% (40\/450) of visits. Clinicians documented LARC counseling for women aged 14 to 19 years more frequently than for women aged 20 to 25 years. Compared with women who did not use any method of contraception, clinicians documented LARC counseling less frequently for women who used short\u2010term hormonal contraception.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Clinicians in a training clinic did not document LARC counseling for more than half of eligible patients. Every clinical visit is an opportunity to assess risk of unintended pregnancy and ensure that contraceptive needs are addressed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jmwh.12934","type":"journal-article","created":{"date-parts":[[2018,12,20]],"date-time":"2018-12-20T10:09:55Z","timestamp":1545300595000},"page":"194-200","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Promotion of Long\u2010Acting Reversible Contraception Among Adolescents and Young Adults"],"prefix":"10.1111","volume":"64","author":[{"given":"Somsook","family":"Santibenchakul","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Tschann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alyssa Dee P.","family":"Carlson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"L. Hurwitz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Salcedo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,12,20]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1363\/3809006"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa1506575"},{"key":"e_1_2_7_4_1","unstructured":"Latest population estimate data 2014.Hawai\u2018iDepartment of Business Economic Development & Tourism website.http:\/\/census.hawaii.gov\/home\/population-estimate\/. Accessed January 1 2016."},{"key":"e_1_2_7_5_1","unstructured":"SchempfA HayesD CalhounC FuddyL.Unintended Pregnancy Fact Sheet. Honolulu HI: Hawai\u2018i Department of Health Family Health Services Division; December 2010.http:\/\/health.hawaii.gov\/mchb\/files\/2013\/05\/unintendedpregnancy2010.pdf. Accessed January 1 2016."},{"issue":"4","key":"e_1_2_7_6_1","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1097\/MOP.0b013e3283557b89","article-title":"Adolescent childbearing: consequences and interventions","volume":"24","author":"Ruedinger E","year":"2012","journal-title":"Curr Opin Pediatr"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/jmf.16.5.265.270"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedhc.2010.02.005"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)62460-0"},{"key":"e_1_2_7_10_1","unstructured":"Guttmacher Institute.Fact sheet: contraceptive use in the United States 2015. Guttmacher Institute website.https:\/\/www.guttmacher.org\/pubs\/fb_contr_use.html. Accessed January 1 2016."},{"key":"e_1_2_7_11_1","first-page":"20","volume-title":"Contraceptive Technology","author":"Trusell J","year":"2011"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31820563d3"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31821188ad"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3182723b7d"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001587"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2016.05.018"},{"issue":"4","key":"e_1_2_7_17_1","first-page":"19","article-title":"Popularity disparity: attitudes about the IUD in Europe and the United States","volume":"10","author":"Sonfield A.","year":"2007","journal-title":"Guttmacher Policy Rev."},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/GRF.0000000000000070"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.4278\/0890-1171-10.4.282"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1542-2011.2011.00093.x"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/1751-0473-3-17"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-011-1647-3"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.12578"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/GRF.0000000000000333"},{"issue":"11","key":"e_1_2_7_26_1","first-page":"299","article-title":"Physician adherence to sexually transmitted infection screening guidelines in an ob\/gyn teaching clinic in Hawai\u2018i","volume":"76","author":"Carlson ADP","year":"2017","journal-title":"Hawaii J Med Public Health"}],"container-title":["Journal of Midwifery &amp; Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjmwh.12934","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jmwh.12934","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jmwh.12934","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jmwh.12934","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T23:38:00Z","timestamp":1694216280000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jmwh.12934"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,12,20]]},"references-count":25,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.1111\/jmwh.12934"],"URL":"https:\/\/doi.org\/10.1111\/jmwh.12934","archive":["Portico"],"relation":{},"ISSN":["1526-9523","1542-2011"],"issn-type":[{"value":"1526-9523","type":"print"},{"value":"1542-2011","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,12,20]]},"assertion":[{"value":"2018-06-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-10-18","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-12-20","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}