{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T06:40:34Z","timestamp":1789800034907,"version":"4.0.1"},"reference-count":32,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,7,4]],"date-time":"2024-07-04T00:00:00Z","timestamp":1720051200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Perspect Sexual Reproductive"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>We describe the experiences and preferences of women who switched from clinic\u2010administered intramuscular depot medroxyprogesterone acetate (DMPA\u2010IM) to self\u2010administered subcutaneous DMPA (DMPA\u2010SC) in the context of the COVID\u201019 pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted interviews with women in California and Washington about their experiences with self\u2010administered DMPA\u2010SC. We interviewed women after their first or second self\u2010administered DMPA\u2010SC injection and conducted follow\u2010up interviews after their third or fourth injection. We performed both thematic and descriptive content analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We completed 29 interviews with 15 women. Most participants (<jats:italic>n<\/jats:italic>\u2009=\u200910) were between the ages of 20 and 39 and the majority (<jats:italic>n<\/jats:italic>\u2009=\u200912) used DMPA primarily for contraception. Most (<jats:italic>n<\/jats:italic>\u2009=\u200913) described self\u2010administered DMPA\u2010SC as \u201cvery easy\u201d or \u201csomewhat easy\u201d to use and reported greater convenience, decreased pain, fewer logistical and financial challenges, increased privacy, and improved comfort with injection compared to DMPA\u2010IM. Participants identified difficulties obtaining DMPA\u2010SC from pharmacies and safe needle disposal as barriers. Most (<jats:italic>n<\/jats:italic>\u2009=\u200913) would recommend DMPA\u2010SC to a friend and desired to continue self\u2010administration beyond the COVID\u201019 pandemic. Participants recommended counseling all patients about this option alongside other contraceptive methods, and offering clinician supervision, if desired.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Women who switched from in\u2010clinic DMPA\u2010IM to self\u2010administered DMPA\u2010SC during the COVID\u201019 pandemic preferred the latter and intended to continue self\u2010administration. Self\u2010administration of DMPA\u2010SC should be routinely offered and easily accessible to patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/psrh.12278","type":"journal-article","created":{"date-parts":[[2024,7,5]],"date-time":"2024-07-05T03:18:51Z","timestamp":1720149531000},"page":"347-357","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Patient experiences switching from in\u2010clinic to self\u2010administration of injectable contraception in two Western US states"],"prefix":"10.1111","volume":"56","author":[{"given":"Rebecca L.","family":"Newmark","sequence":"first","affiliation":[{"name":"Department of Humanities and Social Sciences University of California  San Francisco California USA"},{"name":"School of Medicine University of California  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline C.","family":"Hodge","sequence":"additional","affiliation":[{"name":"School of Medicine University of California  San Francisco California USA"},{"name":"Department of Anthropology University of Pennsylvania  Philadephia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace","family":"Shih","sequence":"additional","affiliation":[{"name":"Department of Family Medicine University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Karlin","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine University of California  San Francisco California 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