{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:00:53Z","timestamp":1747188053287,"version":"3.40.5"},"reference-count":41,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,4,24]],"date-time":"2024-04-24T00:00:00Z","timestamp":1713916800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Studies in Family Planning"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The Zika Contraception Access Network (Z\u2010CAN) provided access to high\u2010quality client\u2010centered contraceptive services across Puerto Rico during the 2016\u20132017 Zika virus outbreak. We sent online surveys during May 2017\u2013August 2020 to a subset of Z\u2010CAN patients at 6, 24, and 36 months after program enrollment (response rates: 55\u201360 percent). We described contraceptive method continuation, method satisfaction, and method switching, and we identified characteristics associated with discontinuation using multivariable logistic regression. Across all contraceptive methods, continuation was 82.5 percent, 64.2 percent, and 49.9 percent at 6, 24, and 36 months, respectively. Among continuing users, method satisfaction was approximately \u226590 percent. Characteristics associated with decreased likelihood of discontinuation included: using an intrauterine device or implant compared with a nonlong\u2010acting reversible contraceptive method (shot, pills, ring, patch, or condoms alone); wanting to prevent pregnancy at follow\u2010up; and receiving as their baseline method the same method primarily used before Z\u2010CAN. Other associated characteristics included: receiving the method they were most interested in postcounseling (6 and 24 months) and being very satisfied with Z\u2010CAN services at the initial visit (6 months). Among those wanting to prevent pregnancy at follow\u2010up, about half reported switching to another method. Ongoing access to contraceptive services is essential for promoting reproductive autonomy, including supporting patients with continued use, method switching, or discontinuation.<\/jats:p>","DOI":"10.1111\/sifp.12262","type":"journal-article","created":{"date-parts":[[2024,4,25]],"date-time":"2024-04-25T04:49:50Z","timestamp":1714020590000},"page":"105-125","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Continuation of Reversible Contraception Following Enrollment in the Zika Contraception Access Network (Z\u2010CAN) in Puerto Rico, 2016\u20132020"],"prefix":"10.1111","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6536-7124","authenticated-orcid":false,"given":"Lauren B.","family":"Zapata","sequence":"first","affiliation":[{"name":"Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 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