{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T01:43:11Z","timestamp":1792028591459,"version":"4.4.0"},"reference-count":27,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Sex Reprod Health"],"accepted":{"date-parts":[[2024,4,11]]},"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Little is known about the degree to which the COVID-19 pandemic, and associated restrictions and disruptions to health services, impacted the accessibility of hormonal long-acting reversible contraception (LARC) devices within Australia. Here, we explore longitudinal patterns of dispensing of the contraceptive implant and hormonal intrauterine devices (IUDs) within Australia, before and during the COVID-19 pandemic.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Population-based cohort study; analysis of 10% random sample of national Pharmaceutical Benefits Scheme dispensing data, for females aged 15\u201349 years dispensed a hormonal LARC device between February 2017 and November 2021.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Interrupted time-series analysis demonstrated overall that there were no significant differences in monthly dispensing rates of hormonal LARC following the Australian onset of the pandemic in April 2020, with no subsequent change in the trend. However, when stratified by LARC type, a significant increase was evident during the pandemic period (April 2020\u2013November 2021) in the rate of hormonal IUD dispensing per month (0.20 per 10 000 95% CI 0.01 to 0.38)), compared with a decrease for the implant (\u22120.08 per 10 000 (95% CI \u22120.16 to 0.01)). Increases in hormonal IUD dispensing during the pandemic were most pronounced for those aged 20\u201324 years, new users, those without a Commonwealth concession card, and in the State of Victoria.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Within Australia in the defined pandemic period, access to hormonal LARC devices was not negatively impacted. Rather a significant increase in dispensing of hormonal IUDs was evident.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjsrh-2024-202224","type":"journal-article","created":{"date-parts":[[2024,5,8]],"date-time":"2024-05-08T09:01:52Z","timestamp":1715158912000},"page":"262-269","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Longitudinal trends in uptake of hormonal long-acting reversible contraception devices throughout the COVID-19 pandemic: an Australian population-based study"],"prefix":"10.1136","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6513-4005","authenticated-orcid":false,"given":"Tahlee Blade","family":"Stevenson","sequence":"first","affiliation":[{"name":"School of Public Health, The University of Adelaide School of Public Health, Adelaide, South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice R","family":"Rumbold","sequence":"additional","affiliation":[{"name":"Robinson Research Institute, The University of Adelaide, Adelaide, South Australia, Australia"},{"name":"Women and Kids Theme, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivienne","family":"Moore","sequence":"additional","affiliation":[{"name":"School of Public Health, The University of Adelaide School of Public Health, Adelaide, South Australia, Australia"},{"name":"Robinson Research Institute, The University of Adelaide, Adelaide, South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Hall","sequence":"additional","affiliation":[{"name":"School of Public Health, The University of Adelaide School of Public Health, Adelaide, South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenni","family":"Ilomaki","sequence":"additional","affiliation":[{"name":"Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Clayton, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6158-7376","authenticated-orcid":false,"given":"Danielle","family":"Mazza","sequence":"additional","affiliation":[{"name":"Department of General Practice, Monash University, Notting Hill, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1035-7110","authenticated-orcid":false,"given":"Deborah","family":"Bateson","sequence":"additional","affiliation":[{"name":"The Daffodil Centre, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia"},{"name":"Discipline of Obstetrics, Gynaecology and Neonatology, Faculty of Medicine and Science, The University of Sydney, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8554-4696","authenticated-orcid":false,"given":"Luke E","family":"Grzeskowiak","sequence":"additional","affiliation":[{"name":"Women and Kids Theme, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia"},{"name":"Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Clayton, Victoria, Australia"},{"name":"College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,5,7]]},"reference":[{"key":"2025090513132626000_50.4.262.1","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1071\/PY21239","article-title":"\u2018I didn\u2019t want to visit a doctor unless it was extremely necessary\u2019: perspectives on delaying access to sexual and reproductive health care during the COVID-19 pandemic in Australia from an online survey","volume":"28","author":"Bittleston","year":"2022","journal-title":"Aust J Prim Health"},{"key":"2025090513132626000_50.4.262.2","doi-asserted-by":"publisher","DOI":"10.1363\/46e9020"},{"key":"2025090513132626000_50.4.262.3","unstructured":"United Nations . Impact of the COVID-19 pandemic on family planning and ending gender-based violence, female genital mutilation and child marriage. 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National, state and territory population: reference period June 2022. 2022. Available: https:\/\/www.abs.gov.au\/statistics\/people\/population\/national-state-and-territory-population\/jun-2022"},{"key":"2025090513132626000_50.4.262.14","doi-asserted-by":"publisher","DOI":"10.2307\/1913610"},{"key":"2025090513132626000_50.4.262.15","doi-asserted-by":"publisher","DOI":"10.2307\/2951684"},{"key":"2025090513132626000_50.4.262.16","doi-asserted-by":"publisher","DOI":"10.2307\/2286348"},{"key":"2025090513132626000_50.4.262.17","doi-asserted-by":"publisher","DOI":"10.1080\/13625187.2021.1884221"},{"key":"2025090513132626000_50.4.262.18","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1071\/SH22109","article-title":"Sustaining sexual and reproductive health through COVID-19 pandemic restrictions: qualitative interviews with Australian clinicians","volume":"19","author":"Newman","year":"2022","journal-title":"Sex Health"},{"key":"2025090513132626000_50.4.262.19","doi-asserted-by":"crossref","DOI":"10.2196\/20961","article-title":"Impact of the COVID-19 pandemic on partner relationships and sexual and reproductive health: cross-sectional, online survey study","volume":"22","author":"Li","year":"2020","journal-title":"J Med Internet Res"},{"key":"2025090513132626000_50.4.262.20","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2021.08.011"},{"key":"2025090513132626000_50.4.262.21","doi-asserted-by":"crossref","first-page":"389","DOI":"10.31128\/AJGP-09-18-4710","article-title":"Factors influencing young women's contraceptive choices","volume":"48","author":"Claringbold","year":"2019","journal-title":"Aust J Gen Pract"},{"key":"2025090513132626000_50.4.262.22","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1111\/ajo.12587","article-title":"Current barriers and potential strategies to increase the use of long-acting reversible contraception (LARC) to reduce the rate of unintended pregnancies in Australia: an expert roundtable discussion","volume":"57","author":"Mazza","year":"2017","journal-title":"Aust N Z J Obstet Gynaecol"},{"key":"2025090513132626000_50.4.262.23","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1080\/13625187.2021.1975268","article-title":"Satisfaction and continuation with LNG-IUS 12: findings from the real-world Kyleena\u00ae satisfaction study","volume":"26","author":"Stovall","year":"2021","journal-title":"Eur J Contracept Reprod Health Care"},{"key":"2025090513132626000_50.4.262.24","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/13625187.2022.2136939","article-title":"Bleeding profile satisfaction and pain and ease of placement with levonorgestrel 19.5 mg IUD: findings from the Kyleena\u00ae satisfaction study","volume":"28","author":"Donders","year":"2023","journal-title":"Eur J Contracept Reprod Health Care"},{"key":"2025090513132626000_50.4.262.25","first-page":"734","article-title":"Australian women\u2019s experiences of the subdermal contraceptive implant: a qualitative perspective","volume":"45","author":"Inoue","year":"2016","journal-title":"Aust Fam Physician"},{"key":"2025090513132626000_50.4.262.26","unstructured":"Qu L . Towards COVID normal: impacts on pregnancy and fertility intentions (Report No. 4). Melbourne, Australia Australian Institute of Family Studies; 2021. Available: https:\/\/aifs.gov.au\/sites\/default\/files\/publication-documents\/2106_4_fias_pregnancy_and_fertility_intentions_0.pdf"},{"key":"2025090513132626000_50.4.262.27","doi-asserted-by":"crossref","first-page":"2611","DOI":"10.1093\/humrep\/deac209","article-title":"An online survey of UK women\u2019s attitudes to having children, the age they want children and the effect of the COVID-19 pandemic","volume":"37","author":"Harper","year":"2022","journal-title":"Hum Reprod"}],"container-title":["BMJ Sexual &amp; Reproductive Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjsrh-2024-202224","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T20:13:37Z","timestamp":1757103217000},"score":1,"resource":{"primary":{"URL":"https:\/\/jfprhc.bmj.com\/lookup\/doi\/10.1136\/bmjsrh-2024-202224"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,7]]},"references-count":27,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,10,15]]},"published-print":{"date-parts":[[2024,10]]}},"alternative-id":["10.1136\/bmjsrh-2024-202224"],"URL":"https:\/\/doi.org\/10.1136\/bmjsrh-2024-202224","relation":{},"ISSN":["2515-1991","2515-2009"],"issn-type":[{"value":"2515-1991","type":"print"},{"value":"2515-2009","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,7]]}}}