{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:34:35Z","timestamp":1777944875767,"version":"3.51.4"},"reference-count":41,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Organon & Co., Inc."}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Changes in access to healthcare services during the COVID-19 pandemic may have impacted individuals\u2019 access to contraceptive care, including long-acting reversible contraceptives (LARCs), which require \u2a7e1 visit for insertion and\/or removal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>This study aimed to describe the utilization and accessibility of contraceptive services and contraceptive methods, including LARCs, during the COVID-19 pandemic and understand individuals\u2019 preferred approaches for accessing contraceptive care and prescriptions in the future.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Quantitative data were collected from US individuals assigned females at birth at risk for pregnancy and seeking contraceptive methods for pregnancy prevention (aged 18\u201349\u2009years) via an online survey fielded in 2022. Measures included: contraceptive methods used pre-pandemic, during the pandemic, current, and planned for the future; the impact of the pandemic on LARC insertions\/removals; site of care for contraceptive counseling, prescribing, and filling across time periods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Analyses included 1878 respondents; mean age\u2009=\u200930.8\u2009years, 86.2% cisgender female; 64.5% non-Hispanic White. The most common forms of contraception used by respondents pre-pandemic, during, and currently were the pill (31.0% (95% confidence interval (CI): 29.0%\u201333.2%), 31.3% (29.2%\u201333.4%), 28.3% (26.3%\u201330.4%)), male condom (10.9% (9.5%\u201312.3%), 12.8% (11.4%\u201314.4%), 13.7% (12.2%\u201315.3%)), intrauterine device (IUD) (8.5% (7.3%\u20139.8%), 9.6% (8.3%\u201311.0%), 10.2% (8.9%\u201311.6%)), implant (4.9% (4.0%\u20135.9%), 4.2% (3.4%\u20135.2%), 4.6% (3.8%\u20135.7%)), shot (4.8% (3.9%\u20135.9%), 4.3% (3.5%\u20135.3%), 4.0% (3.2%\u20135.0%)), and withdrawal (3.9% (3.1%\u20134.9%), 4.2% (3.4%\u20135.2%), 6.0% (5.0%\u20137.1%)), respectively. The use of these methods was consistent across time periods. Of respondents who wanted a LARC inserted (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009446) or removed (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009104) during the pandemic, 38.3% and 37.5%, respectively, reported their insertion\/removal was impacted by the pandemic (e.g., delayed, went to a different office, used a different healthcare provider). The proportion of respondents who planned to use in-person-only services for contraceptive care and remote-only services for filling prescriptions in the future was higher than before and during the pandemic.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Despite the consistency in the contraceptive methods used across time periods, the COVID-19 pandemic affected the way in which individuals received contraceptive services, particularly those seeking LARC services, which require in-person visits for insertion and removal. As we move out of the pandemic, special care should be paid to ensuring prompt access to individuals\u2019 preferred choice of contraceptive services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455057251351740","type":"journal-article","created":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T06:34:40Z","timestamp":1752129280000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Contraceptive access and use of long-acting reversible contraceptives during the COVID-19 pandemic and beyond"],"prefix":"10.1177","volume":"21","author":[{"given":"Simone","family":"Crespi","sequence":"first","affiliation":[{"name":"Organon &amp; Co., Jersey City, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. Janelle","family":"Cambron-Mellott","sequence":"additional","affiliation":[{"name":"Oracle Life Sciences, Oracle Corporation, Austin, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Candice","family":"Yong","sequence":"additional","affiliation":[{"name":"Organon &amp; Co., Jersey City, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bridget L.","family":"Balkaran","sequence":"additional","affiliation":[{"name":"Oracle Life Sciences, Oracle Corporation, Austin, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,7,9]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"National Family Planning & Reproductive Health Association. Performance measures for contraceptive care https:\/\/www.nationalfamilyplanning.org\/file\/Onepager_Contraceptive-Measures_-Messages-for-Health-Care-Settings.pdf (2018 accessed 3 November 2023)."},{"key":"e_1_3_3_3_2","unstructured":"Jones KB. Advancing access to contraception in states through quality measures and person-centered contraceptive counseling. Center for American Progress https:\/\/www.americanprogress.org\/article\/advancing-access-to-contraception-in-states-through-quality-measures-and-person-centered-contraceptive-counseling\/ (2023 accessed 6 November 2023)."},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19031749"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40834-020-00114-9"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1363\/2020.31482"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.srhc.2023.100844"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2023.08.031"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.conx.2023.100096"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.2165\/11591290-000000000-00000"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2021.08.011"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2022.12.011"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2021.106664"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2021.08.003"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2021.02.001"},{"key":"e_1_3_3_16_2","unstructured":"Oracle Life Sciences. 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Sencer CDC Museum https:\/\/www.cdc.gov\/museum\/timeline\/covid19.html (2022 accessed 8 March 2024)."},{"key":"e_1_3_3_22_2","unstructured":"Reynolds ends most mandates aimed at slowing virus spread. Associated Press https:\/\/apnews.com\/general-news-1a3145b8eb4ed91d626735426c353b82 (2021 accessed 20 November 2024)."},{"key":"e_1_3_3_23_2","unstructured":"Demillo A. Arkansas lifts most of its coronavirus safety restrictions. Associated Press https:\/\/apnews.com\/general-news-6dab3e7c5a1e9bd6604cff2800f3b1e0 (2021 accessed 20 November 2024)."},{"key":"e_1_3_3_24_2","unstructured":"Gecker J Dazio S. California fully reopens after being 1st to shut in pandemic. Associated Press https:\/\/www.pbs.org\/newshour\/nation\/california-fully-reopens-after-being-1st-to-shut-in-pandemic (2021 accessed 20 November 2024)."},{"key":"e_1_3_3_25_2","unstructured":"School Districts\u2019 Reopening Plans: A Snapshot. 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Birth control https:\/\/www.plannedparenthood.org\/learn\/birth-control (2021 accessed 22 September 2021)."},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1089\/whr.2021.0113"},{"key":"e_1_3_3_29_2","unstructured":"Mehrotra A Chernew ME Linetsky D et al The impact of the COVID-19 pandemic on outpatient visits: changing patterns of care in the newest COVID-19 hot spots https:\/\/www.commonwealthfund.org\/publications\/2020\/aug\/impact-covid-19-pandemic-outpatient-visits-changing-patterns-care-newest (2020 accessed 16 November 2023)."},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6936a4"},{"key":"e_1_3_3_31_2","article-title":"Practice bulletin No. 186: long-acting reversible contraception: implants and intrauterine devices","volume":"130","author":"Committee on Practice Bulletins-Gynecology, Long-Acting Reversible Contraception Work Group","year":"2017","unstructured":"Committee on Practice Bulletins-Gynecology, Long-Acting Reversible Contraception Work Group. 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American College of Obstetricians and Gynecologists https:\/\/www.acog.org\/clinical-information\/physician-faqs\/covid19-faqs-for-ob-gyns-gynecology (2020 accessed 10 November 2023)."},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.9745\/GHSP-D-20-00119"},{"key":"e_1_3_3_35_2","first-page":"190","article-title":"The impact of coronavirus on reproduction: contraceptive access, pregnancy rates, pregnancy delay, and the role of vaccination","volume":"3","author":"Aly J","year":"2022","unstructured":"Aly J, Choi L, Christy AY. The impact of coronavirus on reproduction: contraceptive access, pregnancy rates, pregnancy delay, and the role of vaccination. F S Rev 2022; 3: 190\u2013200.","journal-title":"F S Rev"},{"key":"e_1_3_3_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2021.04.006"},{"key":"e_1_3_3_37_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2022.0406"},{"key":"e_1_3_3_38_2","unstructured":"American College Health Association Guidelines. 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