{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T10:57:29Z","timestamp":1740135449200,"version":"3.37.3"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2019,10,18]],"date-time":"2019-10-18T00:00:00Z","timestamp":1571356800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,10,18]],"date-time":"2019-10-18T00:00:00Z","timestamp":1571356800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Ministry of Social Affairs, Integration, and Gender Equality of Mecklenburg-West Pomerania"},{"name":"German Research Foundation and Open Access Publication Fund of the University of Greifswald","award":["393148499"],"award-info":[{"award-number":["393148499"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Women's Health"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n              <jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>To determine whether use of intrauterine device (IUD) is influenced by a history of induced abortion and the type of contraceptives used until costs are covered.<\/jats:p>\n              <\/jats:sec>\n              <jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We analyzed data from 301 female residents in Mecklenburg-West Pomerania, an economically challenged community. The women, aged between 20 and 35\u2009years, were entitled to receive unemployment benefits, and had access to free-of-charge oral contraceptives, ring or IUD. Cross-sectional data were analyzed using logistic regression.<\/jats:p>\n              <\/jats:sec>\n              <jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>There were 112 (37.2%) women with a history of induced abortion, and 46 (15.3%) reported exclusively using less effective contraceptives (e.g. condoms). In a univariate logistic regression, use of an IUD was associated with a history of having had an induced abortion. Furthermore, uptake of an IUD was associated with women who had, until costs were covered, exclusively choice to use less effective contraceptives (OR\u2009=\u20093.281, 95% CI: 1.717; 6.273). Both associations remained significant in a multivariate model.<\/jats:p>\n              <\/jats:sec>\n              <jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Free contraceptives provided to women receiving unemployment benefits may increase the use of IUDs, especially among those with a history of an induced abortion and those using less effective contraceptives.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12905-019-0821-3","type":"journal-article","created":{"date-parts":[[2019,10,18]],"date-time":"2019-10-18T12:04:10Z","timestamp":1571400250000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association between the use of free-of-charge intrauterine devices and a history of induced abortion: a retrospective study"],"prefix":"10.1186","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7617-0266","authenticated-orcid":false,"given":"Sabina","family":"Ulbricht","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angelika","family":"Beyer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulrich","family":"John","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2019,10,18]]},"reference":[{"issue":"3","key":"821_CR1","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1016\/j.contraception.2015.10.004","volume":"93","author":"H Bexhell","year":"2016","unstructured":"Bexhell H, Guthrie K, Cleland K, Trussell J. Unplanned pregnancy and contraceptive use in Hull and East Yorkshire. Contraception. 2016;93(3):233\u20135.","journal-title":"Contraception."},{"issue":"3","key":"821_CR2","doi-asserted-by":"publisher","first-page":"301","DOI":"10.1111\/j.1728-4465.2014.00393.x","volume":"45","author":"G Sedgh","year":"2014","unstructured":"Sedgh G, Singh S, Hussain R. Intended and unintended pregnancies worldwide in 2012 and recent trends. Stud Fam Plan. 2014;45(3):301\u201314.","journal-title":"Stud Fam Plan"},{"key":"821_CR3","unstructured":"Restricted access to abortion violates human rights, precludes reproductive justice, and demands a public health intervention; 2015. \n                    http:\/\/www.apha.org\/policies-and-advocacy\/public-health-policy-statements\/policy-database\/2016\/01\/04\/11\/24\/restricted-access-to-abortion-violates-human-rights\n                    \n                  ."},{"issue":"12","key":"821_CR4","doi-asserted-by":"publisher","first-page":"1904","DOI":"10.2105\/AJPH.2017.304042","volume":"107","author":"RK Jones","year":"2017","unstructured":"Jones RK, Jerman J. Population group abortion rates and lifetime incidence of abortion: United States, 2008-2014. 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Acta Obstet Gynecol Scand. 2018;97(11):1349\u201357.","journal-title":"Acta Obstet Gynecol Scand"},{"issue":"1","key":"821_CR9","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1016\/j.contraception.2018.08.016","volume":"99","author":"AH Roe","year":"2019","unstructured":"Roe AH, Bartz D. Society of Family Planning clinical recommendations: contraception after surgical abortion. Contraception. 2019;99(1):2\u20139.","journal-title":"Contraception."},{"issue":"23","key":"821_CR10","doi-asserted-by":"publisher","first-page":"2208","DOI":"10.1056\/NEJMoa1011600","volume":"364","author":"PH Bednarek","year":"2011","unstructured":"Bednarek PH, Creinin MD, Reeves MF, Cwiak C, Espey E, Jensen JT, et al. Immediate versus delayed IUD insertion after uterine aspiration. 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Obstet Gynecol. 2018;131(5):843\u20139.","journal-title":"Obstet Gynecol"},{"key":"821_CR18","unstructured":"Barometer of Women\u2019s Access to Modern Contraceptive Choice in 16 EU Countries; 2015. \n                    https:\/\/www.ippfen.org\/sites\/ippfen\/files\/2017-04\/IPPF%20EN%20Barometer%202015%20contraceptive%20access\n                    \n                  ."},{"key":"821_CR19","unstructured":"Helfferich C. Bezug staatlicher Sozialleistungen und Verh\u00fctung. FORUM Sexualaufkl\u00e4rung und Familienplanung. 2016:3\u20138."},{"issue":"1","key":"821_CR20","doi-asserted-by":"publisher","first-page":"e0169969","DOI":"10.1371\/journal.pone.0169969","volume":"12","author":"RK Jones","year":"2017","unstructured":"Jones RK, Jerman J. Characteristics and Circumstances of U.S. Women Who Obtain Very Early and Second-Trimester Abortions. 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All members of the advisory board were appointed by the Ministry of Social Affairs, Integration, and Gender Equality of Mecklenburg-West Pomerania. Further, all members of the board were not affiliated with the health facilities (pregnancy counseling centers) that the study was conducted in. Administrative permission to conduct the study was given by the Ministry of Social Affairs, Integration, and Gender Equality of Mecklenburg-West Pomerania. Following examination of the procedure the ethical committee of the University Medicine Greifswald did not see a necessity for further approval. The women were approached from November 2013 to October 2014. The information of the study was presented through an oral consent process. Counselors in pregnancy counseling services provided the consent information to the women and answered any questions they had. Oral consent was not documented because the research involved no more than minimal risk of harm to participants. The oral consent of the women and their readiness to complete an anonymous and self-administered questionnaire was taken as agreement for study participation. The procedure was recommended by the advisory board to ensure maximum discretion for the women in their choice of contraceptives free-of-charge.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"120"}}