{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T15:29:10Z","timestamp":1761060550263},"reference-count":28,"publisher":"Guttmacher Institute","issue":"2","license":[{"start":{"date-parts":[[2018,3,30]],"date-time":"2018-03-30T00:00:00Z","timestamp":1522368000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Perspect Sexual Reproductive"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:sec><jats:title>CONTEXT<\/jats:title><jats:p>Women who are living with HIV use IUDs at a lower rate than the general population, and it is unclear whether health care providers\u2019 misconceptions about IUD safety contribute to this disparity.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>A 2013\u20132014 nationwide survey of 1,998\u2009U.S. family planning providers assessed perceptions of IUD safety for women with HIV or other medical conditions. Multivariable logistic regression was used to examine associations between provider characteristics and whether individuals believed IUDs were safe for HIV\u2010positive women. Data from public\u2010sector providers and office\u2010based physicians were analyzed separately.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Seven in 10 providers considered IUDs safe for women with HIV, and there were no differences by provider type. Among public\u2010sector providers, some of the characteristics associated with believing that IUDs were unsafe for seropositive women were working at a clinic without Title X funding (odds ratio, 1.5), not being trained in IUD insertion (2.1) and not using the U.S. Medical Eligibility Criteria for Contraceptive Use (U.S. MEC) for clinical guidance (1.8). Office\u2010based physicians who did not use the guidelines also had an increased likelihood of believing that IUDs were unsafe for women with HIV (2.9), and physicians who had completed training 25 or more years ago were more likely than those who had done so less than five years ago to consider IUDs unsafe (3.3).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Greater use of evidence\u2010based contraceptive guidance such as the U.S. MEC may help inform provider perceptions of IUD safety and hence contribute to increased contraceptive choice for women with HIV.<\/jats:p><\/jats:sec>","DOI":"10.1363\/psrh.12056","type":"journal-article","created":{"date-parts":[[2018,3,31]],"date-time":"2018-03-31T07:08:41Z","timestamp":1522480121000},"page":"67-73","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Health Care Provider Perceptions of the Safety of IUDs for Women with HIV"],"prefix":"10.1363","volume":"50","author":[{"given":"Katharine B.","family":"Simmons","sequence":"first","affiliation":[{"name":"Obstetrician\u2010Gynecologist, Permanente Medical Group  San Leandro CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren","family":"Zapata","sequence":"additional","affiliation":[{"name":"Senior Research Scientist, Division of Reproductive Health Centers for Disease Control and Prevention  Atlanta"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn M.","family":"Curtis","sequence":"additional","affiliation":[{"name":"Health Scientist, Division of Reproductive Health Centers for Disease Control and Prevention  Atlanta"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"259","published-online":{"date-parts":[[2018,3,30]]},"reference":[{"key":"e_1_2_5_2_1","unstructured":"Centers for Disease Control and Prevention Diagnoses of HIV infection in the United States and dependent areas 2015 HIV Surveillance Report 2016 Vol. 27 https:\/\/www.cdc.gov\/hiv\/pdf\/library\/reports\/surveillance\/cdc\u2010hiv\u2010surveillance\u2010report\u20102015\u2010vol\u201027.pdf."},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000000054"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000000014"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2009.0293"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318269c8bb"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2011.01.021"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1110855"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001094"},{"issue":"9","key":"e_1_2_5_10_1","first-page":"637","article-title":"Evidence\u2010based IUD practice: family physicians and obstetrician\u2010gynecologists","volume":"44","author":"Harper CC","year":"2012","journal-title":"Family Medicine"},{"key":"e_1_2_5_11_1","unstructured":"World Health Organization (WHO) Medical Eligibility Criteria for Contraceptive Use fifth ed. 2015 http:\/\/apps.who.int\/iris\/bitstream\/10665\/181468\/1\/9789241549158_eng.pdf?ua=1."},{"key":"e_1_2_5_12_1","volume-title":"Morbidity and Mortality Weekly Report, 2010","author":"Curtis KM"},{"key":"e_1_2_5_13_1","unstructured":"CurtisKMet al. U.S. Medical Eligibility Criteria for Contraceptive Use Morbidity and Mortality Weekly Report 2016 Vol. 65 No. RR\u20103."},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2016.06.011"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001707"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.5148"},{"key":"e_1_2_5_17_1","volume-title":"Publicly Funded Family Planning Clinics in 2015: Patterns and Trends in Service Delivery Practices and Protocols","author":"Zolna MR","year":"2016"},{"key":"e_1_2_5_18_1","volume-title":"Contraceptive Needs and Services, 2014 Update","author":"Frost JJ","year":"2016"},{"key":"e_1_2_5_19_1","unstructured":"American Medical Association AMA Physician Masterfile 2018 https:\/\/www.ama\u2010assn.org\/life\u2010career\/ama\u2010physician\u2010masterfile."},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181fb540f"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000969"},{"issue":"39","key":"e_1_2_5_22_1","article-title":"Knowledge and perceptions of the intrauterine device among family planning providers in Nepal: a cross\u2010sectional analysis by cadre and sector","volume":"15","author":"Chakraborty NM","year":"2015","journal-title":"BMC Health Services Research"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2013.10.005"},{"key":"e_1_2_5_24_1","unstructured":"U.S. Census Bureau Census regions and divisions of the United States no date https:\/\/www2.census.gov\/geo\/pdfs\/maps\u2010data\/maps\/reference\/us_regdiv.pdf."},{"key":"e_1_2_5_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31824aca39"},{"key":"e_1_2_5_26_1","volume-title":"Unintended Pregnancy Rates at the State Level: Estimates for 2010 and Trends Since 2002","author":"Kost K","year":"2015"},{"issue":"27","key":"e_1_2_5_27_1","article-title":"Optimizing the delivery of contraceptives in low\u2010 and middle\u2010income countries through task shifting: a systematic review of effectiveness and safety","volume":"12","author":"Polus S","year":"2015","journal-title":"Reproductive Health"},{"key":"e_1_2_5_28_1","volume-title":"WHO Recommendations: Optimizing Health Worker Roles to Improve Access to Key Maternal and Newborn Health Interventions Through Task Shifting","author":"WHO","year":"2012"},{"key":"e_1_2_5_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2016.09.034"}],"container-title":["Perspectives on Sexual and Reproductive Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1363%2Fpsrh.12056","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1363\/psrh.12056","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T15:57:59Z","timestamp":1695484679000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1363\/psrh.12056"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3,30]]},"references-count":28,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,6]]}},"alternative-id":["10.1363\/psrh.12056"],"URL":"https:\/\/doi.org\/10.1363\/psrh.12056","archive":["Portico"],"relation":{},"ISSN":["1538-6341","1931-2393"],"issn-type":[{"value":"1538-6341","type":"print"},{"value":"1931-2393","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3,30]]},"assertion":[{"value":"2017-06-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-01-16","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-03-30","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}