{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T03:29:27Z","timestamp":1775273367021,"version":"3.50.1"},"reference-count":43,"publisher":"Guttmacher Institute","issue":"1","license":[{"start":{"date-parts":[[2022,11,6]],"date-time":"2022-11-06T00:00:00Z","timestamp":1667692800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Perspect Sexual Reproductive"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The number of women using long\u2010acting reversible contraception (LARC)\u2014intrauterine devices (IUDs) and implants\u2014is increasing and 14% of contraceptive users in the United States adopt LARC. We examined correlates of LARC never\u2010use in a population\u2010based survey of reproductive\u2010aged women in Ohio.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We analyzed data from the 2018\u201019 <jats:italic>Ohio Survey of Women<\/jats:italic>. We examined the prevalence of LARC never\u2010use and reasons for never\u2010use among ever users of contraception (<jats:italic>N<\/jats:italic>\u00a0=\u20092388). Using Poisson regression to generate prevalence ratios (PRs), we examined associations between selected correlates (demographic factors, healthcare access\/quality measures, and religious\/political views) and LARC never\u2010use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Most Ohio women (74%) had never used LARC. Commonly reported reasons for not using an IUD or an implant were preferring a different method (46% and 45%, respectively), not wanting an object inside their body (45% and 43%), side effect concerns (39% and 33%), insertion\/removal concerns (31% and 25%), and unfamiliarity (13% and 20%). Conservative political views (PR: 1.12, 95% confidence interval [CI]: 1.04\u20131.22), pro\u2010life affiliation (PR: 1.11, 95% CI: 1.02\u20131.20), placing high importance on religion in daily life (PR: 1.15, 95% CI: 1.06\u20131.26), and being non\u2010Hispanic white as compared to non\u2010Hispanic Black (PR: 1.20, 95% CI: 1.02\u20131.41) were significantly associated with LARC never\u2010use. Findings were generally similar for models analyzing IUD and implant never\u2010use separately.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Among ever\u2010users of contraception, LARC never\u2010use was associated with having conservative political views, being religious, and having a pro\u2010life affiliation. Except for race\/ethnicity, demographic and healthcare measures were not associated with LARC never\u2010use among women in Ohio.<\/jats:p><\/jats:sec>","DOI":"10.1363\/psrh.12212","type":"journal-article","created":{"date-parts":[[2022,11,7]],"date-time":"2022-11-07T01:18:39Z","timestamp":1667783919000},"page":"38-48","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Factors associated with never\u2010use of long\u2010acting reversible contraception among adult reproductive\u2010aged women in <scp>Ohio<\/scp>"],"prefix":"10.1363","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4939-3637","authenticated-orcid":false,"given":"Payal","family":"Chakraborty","sequence":"first","affiliation":[{"name":"Division of Epidemiology, College of Public Health The Ohio State University  Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shibani","family":"Chettri","sequence":"additional","affiliation":[{"name":"Division of Epidemiology, College of Public Health The Ohio State University  Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria F.","family":"Gallo","sequence":"additional","affiliation":[{"name":"Division of Epidemiology, College of Public Health The Ohio State University  Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mikaela H.","family":"Smith","sequence":"additional","affiliation":[{"name":"Division of Epidemiology, College of Public Health The Ohio State University  Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert B.","family":"Hood","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Rollins School of Public Health Emory University  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danielle","family":"Bessett","sequence":"additional","affiliation":[{"name":"Department of Sociology University of Cincinnati  Cincinnati Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John B.","family":"Casterline","sequence":"additional","affiliation":[{"name":"Department of Sociology, College of Arts and Sciences The Ohio State University  Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison H.","family":"Norris","sequence":"additional","affiliation":[{"name":"Division of Epidemiology, College of Public Health The Ohio State University  Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abigail Norris","family":"Turner","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, College of Medicine The Ohio State University  Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"259","published-online":{"date-parts":[[2022,11,6]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2017.10.003"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1363\/46e1614"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001094"},{"key":"e_1_2_8_5_1","volume-title":"Use of Contraception in the United States: 1982\u20132008","author":"Mosher WD","year":"2010"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1215\/00703370\u20109386084"},{"key":"e_1_2_8_7_1","unstructured":"DanielsK AbmaJC.Current contraceptive status among women aged 15\u201349: United States 2017\u20132019;2020 p.13.https:\/\/www.evofem.com\/wp-content\/uploads\/2021\/09\/Daniels-K-and-Abma-J.-Current-Contraceptive-Status-Among-Women-Aged-15-49_NCHS-Data-Brief-Number-388-October-2020.pdf."},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2016.10.014"},{"key":"e_1_2_8_9_1","unstructured":"RangelCB.Patient protection and affordable care act;2009."},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2020.05.007"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40834-016-0032-3"},{"key":"e_1_2_8_12_1","unstructured":"Guarding against coercion while ensuring access: A delicate balance. 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