Long-Acting Reversible Contraceptive Use in Urban Women From a Title X–Supported Boston Community Health Center

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Abstract

Background: Unintended and adolescent pregnancy disproportionately affects minority populations, but the effect of age, race and ethnicity on the use of long-acting reversible contraception (LARC) has not been well studied. Objective: The objective of this pilot study was to examine LARC use over a 5-year period among women receiving care at a Boston community health center. Methods: Retrospective cohort study of LARC method use among black, Hispanic, and white women receiving care at the Dimock Center from 2006 to 2010. Results: This study included 276 women (60.1% black, 18.5% Hispanic, and 9.1% white). LARC was not used as a first-line method in the majority (96.0%), regardless of age, race, and ethnicity; yet nearly half identified a long-acting contraceptive as their method of choice. Conclusions: The findings of this pilot study reveal opportunities to reduce unintended pregnancy through increased LARC use, which may be accomplished by provider and patient education. © 2014, SAGE Publications. All rights reserved.

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Ricciotti, H. A., Dodge, L. E., Ramirez, C. I., Barnes, K., & Hacker, M. R. (2015). Long-Acting Reversible Contraceptive Use in Urban Women From a Title X–Supported Boston Community Health Center. Journal of Primary Care & Community Health, 6(2), 111–115. https://doi.org/10.1177/2150131914553800

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