Purpose

To examine the attitudes of adolescent and young adults (AYA) toward long-acting reversible contraception (LARC), and to assess how attitudes are associated with acceptability.

Design

Survey.

Setting

Children's Hospital Colorado Adolescent Family Planning Clinic in Aurora, Colorado.

Participants, Interventions, and Main Outcome Measures

Young persons 14-24 years of age presenting for any type of visit between March and August 2018.

Results

A total of 332 participants were enrolled; the majority (62.3%) had high LARC acceptability. We found 5 “attitude” factors: 77.7% of the sample endorsed “Effective” attitudes (eg, wants most effective method), 37.3% endorsed “Good attributes” (eg, discreet, convenient), 23.1% endorsed “Scary” (eg, fears device will move), 16.1% endorsed “Bad for health,” (eg, too many side effects), and 9% endorsed “Not for me” (eg, concerns about pain). Although participants who endorsed “Effective” (OR 6.60, 95% CI 3.01-14.49) and “Good attributes” (OR 3.17, 95% CI 1.51-6.66) were more likely to have high LARC acceptability than those who endorsed “Scary” (OR 0.28, 95% CI: (0.13-0.61)) and “Not for me” (OR 0.07, 95% CI 0.01-0.41) factors, approximately 10% of participants with high LARC acceptability endorsed “Scary” or “Bad for health” attitudes, whereas 54% of those with low LARC acceptability endorsed “Effective” attitudes.

Conclusion

Although most participants had high LARC acceptability and valued contraceptive effectiveness, the association between LARC attitudes and acceptability is nuanced. Providers should identify and discuss young people's contraceptive knowledge, attitudes, and acceptability.

中文翻译：

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青少年和年轻人 (AYA) 的长效可逆避孕态度和可接受性：以患者为中心的避孕咨询的关键。

目的

调查青少年和年轻人 (AYA) 对长效可逆避孕 (LARC) 的态度，并评估态度与可接受性之间的关系。

设计

民意调查。

环境

科罗拉多州奥罗拉的科罗拉多州儿童医院青少年计划生育诊所。

参与者、干预措施和主要结果指标

在 2018 年 3 月至 8 月期间进行任何类型访问的 14-24 岁的年轻人。

结果

共有332名参与者参加；大多数 (62.3%) 具有较高的 LARC 可接受性。我们发现了 5 个“态度”因素：77.7% 的样本认可“有效”态度（例如，想要最有效的方法），37.3% 认可“良好属性”（例如，谨慎、方便），23.1% 认可“可怕”（例如，担心设备会移动），16.1% 的人表示“对健康有害”（例如，副作用太多），9% 的人表示“不适合我”（例如，担心疼痛）。尽管赞同“有效”（OR 6.60, 95% CI 3.01-14.49）和“良好属性”（OR 3.17, 95% CI 1.51-6.66）的参与者比赞同“可怕”的参与者更有可能具有较高的 LARC 可接受性（ OR 0.28, 95% CI: (0.13-0.61)) 和“不适合我” (OR 0.07, 95% CI 0.01-0.41) 因素，大约 10% 的 LARC 可接受性高的参与者认可“可怕”或“对健康有害” “ 态度，

结论

尽管大多数参与者具有较高的 LARC 可接受性并重视避孕效果，但 LARC 态度与可接受性之间的关联是微妙的。提供者应识别和讨论年轻人的避孕知识、态度和可接受性。