Who Is Using Long-Acting Reversible Contraceptive Methods? Findings from Nine Low-Fertility Countries
4614914.pdf

Authors

Mieke C. W. Eeckhaut, University of Delaware Megan M. Sweeney, University of California, Los Angeles Jessica D. Gipson
CONTEXT

Long-acting reversible contraceptive (LARC) methods—IUDs and implants—are more effective than other reversible methods, yet are little used in the United States. Examining which U.S. women use LARC methods and how they differ from users in other low-fertility countries may help point the way toward increasing use.

METHODS

Data from married or cohabiting women participating in the National Survey of Family Growth (2008–2010) and in eight countries’ Generations and Gender Programme surveys (2004–2010) were used in bivariate and multinomial logistic regression analyses examining LARC use within each setting.

RESULTS

The proportion of contraceptive use accounted for by LARC methods was generally greater in Europe (10–32%) than in the United States (10%) and Australia (7%). Compared with LARC use among comparable groups in other countries, use was particularly low among U.S. women who were married, were aged 40–44 or had had three or more children, yet was comparatively high among 18–24-year-olds. Among U.S. women, those aged 35–39 or 40–44 were more likely than 18–29-year-olds to rely on sterilization rather than on LARC methods (odds ratios, 3.0 and 10.7, respectively), those who had had three or more children were more likely to do so than were those who had had none or one (4.9), and women who had completed college were less likely than those who had not finished high school to do so (0.4).

CONCLUSIONS

Certain subgroups of U.S. women may benefit from the reversibility and effectiveness of LARC methods.

Perspectives on Sexual and Reproductive Health, 46(3):XX–XX, doi: 10.1363/46e1914

Author's Affiliations

Mieke C. W. Eeckhaut is postdoctoral fellow, California Center for Population Research; Megan M. Sweeney is professor, Depart- ment of Sociology and California Center for Population Research; and Jessica D. Gipson is assistant profes- sor, Fielding School of Public Health and California Center for Popula- tion Research—all at the University of California, Los Angeles

Disclaimer

The views expressed in this publication do not necessarily reflect those of the Guttmacher Institute.
Volume 46, Issue 3
September 2014
|
Pages 149 - 155

First published online:

DOI: https://doi.org/10.1363/46e1914
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