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. 2015 Apr 10;64(13):363-9.

Vital signs: trends in use of long-acting reversible contraception among teens aged 15-19 years seeking contraceptive services—United States, 2005-2013

Lisa Romero, Karen Pazol, Lee Warner, Lorrie Gavin, Susan Moskosky, Ghenet Besera, Ana Carolina Loyola Briceno, Tara Jatlaoui, Wanda Barfield; Centers for Disease Control and Prevention (CDC)

Vital signs: trends in use of long-acting reversible contraception among teens aged 15-19 years seeking contraceptive services—United States, 2005-2013

Lisa Romero et al. MMWR Morb Mortal Wkly Rep. .

Abstract

Background: Nationally, the use of long-acting reversible contraception (LARC), specifically intrauterine devices (IUDs) and implants, by teens remains low, despite their effectiveness, safety, and ease of use.

Methods: To examine patterns in use of LARC among females aged 15-19 years seeking contraceptive services, CDC and the U.S. Department of Health and Human Services' Office of Population Affairs analyzed 2005-2013 data from the Title X National Family Planning Program. Title X serves approximately 1 million teens each year and provides family planning and related preventive health services for low-income persons.

Results: Use of LARC among teens seeking contraceptive services at Title X service sites increased from 0.4% in 2005 to 7.1% in 2013 (p-value for trend <0.001). Of the 616,148 female teens seeking contraceptive services in 2013, 17,349 (2.8%) used IUDs, and 26,347 (4.3%) used implants. Use of LARC was higher among teens aged 18-19 years (7.6%) versus 15-17 years (6.5%) (p<0.001). The percentage of teens aged 15-19 years who used LARC varied widely by state, from 0.7% (Mississippi) to 25.8% (Colorado).

Conclusions: Although use of LARC by teens remains low nationwide, efforts to improve access to LARC among teens seeking contraception at Title X service sites have increased use of these methods.

Implications for public health practice: Health centers that provide quality contraceptive services can facilitate use of LARC among teens seeking contraception. Strategies to address provider barriers to offering LARC include: 1) educating providers that LARC is safe for teens; 2) training providers on LARC insertion and a client-centered counseling approach that includes discussing the most effective contraceptive methods first; and 3) providing contraception at reduced or no cost to the client.

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Figures

FIGURE 1
FIGURE 1
Percentage of female teens aged 15–19 years using moderately effective and least effective contraceptive methods, compared with long-acting reversible contraception (LARC), among those seeking contraceptive services at Title X service sites — United States, 2005–2013
FIGURE 2
FIGURE 2
Percentage of female teens aged 15–19 years using long-acting reversible contraception (LARC) among those seeking contraceptive services at Title X service sites, by LARC type — United States, 2005–2013
FIGURE 3
FIGURE 3
Percentage of female teens aged 15–19 years using long-acting reversible contraception (LARC) among those seeking contraceptive services at Title X service sites, by state — United States, 2013 Abbreviation: SD = standard deviation.
See this image and copyright information in PMC

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