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Barriers to adolescent contraception use and adherence.

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Concerns about side effects like weight gain and irregular bleeding, plus fear of parental discovery, are key barriers to adolescent contraception. Addressing these issues can improve method adherence and reduce teen pregnancies.

Keywords:
adherenceadolescentsbarriersbirth controlcontraceptionteens

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Area of Science:

  • Public Health
  • Adolescent Health
  • Reproductive Health

Background:

  • The United States faces high adolescent pregnancy rates compared to other industrialized nations.
  • Previous research identified barriers to contraception including ambivalence, side effects, cost, and lack of knowledge on long-acting reversible contraception (LARC).

Purpose of the Study:

  • To identify additional barriers to contraception use and adherence in an ethnically diverse urban adolescent population.
  • To inform strategies for reducing adolescent pregnancy rates.

Main Methods:

  • A 16-item survey was administered to female patients aged 13-21 years at Metropolitan Hospital Center.
  • Data were collected between January and October 2014.
  • Statistical analyses included χ2-square, ϕ-coefficient, Contingency Coefficient, Cramer's V, and Satterthwaite methods.

Main Results:

  • Major barriers to contraceptive use included concerns about method side effects (weight gain, irregular bleeding, long-term health risks).
  • Worry about parents discovering contraceptive use was also a significant barrier.

Conclusions:

  • Identifying and addressing these specific barriers is crucial for reducing adolescent pregnancy.
  • Educating adolescents and parents about effective contraceptive methods can improve adherence.
  • Findings support the use of LARC to overcome patient-perceived barriers.