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A mystery shopper study identifying practice-level barriers to adolescent IUD access in western Pennsylvania
Sarah E Lim1, Colleen M Krajewski2
1University of Pittsburgh School of Medicine, 3550 Terrace St, Pittsburgh, PA 15213, USA.
Objective(S):
To identify practice-level barriers that adolescents experience when seeking a hormonal intrauterine device (IUD).
Study Design:
We secret-shopped gynecological practices within a health system using a script targeting potential practice-level barriers.
Results:
We assessed 50 of a targeted 50 practices; only 8 (16%) would schedule a contraceptive appointment that permitted same-day IUD placement. Twenty-eight (56%) respondents stateda parent must accompany the adolescent.
Conclusion:
Practice-level barriers toadolescentIUD access exist that are inconsistent with best-practice guidelines and Pennsylvania state law.
Implications:
Practice staff and providers need more medical and legal education regarding IUD provision to adolescents.
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