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Family planning behavior before and during the COVID-19 pandemic
Jonathan Kazakov1, Joshua Fogel2,3, Tara Savannah Lowery4
1Department of Obstetrics and Gynecology, Touro College of Osteopathic Medicine - Touro University, New York, NY, United States of America.
Journal of the Turkish German Gynecological Association
|December 11, 2024
Summary
During the COVID-19 pandemic, contraception choices shifted. Implant use increased when vaccines were unavailable, while overall contraception and IUD use decreased once vaccines became available.
Area of Science:
- Reproductive Health
- Public Health
- Epidemiology
Background:
- The COVID-19 pandemic presented unprecedented public health challenges, potentially impacting reproductive health decisions.
- Understanding shifts in contraception use during health crises is crucial for healthcare planning.
Purpose of the Study:
- To analyze changes in contraception use and follow-up visits before and during the COVID-19 pandemic.
- To investigate behavioral changes in contraceptive preferences in response to pandemic conditions and vaccine availability.
Main Methods:
- A retrospective study analyzed data from women aged 18-49 in New York City.
- Data spanned three one-year periods: pre-pandemic (COV-PRE), early pandemic without vaccine (COV-VACNO), and later pandemic with vaccine (COV-VACAV).
Main Results:
- Contraceptive implant use saw higher odds during COV-VACNO (OR: 1.42).
- Contraception and intrauterine device (IUD) use showed lower odds during COV-VACAV (OR: 0.88 and 0.73, respectively).
- Follow-up visits for contraception and IUDs increased during both pandemic periods compared to pre-pandemic.
Conclusions:
- Contraceptive preferences evolved during the pandemic, with increased implant use when vaccines were unavailable.
- The availability of COVID-19 vaccines correlated with decreased use of general contraception and IUDs.
- Healthcare providers should anticipate and plan for evolving contraceptive needs and behaviors during public health crises.
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