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Reasons for contraceptive and LARC non-use: How preferences and access barriers shape decisions
Laura E T Swan1, Jane W Seymour2, Allison Hung2
1Reproductive Equity Action Lab, University of Wisconsin-Madison, Madison, WI, United States; Department of Population Health Sciences, University of Wisconsin-Madison, Madison, WI, United States.
Objective:
To examine reasons for contraception and LARC non-use.
Study Design:
Using baseline data from population-based, household surveys conducted in 2019-2020, we examined reasons for contraception non-use among a four-state random sample (Arizona, Iowa, New Jersey, Wisconsin; N = 2039) and reasons Iowans had never used LARC (N = 1604).
Results:
Contraceptive non-users cited personal reasons more commonly (90.2%) than access barriers (2.9%). A larger proportion of LARC non-users cited access barriers (50.8%); however, personal reasons remained more common (88.3%).
Conclusions:
Since personal reasons are a major driver of contraceptive behavior, care that respects diverse choices and supports informed, preference-aligned counseling is crucial.
Implications:
Improving contraceptive care requires more than expanding access; approaches should respect patients' decisions not to use contraception, while working to address concerns about side effects and insertion and removal procedures.
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