Provider bias in long-Acting reversible contraception (LARC) promotion and removal: Perceptions of young adult women

J.A. Higgins, R.D. Kramer and K.M. Ryder

American Journal of Public Health, 2016, vol. 106, issue 11, 1932-1937

Abstract: Long-Acting reversible contraception (LARC) is effective and acceptable. However, concern exists about potential provider bias inLARCpromotion.No study has documented contraceptive users' attitudes toward or experiences with provider influence and bias regarding LARC. We collected qualitative data in 2014 to address this gap. Participants were 50 young adult women with any history of contraceptive use (including LARC) in Dane County,Wisconsin.Women often described providers as a trusted source of contraceptive information. However, several women reported that their preferences regarding contraceptive selection or removal were not honored. Furthermore, many participants believed that providers recommend LARC disproportionately to socially marginalized women. Weencourage contraceptive counseling and removal protocols that directly address historical reproductive injustices and that honor patients' wishes.

Keywords: contraceptive agent; drug implant, administration and dosage; adolescent; adult; attitude to health; drug implant; family planning; female; health personnel attitude; human; medical care; patient education; patient preference; perception; procedures; qualitative research; socioeconomics; statistical bias; Wisconsin; young adult, Adolescent; Adult; Attitude of Health Personnel; Bias (Epidemiology); Contraceptive Agents, Female; Drug Implants; Family Planning Services; Female; Health Knowledge, Attitudes, Practice; Humans; Medical Assistance; Patient Education as Topic; Patient Preference; Perception; Qualitative Research; Socioeconomic Factors; Wisconsin; Young Adult (search for similar items in EconPapers)
Date: 2016
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Citations: View citations in EconPapers (11)

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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2016.303393_6

DOI: 10.2105/AJPH.2016.303393

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