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Trends in Continuation of Long-Acting Reversible Contraception Among Adolescents Receiving Medicaid

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Bianca Allison headshot

Dr. Allison Bianca, Child & Adolescent Health researcher at the Sheps Center, has published an article, titled Trends in Continuation of Long-Acting Reversible Contraception Among Adolescents Receiving Medicaid, in the Journal of Adolescent Health.

This study on long-acting reversible contraception (LARC) use among Medicaid-covered adolescents in North Carolina found that implants were initiated more than IUDs, with significant differences in patient and provider factors influencing the choice. Within the first year, 16% of implants and 53% of IUDs were discontinued. Continuation rates varied by age, race, and ethnicity, with younger, Hispanic, and Black adolescents having higher rates than older, White adolescents. The study calls for improved contraceptive counseling, LARC procedure training for providers, and increased clinic capacity to support adolescents’ reproductive health choices and address disparities.

Read the full article here.