Long-Acting Reversible Contraception Free of Charge, Method Initiation, and Abortion Rates in Finland
| Autor: | Mikael Juselius, Oskari Heikinheimo, Frida K. Gyllenberg, Mika Gissler |
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| Rok vydání: | 2018 |
| Předmět: |
Long-Acting Reversible Contraception
medicine.medical_specialty 030219 obstetrics & reproductive medicine Obstetrics business.industry Public Health Environmental and Occupational Health Long-acting reversible contraception Abortion Induced AJPH Research Abortion Abortion rate 03 medical and health sciences Contraception 0302 clinical medicine Pregnancy medicine Humans Female 030212 general & internal medicine Young adult business Finland Unintended pregnancy |
| Zdroj: | American Journal of Public Health. 108:538-543 |
| ISSN: | 1541-0048 0090-0036 |
| Popis: | Objectives. To evaluate whether a public program providing long-acting reversible contraceptive (LARC) methods free of charge increases the LARC initiation rate and reduces the unintended pregnancy rate in the general population. Methods. Since 2013, all women in Vantaa, Finland, have been entitled to 1 LARC method free of charge. With time-series analysis between 2000 and 2015, we assessed whether this public program was associated with changes in steady-state mean rates of LARC initiation and abortions. Results. The initiation rate of LARCs (1/1000 women) increased 2.2-fold from 1.9 to 4.2 after the intervention (P Conclusions. The LARC program was associated with increased uptake of LARC methods and fewer abortions in the population. Public Health Implications. Entitling the population to LARC methods free of charge is an effective means to reduce the unmet need of contraception and the need for abortion, especially among women younger than 25 years. |
| Databáze: | OpenAIRE |
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