Contraception最新文献

{"title":"Assessing comprehension of informed consent in abortion research","authors":"Katarina Watson ,&nbsp;Daniel Grossman ,&nbsp;Katherine Ehrenreich ,&nbsp;M. Antonia Biggs ,&nbsp;Lauren Ralph","doi":"10.1016/j.contraception.2025.111051","DOIUrl":"10.1016/j.contraception.2025.111051","url":null,"abstract":"<div><h3>Objective/Study design</h3><div>To better understand the extent to which research participants grasp the information conveyed during informed consent, we assessed comprehension of five informed consent principles in people seeking abortion approached to participate in a research study (<em>N</em> = 1557), overall and by age.</div></div><div><h3>Results</h3><div>Comprehension was high on right to receive healthcare, confidentiality, and voluntary participation (99.2%, 98.5%, and 99.8%, respectively). Comprehension was lower, but still higher than prior studies, on HIPAA (88.7%) and right to privacy (87.1%). No statistically significant differences in comprehension by age (adolescent vs adult) were found.</div></div><div><h3>Conclusions</h3><div>These results suggest that patient-facing materials are adequate in conveying informed consent principles.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"152 ","pages":"Article 111051"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and validation of the Access to Contraceptive Care and Early Abortion Support Services (ACCESS) measure","authors":"Hannah Begna,&nbsp;Amy Yunyu Chiang,&nbsp;Eleanor Bimla Schwarz","doi":"10.1016/j.contraception.2025.111050","DOIUrl":"10.1016/j.contraception.2025.111050","url":null,"abstract":"<div><h3>Objective</h3><div>Barriers to contraceptive access in the United States have intensified following the 2022 Dobbs decision, disproportionately affecting marginalized populations. This study aimed to develop and validate the Access to Contraceptive Care and Early Abortion Support Services (ACCESS) measure to assess key dimensions of contraceptive access.</div></div><div><h3>Study design</h3><div>We followed a sequential approach to measure development, including: (1) defining constructs and generating items based on existing access frameworks; (2) expert review (<em>n</em> = 30); (3) cognitive interviews with patients (<em>n</em> = 14); (4) survey administration as part of a randomized trial of individuals considering tubal sterilization (<em>N</em> = 440); and (5) psychometric analyses, including exploratory factor analysis and reliability testing.</div></div><div><h3>Results</h3><div>Factor analysis revealed a two-factor structure: (1) Availability &amp; Awareness (seven items) and (2) Affordability (two items), explaining 51–59% of variance across six contraceptive methods. Internal consistency of the measure was acceptable for four of the six family planning methods assessed. Factor loadings were consistent across methods, and all items demonstrated acceptable content validity.</div></div><div><h3>Conclusions</h3><div>The ACCESS measure is a valid and reliable tool for assessing contraceptive access in the US. It captures important dimensions of access and can be used to monitor disparities and inform policies aimed at improving reproductive healthcare access.</div></div><div><h3>Implications</h3><div>Clinicians and policymakers can use this measure to identify barriers, monitor disparities, and direct interventions aimed at improving equitable access to family planning services, particularly in the wake of policy changes that disproportionately impact marginalized populations.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"152 ","pages":"Article 111050"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Learning from medication abortion: Repeat doses of misoprostol after mifepristone for early pregnancy loss management","authors":"Fatoumata Bah,&nbsp;Robin Wallace,&nbsp;Angel M. Foster,&nbsp;Libby Wetterer,&nbsp;Melissa Grant,&nbsp;Cari Sietstra","doi":"10.1016/j.contraception.2025.110934","DOIUrl":"10.1016/j.contraception.2025.110934","url":null,"abstract":"","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"152 ","pages":"Article 110934"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intimate partner violence and delays in obtaining contraception among young people in California and Texas","authors":"Sophie M. Morse ,&nbsp;Jennifer Yarger ,&nbsp;Kristine Hopkins ,&nbsp;Hannah K. Hecht ,&nbsp;Irene Rossetto ,&nbsp;Luisa Alejandra Tello Perez ,&nbsp;Marissa Raymond-Flesch ,&nbsp;Liz Tyler ,&nbsp;Marlaina Lizarraga ,&nbsp;Anita Hargrave-Bouagnon ,&nbsp;Cynthia C. Harper","doi":"10.1016/j.contraception.2025.111203","DOIUrl":"10.1016/j.contraception.2025.111203","url":null,"abstract":"<div><h3>Objectives</h3><div>Experiencing intimate partner violence (IPV) can negatively impact young people’s reproductive autonomy, including making it more challenging to get contraception. This study examined the association between IPV and delays in obtaining contraception in a sample of young women from California and Texas.</div></div><div><h3>Study design</h3><div>The data are from a supplementary study to a cluster randomized controlled trial conducted with young people sexually active within the past year recruited at 29 community colleges during the COVID-19 pandemic (May 2020 to May 2023). We used mixed-effects logistic regression models with random effects for site and individual to assess the association of IPV with delays in obtaining contraception, controlling for key sociodemographic characteristics.</div></div><div><h3>Results</h3><div>Participants included sexually active individuals aged 18–29 years, assigned female at birth (<em>N</em> = 1698; 7116 observations over time). Over half of the participants (57%) had experienced IPV. Multivariable results showed IPV was associated with delays in obtaining contraception (adjusted odds ratio [aOR] 1.50, 95% CI 1.25–1.79). For each IPV subtype, higher frequency (often compared to rarely) was associated with higher odds of subsequent delays: physical violence (aOR 3.68, 1.77–7.63), threatened (aOR 2.84, 1.71–4.73), and pressured for sex (aOR 2.00, 1.30–3.07).</div></div><div><h3>Conclusions</h3><div>Experiencing IPV was associated with delays in obtaining contraception. In states with abortion bans and high maternal mortality, including Texas, timely access to contraception is critical. Colleges and other organizations that serve young adults with a high prevalence of IPV should provide easily accessible sexual and reproductive health (SRH) counseling and contraceptive services. Moreover, providers offering SRH care may consider implementing universal trauma-informed IPV screening.</div></div><div><h3>Implications</h3><div>Young women experiencing IPV across states with widely divergent reproductive policies, California and Texas, were significantly more likely to delay obtaining contraception they thought they needed. Community outreach for trauma-informed IPV screening and accessible SRH services can mitigate these delays and address salient health equity needs across state policy contexts.</div></div><div><h3>ClinicalTrials.gov ID</h3><div>NCT03519685</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"152 ","pages":"Article 111203"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145008682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A landscape of available data on contraceptive care in the United States","authors":"Hannah Olson ,&nbsp;Megan L. Kavanaugh ,&nbsp;Christina Fowler ,&nbsp;Riley J. Steiner ,&nbsp;Nikita Malcolm ,&nbsp;Laura D. Lindberg","doi":"10.1016/j.contraception.2025.111204","DOIUrl":"10.1016/j.contraception.2025.111204","url":null,"abstract":"<div><h3>Objective</h3><div>With this data landscape, we aim to (1) feature data sources that measure the dynamics of contraceptive care provision and (2) identify gaps in data availability.</div></div><div><h3>Study design</h3><div>Through literature review and expert consultations, we identified data sources that describe the provision of contraceptive care in the United States. We highlight key features of each dataset, including the type of data collected, information on the sample and sampling approach, how the data are accessed, and an inventory of key indicators included about contraceptive care.</div></div><div><h3>Results</h3><div>We identified 29 relevant data sources – 16 provide individual-level data only, six provide systems-level data only, and seven provide both individual and systems-level data. Important gaps include a need for more robust collection and dissemination of systems-level data, stronger linkages between systems- and individual-level data, and more targeted data collection efforts on key subpopulations.</div></div><div><h3>Conclusions</h3><div>The availability of ongoing high-quality data on key sexual and reproductive health metrics is crucial for holding policymakers and program planners accountable to meeting the needs of their most marginalized constituents or beneficiaries. This landscape may serve as a resource for researchers, program planners, and policymakers seeking to use data in their work.</div></div><div><h3>Implications</h3><div>This landscape identifies key gaps in available data on contraceptive services in the U.S., including limited systems-level data and insufficient data on key subpopulations. Given the uncertainty of public resources for many of these datasets, additional funding resources will be needed to sustain and improve these data efforts going forward.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"152 ","pages":"Article 111204"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Replicating the use of motivational interviewing and facilitated contraceptive access to reduce repeat adolescent pregnancy: A randomized trial","authors":"Jessica F. Harding,&nbsp;Jennifer Walzer,&nbsp;Rebecca Piatt,&nbsp;Brian Goesling","doi":"10.1016/j.contraception.2025.111200","DOIUrl":"10.1016/j.contraception.2025.111200","url":null,"abstract":"<div><h3>Objectives</h3><div>It is important to identify programs that can work in multiple contexts to support adolescent parents in achieving their reproductive health goals. A randomized controlled trial in Ohio in 2012 found that the Teen Options to Prevent Pregnancy program increased contraceptive use and reduced repeat pregnancy, including unintended pregnancy, among adolescent parents. To facilitate access to contraceptives and support adolescents who wish to avoid repeat pregnancy, this 18-month program offers monthly motivational interviewing sessions with health care workers and assistance from social workers. This randomized controlled trial examined whether program impacts on increased contraceptive use and reduced repeat pregnancies could be replicated in New York City (NYC).</div></div><div><h3>Study design</h3><div>From 2020 to 2022, 702 pregnant and parenting adolescents ages 10 to 20 years were enrolled from seven NYC hospitals. Participants were randomized to either NYC-Teen Options to Prevent Pregnancy or a usual-care control condition, which included potential access to contraceptives through either Title X or federally qualified health centers. Five hundred and fifteen participants completed follow-up surveys approximately 18 months after enrollment. Differences in outcomes were assessed using ordinary least squares regression.</div></div><div><h3>Results</h3><div>The study did not detect impacts on receipt of reproductive health information, contraceptive knowledge, contraceptive use, repeat pregnancy (the preregistered primary outcome), repeat unintended pregnancy, or other sexual risk behaviors. Participants in the treatment group agreed more strongly that they had received information to find community resources to support their family. The null results may be due to implementation challenges, including low treatment dosage, staff turnover, and limitations on in-person meetings and access to contraceptives related to the COVID-19 pandemic.</div></div><div><h3>Conclusions</h3><div>More research is needed to replicate evidence-based programs to support adolescent parents’ reproductive planning.</div></div><div><h3>Implications</h3><div>An effort to replicate Teen Options to Prevent Pregnancy in NYC did not detect impacts on contraceptive use or repeat pregnancy outcomes. Future replications of this and other programs are needed to identify whether multicomponent programs can work in multiple contexts and at scale to support adolescent parents in achieving their reproductive health goals, such as avoiding repeat pregnancy.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"152 ","pages":"Article 111200"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Copyright info/Contents","authors":"","doi":"10.1016/S0010-7824(25)00451-2","DOIUrl":"10.1016/S0010-7824(25)00451-2","url":null,"abstract":"","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"152 ","pages":"Article 111260"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145384155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contraceptive safety in liver disease: The cost of overstating risk","authors":"Meera Garriga,&nbsp;Marcelle Cedars,&nbsp;Sara Whetstone,&nbsp;Monika Sarkar","doi":"10.1016/j.contraception.2025.110974","DOIUrl":"10.1016/j.contraception.2025.110974","url":null,"abstract":"","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"152 ","pages":"Article 110974"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145384247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to: \"Contraceptive safety in liver disease: The cost of overstating risk\"","authors":"Chadakarn Phaloprakarn,&nbsp;Siriwan Tangjitgamol,&nbsp;Supatsri Sethasine,&nbsp;Sasiwan Suthasmalee","doi":"10.1016/j.contraception.2025.111048","DOIUrl":"10.1016/j.contraception.2025.111048","url":null,"abstract":"","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"152 ","pages":"Article 111048"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145384248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adolescents’ awareness, knowledge, and perceptions of an over-the-counter oral contraceptive pill","authors":"Alana K. Otto ,&nbsp;Lotte Brewer ,&nbsp;Victoria Tsao ,&nbsp;Bianca A. Allison ,&nbsp;Julie Maslowsky","doi":"10.1016/j.contraception.2025.111211","DOIUrl":"10.1016/j.contraception.2025.111211","url":null,"abstract":"<div><h3>Objectives</h3><div>To examine US adolescents’ awareness, knowledge, and perceptions of a newly available over-the-counter oral contraceptive pill (OCP).</div></div><div><h3>Study design</h3><div>We fielded a five-question open-ended text message survey about over-the-counter OCPs to a national sample of US adolescents and young adults ages 14 to 24 years in September 2024, 6 months after an OCP became available over the counter in the United States. We coded responses using inductive and deductive consensus coding and calculated summary statistics for demographic variables and code frequencies.</div></div><div><h3>Results</h3><div>Five hundred and fifty-nine adolescents and young adults answered at least one question; 52% were female, and 20% were minors under the age of 18. Most respondents (72%) had not heard of the over-the-counter OCP. Many adolescents indicated they wanted more information about the over-the-counter pill, including information about proper use, efficacy, potential side effects and risks, cost, and where and how to purchase. Affordability and privacy were common themes in their remarks about barriers to access. Adolescents overwhelmingly indicated that antitheft measures, such as locked security boxes, in brick-and-mortar stores would affect whether young people purchase the over-the-counter OCP, citing concerns about stigma and privacy.</div></div><div><h3>Conclusions</h3><div>Clinicians, pharmacists, and educators can play an important role in informing adolescents and young adults about the over-the-counter OCP. In addition to standard clinical information, counseling should include information about cost and where to purchase. Health professionals are uniquely positioned to address some of the perceived barriers to access highlighted by our adolescent and young adult respondents.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"152 ","pages":"Article 111211"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}