Associations among abuse, reproductive health history and contraceptive method use

Jones, Kelley A.

Saturday, March 21, 2015: 2:10 PM-3:30 PM

Room 5 (Renaissance Washington, DC Downtown Hotel)

Speaker:
Kelley A. Jones, MPH, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center

Authors:
Heather L. McCauley, ScD, University of Pittsburgh School of Medicine Division of Adolescent Medicine, Children's Hospital of Pittsburgh of UPMC
Daniel J. Tancredi, PhD, Pediatrics UC Davis School of Medicine and Center for Healthcare Policy and Research
Michele R. Decker, ScD, Johns Hopkins Bloomberg School of Public Health
Jay G. Silverman, PhD, Division of Global Public Health, Department of Medicine, University of California, San Diego
Elizabeth Miller, MD, PhD, Children's Hospital of Pittsburgh of UPMC

Presentation Format:
Scientific Program Report

Learning Objectives:

Know what constitutes highly, moderately, and poorly effective contraceptive methods.
Understand how the effectiveness of the contraceptive methods a woman uses can vary based on experiences of intimate partner violence, reproductive coercion, and past unintended pregnancies.
Appreciate the importance of clinicians counseling clients on using more effective methods of contraception, with special attention to those clients who may have little control over their reproductive choices.

Description:
The purpose of this study was to determine whether the use of effective contraception varies by women’s recent experiences of intimate partner violence (IPV), reproductive coercion (RC), and lifetime history of unintended pregnancy (UIP). These experiences were found to be associated with using poorly effective contraception or no contraception compared to using moderately/highly effective methods. Clinicians should counsel clients on effective methods of contraception, with special attention to women who indicate they may not have control over their reproductive choices.