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Improving Contraceptive Use in the United States

Improving Contraceptive Use in the United States. Contraceptive Use Is Key To Reducing Unintended Pregnancy. Nearly half of pregnancies in the United States are unintended. Approximately 6.4 million pregnancies per year.

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Improving Contraceptive Use in the United States

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  1. Improving Contraceptive Use in the United States

  2. Contraceptive Use Is Key To Reducing Unintended Pregnancy

  3. Nearly half of pregnancies in the United States are unintended Approximately 6.4 million pregnancies per year

  4. Most unintended pregnancies occur when women fail to use contraceptives or use their method inconsistently

  5. Method Use Is Difficult

  6. Many women are at risk Of the nearly 50 million sexually active 18–44-year-old women in the United States today, 28 million are at risk for unintended pregnancy

  7. Half of women at risk are not fully protected from unintended pregnancy

  8. Women report a variety of reasons for contraceptive nonuse

  9. Inconsistent Method Use Is Common for Many Reversible Contraceptives

  10. Thirty-eight percent of women use the pill inconsistently

  11. Sixty-one percent of couples use condoms inconsistently

  12. Difficulties in Contraceptive Use Are Linked to Life Changes

  13. Half of women with gaps in use report coinciding life changes

  14. Contraceptive providers often fail to discuss life changes with women

  15. Personal, Relationship and Cultural Issues Play a Role

  16. Gaps in use are related to socioeconomic disadvantage % of at-risk women experiencing contraceptive nonuse in the past year

  17. Minority women are more likely than others to have gaps in use % of at-risk women experiencing contraceptive nonuse in the past year

  18. Ambivalence About Pregnancy Is Associated with Difficulties in Contraceptive Use

  19. Motivation to avoid pregnancy predicts gaps in use % of at-risk women experiencing contraceptive nonuse in the past year

  20. A gap in use may reflect ambivalence about pregnancy % of at-risk women experiencing contraceptive nonuse in the past year

  21. Public providers are the most likely to discuss pregnancy motivations with patients % who often or always discuss pregnancy motivations during follow-up contraceptive visits

  22. Attitudes Toward and Experiences with Methods Are Linked to Contraceptive Use Patterns

  23. Women who are unhappy with method options often rely on less effective methods

  24. Inconsistent method use is elevated among women not satisfied with their method % who used their method inconsistently in the past 3 months

  25. Providers vary widely in counseling about method difficulties % who often or always discuss during follow-up contraceptive visits

  26. Attitudes Toward and Experiences with Providers Are Linked to Contraceptive Use Patterns

  27. Feeling unable to call a provider with questions is linked to contraceptive nonuse % of at-risk women experiencing contraceptive nonuse in the past year

  28. Inconsistent pill use is linked to low levels of provider satisfaction and continuity of care % of pill users who missed >1 pills during the past three months

  29. Recommendations for Providers

  30. Reduce the impact of life changes on successful contraceptive use • Provide ongoing support • Counseling is key to success • Help women to be better prepared

  31. Improve women’s experiences with contraceptive care • Share best practices • Offer communications training • Address questions fully

  32. Reduce the impact of disadvantage on contraceptive use • Assess ability to pay • Tell women about subsidized funding • Tap available insurance reimbursements

  33. Reduce the impact of ambivalence • Recognize the fluidity of women’s reproductive goals • Provide counseling • Educate women about the importance of preconception planning

  34. Anticipate and address method-related barriers to contraceptive use • Assess motivation for method choice • Review experiences and satisfaction • Facilitate method switching as needed

  35. What Women Can Do To Improve Their Contraceptive Use

  36. Method choice • The “right” method varies by individual • Discuss life changes with provider • Ask about back-up methods

  37. Dissatisfaction • Talk to your provider • Help using method • Find another option • Do not skip use!

  38. Risk of pregnancy • Sex without contraception = high risk • Chances are you will become pregnant • Preconception planning is important

  39. Insurance and public funding • Know your insurance plan • Seek out low-cost providers • Talk to your provider about cost concerns

  40. This presentation was developed with support from the National Institutes of Health (NIH) For more information, visit www.guttmacher.org

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