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Factors predicting uptake of long-acting reversible methods of contraception among women presenting for abortion


Overall, Australia’s population is one of the healthiest in the world. Nevertheless, the country has relatively high levels of sexual and reproductive ill health.1 It is estimated that 50% of Australian women have had an unintended pregnancy during their reproductive lives,2 with about 80 000 abortions occurring annually.3 For several years, there has been growing national and international recognition that a key way to reduce unintended pregnancies is to encourage women to use more effective and less user-dependent methods, specifically to increase the uptake of long-acting reversible contraceptive (LARC) methods.47 LARC methods include progestogen injections, progestogen-only implants, and hormonal and copper intrauterine contraceptive (IUC) methods.5 Of the LARC methods, IUC and implants are the most effective, and have the potential to reduce unintended pregnancy by 20-fold compared with women using contraceptive pills, patches or rings.8 Despite this, less than 7% of women in Australia use an IUC or implant,9 and discussion of LARC methods features in only 15.4% of general practice contraception consultations.10

Among women…