ArticleContraception and reproductive medicine2018
Pregnant or recently pregnant opioid users: contraception decisions, perceptions and preferences.
Article in Contraception and reproductive medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Contraception use among individuals with substance use disorder increases tenfold with patient-centered, mobile services: a quasi-experimental study.Harm reduction journal · 2023Trial
- Association between pregnancy intention and postpartum contraceptive interest among pregnant people with opioid use disorder.Journal of substance use and addiction treatment · 2026Article
- Integrating routine screening for pregnancy intention and contraceptive use into care of women who use alcohol or other drugs.Drug and alcohol review · 2025Article
- Pregnancy Rates Among Women Treated with Medication for Opioid Use Disorder.Journal of general internal medicine · 2024Article
- Consistency of antenatal contraceptive plan and postpartum fulfillment in patients with opioid use disorder.Archives of women's mental health · 2024Article
- Postpartum contraceptive choice and fulfillment in patients with opioid use disorder.Contraception · 2023Article
- Barriers to and facilitators of hormonal and long-acting reversible contraception access and use in the US among reproductive-aged women who use opioids: A scoping review.Preventive medicine reports · 2023Article
- A population-based descriptive study of neonatal abstinence syndrome using hospital discharge and birth certificate data.Journal of substance use · 2023Article
- Association of Opioid Use Disorder and Provision of Highly Effective Inpatient Postpartum Contraception.Open access journal of contraception · 2023Article
- Ethical Issues in Providing and Promoting Contraception to Women with Opioid Use Disorder.The Journal of clinical ethics · 2022Article
- Repurposing FDA-approved drugs against multiple proteins of SARS-CoV-2: AnScientific African · 2021Article
- Long-acting reversible contraceptives (LARCs) as harm reduction: a qualitative study exploring views of women with histories of opioid misuse.Harm reduction journal · 2021Article
- Expanding Contraception Access for Women With Opioid-Use Disorder: A Qualitative Study of Opportunities and Challenges.American journal of health promotion : AJHP · 2020Article
- 'I feel like a person has a right to use a product to protect themselves…': a qualitative study of the risk-benefit calculus on women's contraceptive use and choice.Sexual health · 2020Article
- Contraceptive Method Choices in Women With and Without Opioid Use Who Have Infants in the Neonatal Intensive Care Unit and Nursery.Women's health reports (New Rochelle, N.Y.) · 2020Article
- Virtually possible: using telehealth to bring reproductive health care to women with opioid use disorder in rural Maine.mHealth · 2020Article
- Prevalence of Mental Health Disorders among Individuals Enrolled in an Emergency Response Program for Treatment of Opioid Use Disorder.Substance abuse : research and treatment · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMultiple factors are linked to extremely high unintended pregnancy rates among women who use opioids, including various barriers to contraception adherence. These include patient level barriers such as lack of knowledge and education about highly effective contraception, and potential provider barriers. Using a mixed-methods framework to examine the contraception-related perceptions and preferences of opioid using women is a necessary next step to understanding this phenomenon.
methodsA mixed-method study was conducted which included both self-report questionnaires along with a semi-structured qualitative interview of opioid-using pregnant or recently pregnant women in two drug treatment facilities in Ohio.
resultsForty-two women completed the study. The majority of recent (75%) and total pregnancies were unintended. Male condoms were reported as the highest form of lifetime contraception used within the present sample (69%). Participants reported low lifetime use of long acting reversible contraception (LARC) (ranging from 5 to 12%). Participants preferred hormonal injections first (40%), followed by IUDs (17%). Reasons for preferences of injections and LARC were similar: not needing to remember, side effects, and long-term effectiveness.
conclusionsMost of the study population participants stated they would utilize contraception, particularly Tier 1 LARC methods, if freely available; however, high rates of unintended pregnancy were observed in this sample. This indicates the need for contraception education, and addressing the procedural, logistical and economic barriers that may be preventing the use of LARC among this population.
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