ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2020
From awareness to usage of long-acting reversible contraceptives: Results of a large European survey.
Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Discontinuation of long acting reversible contraceptive use and its determinants among women in Ethiopia: Systematic review and meta-analysis.Frontiers in public health · 2022Pooled it
- Contraceptive use, adherence, and perceptions among women aged 18-45 years in Czechia: a 2019 cross-sectional quota-based online survey.Reproductive health · 2026Article
- Sexual knowledge and contraceptive use in adolescents with type 1 diabetes in comparison with their healthy peers.Endocrine · 2025Article
- Long-acting reversible methods of contraception: trends, levels, and predictors among married women of reproductive age in Nigeria.Contraception and reproductive medicine · 2025Article
- Patient Perspectives on Contraceptive use in North India: A Case for Increased Contraceptive Counseling by Providers.Journal of obstetrics and gynaecology of India · 2023Article
- Young People Awareness of Sexually Transmitted Diseases and Contraception: A Portuguese Population-Based Cross-Sectional Study.International journal of environmental research and public health · 2022Article
- Prevalence and predictors of long-acting reversible contraceptive use among sexually active women in 26 sub-Saharan African countries.International health · 2022Article
- Digital Medical Device Companion (MyIUS) for New Users of Intrauterine Systems: App Development Study.JMIR medical informatics · 2021Article
- Long-Acting Contraceptive Switching and Its Associated Factors among Married Women in Southwest Ethiopia.SAGE open nursingArticle
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe PULSE survey investigated contraceptive decision making, focusing on the use of long-acting reversible contraceptives (LARCs) to determine reasons for their low adoption rates.
methodsAn online questionnaire was sent to women aged 18-49 years in 14 European countries who were considering starting or changing contraceptive method and asked questions based on four stages of contraceptive decision making: awareness, consideration, consultation, and adoption.
resultsOverall, 7221 women responded. LARC awareness was high (~73%) but current usage was low (11.3%). Only 24% of LARC-aware women would consider switching to them. Factors associated with decision making differed depending on the stage: e.g. at the awareness phase, women were concerned with suitability, reversibility, and whether the method is hormonal; and at the consideration phase, the efficacy, convenience, and adverse-effect profile were important. Healthcare professionals (HCPs) were the most trusted information source for women's contraceptive decision making. LARCs were discussed less frequently during consultations than other contraceptives and HCPs may be perceived to hold negative opinions on LARCs.
conclusionA lack of knowledge about the features and benefits of LARCs can contribute to misconceptions and low adoption rates. HCPs play an important role in addressing this, as information conveyed during consultations influences women's contraceptive choices.
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