title: Effect of a brief educational intervention on the attitudes of young women toward the intrauterine device.
abstract: OBJECTIVE
  The intrauterine device (IUD) is underused by young women, who are at high risk for unintended pregnancy. We aimed to assess the impact of a brief educational intervention on the attitudes of young women toward intrauterine contraception and to assess characteristics associated with a change in attitude.
  
  
  METHODS
  This is a planned secondary analysis of a survey of 144 women, aged 14-24 years, which assessed attitudes toward the IUD.
  
  
  METHODS
  The analysis was planned to fully examine the impact of a 3-minute educational intervention about the IUD given during administration of the survey, which included risks and benefits of IUD use, costs, side effects, and a demonstration of the IUD insertion and removal process.
  
  
  METHODS
  Proportions of participants with a positive attitude toward the IUD before and after the intervention were compared using McNemar's chi-square test for paired proportions. Factors associated with a change in attitude toward the IUD were evaluated using multivariable analysis.
  
  
  RESULTS
  Before the educational intervention, 14.7% (21/143) had both heard of the IUD and expressed a positive attitude toward it. After the intervention, this proportion increased to 53.8% (77/143) (P < .01). The increase in proportion with a positive attitude was consistent for all subpopulations. In multivariable analysis, the only significant predictor of a positive change in attitude toward the IUD was a history of voluntary sexual activity (adjusted odds ratio 10.3, 95% confidence interval 2.0-53.1).
  
  
  CONCLUSIONS
  A brief educational intervention significantly improves the attitude of young sexually active women toward the IUD.
authors.affiliation: Department of Obstetrics and Gynecology, University of Chicago Medical Center, Chicago, IL 60637, USA. awhitaker@babies.bsd.uchicago.edu
authors.forename: Amy K
authors.initials: AK
authors.lastname: Whitaker
authors.forename: Mishka
authors.initials: M
authors.lastname: Terplan
authors.forename: Melanie A
authors.initials: MA
authors.lastname: Gold
authors.forename: Lisa M
authors.initials: LM
authors.lastname: Johnson
authors.forename: Mitchell D
authors.initials: MD
authors.lastname: Creinin
authors.forename: Bryna
authors.initials: B
authors.lastname: Harwood
mesh_terms: D000293:Adolescent; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007434:Intrauterine Devices; D010353:Patient Education as Topic / Q000379:methods*; D011247:Pregnancy; D049168:Pregnancy, Unplanned; D012307:Risk Factors; D055815:Young Adult