title: Effect of shared contraceptive experiences on IUD use at an urban abortion clinic.
abstract: BACKGROUND
  We studied the effect of contraceptive social networking on postabortion intrauterine device (IUD) uptake. This study explores whether women who have heard personal stories of IUD use are more likely to use an IUD for postabortion contraception.
  
  
  METHODS
  We surveyed 299 women undergoing induced abortion at San Francisco General Hospital's Women's Options Center before and after contraceptive counseling. Both English- and Spanish-speaking women, aged 15 years and older, were surveyed.
  
  
  RESULTS
  Fifty percent of women surveyed chose to use an IUD for postabortion contraception. Women choosing IUDs were more likely than women choosing other contraceptives or no contraceptives to be multiparous, Latina and interested in IUDs prior to contraceptive counseling. Disclosure of personal IUD use by a clinic staff member was independently associated with the decision to use an IUD (odds ratio 8.1, 95% confidence interval 3.8-17.2).
  
  
  CONCLUSIONS
  Women undergoing abortion in an urban clinic have knowledge and high acceptance of IUDs, and sharing of contraceptive experiences is common among women of all demographics. Controlling for demographics and prior knowledge of IUDs, sharing of personal IUD experiences by providers is significantly associated with IUD use.
authors: Department of Obstetrics and Gynecology, University of Chicago Medical Center, Chicago, IL 60637, USA. lbenson@alumni.brown.edu
authors: Lyndsey S
authors: LS
authors: Benson
authors: Alissa
authors: A
authors: Perrucci
authors: Eleanor A
authors: EA
authors: Drey
authors: Jody E
authors: JE
authors: Steinauer
mesh_terms: D000293:Adolescent; D000328:Adult; D000554:Ambulatory Care Facilities; D003430:Cross-Sectional Studies; D003657:Decision Making; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007434:Intrauterine Devices; D016015:Logistic Models; D010342:Patient Acceptance of Health Care; D060756:Social Networking; D014505:Urban Population; D055815:Young Adult