title: Trends and determinants of use of long-acting reversible contraception use among young women in France: results from three national surveys conducted between 2000 and 2010.
abstract: OBJECTIVE
  To investigate trends and determinants in the use of long-acting reversible contraceptives (LARCs), including intrauterine devices and implants, over the last decade among young women in France.
  
  
  METHODS
  Data drawn from three cross-sectional national probability surveys.
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  A total of 1,204 women, ages 15 to 29, who are at potential risk of an unintended pregnancy in 2000; 1,921 in 2005; and 1,281 in 2010.
  
  
  METHODS
  None.
  
  
  METHODS
  Logistic regression models were used to explore trends in LARC use since 2000 and to examine determinants of LARC use in 2010.
  
  
  RESULTS
  A minority of women were using LARC methods, with a significant increase between 2000 and 2010, from 4.6% to 6.4%. The odds of LARC use in 2010 were higher among women 20 to 29 years, parous women, women with a history of unintended pregnancy, women in difficult financial situations, smokers, and women in the care of a gynecologist.
  
  
  CONCLUSIONS
  This study shows that little progress has been made in LARC use among young women in France, despite these methods being widely available and reimbursed by the national health system.
authors.affiliation: Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland 21205, USA. cmoreau@jhsph.edu
authors.forename: Caroline
authors.initials: C
authors.lastname: Moreau
authors.forename: Aline
authors.initials: A
authors.lastname: Bohet
authors.forename: Danielle
authors.initials: D
authors.lastname: Hassoun
authors.forename: Michel
authors.initials: M
authors.lastname: Teboul
authors.forename: Nathalie
authors.initials: N
authors.lastname: Bajos
mesh_terms: D000293:Adolescent; D000328:Adult; D003267:Contraception / Q000706:statistics & numerical data* / Q000639:trends*; D003271:Contraceptive Agents, Female / Q000008:administration & dosage; D003625:Data Collection; D003692:Delayed-Action Preparations / Q000008:administration & dosage; D004343:Drug Implants; D005260:Female; D005602:France / Q000453:epidemiology; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007434:Intrauterine Devices / Q000706:statistics & numerical data / Q000639:trends; D011247:Pregnancy; D012959:Socioeconomic Factors; D055815:Young Adult
chemical_list: D003271:Contraceptive Agents, Female; D003692:Delayed-Action Preparations; D004343:Drug Implants
keywords: Contraception behavior; France; IUD; implant; long-acting methods of contraception; population-based survey