title: Contraceptive implant knowledge and practices of providers serving an urban, low-income community.
abstract: Contraceptive implants are highly effective but infrequently used by low-income women, who are at high risk of unintended pregnancy. Provider factors that may affect implant acceptance merit further exploration. We surveyed 66 clinicians serving an urban, low-income community from adult primary care, women's health, and adolescent practices. We assessed implant education, knowledge, perceptions of accessibility and cost, and patient selection practices. Education about implants varied from 15% in adult primary care to 30% in adolescent practice and 75% in women's health. Among women's health providers, 54% were trained to insert implants. Despite having eligible candidates, some providers were unlikely to recommend implants to patients who are nulliparous (8%), teens (22%), depressed (24%) or obese (22%). Forty-one percent of providers reported insertion wait-times of at least three weeks. Among low-income women, deficits in provider education, restrictive practice patterns, and long insertion wait times may affect contraceptive implant use.
authors.forename: Charlene H
authors.initials: CH
authors.lastname: Collier
authors.forename: Marjorie
authors.initials: M
authors.lastname: Rosenthal
authors.forename: Kenn
authors.initials: K
authors.lastname: Harris
authors.forename: Georgina
authors.initials: G
authors.lastname: Lucas
authors.forename: Nancy L
authors.initials: NL
authors.lastname: Stanwood
mesh_terms: D000293:Adolescent; D000328:Adult; D002983:Clinical Competence; D055812:Community-Based Participatory Research; D003237:Connecticut; D003271:Contraceptive Agents, Female; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D011204:Poverty Areas; D057184:Practice Patterns, Nurses' / Q000706:statistics & numerical data*; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011320:Primary Health Care; D014505:Urban Population
chemical_list: D003271:Contraceptive Agents, Female