title: Vital signs: trends in use of long-acting reversible contraception among teens aged 15-19 years seeking contraceptive services—United States, 2005-2013.
abstract: BACKGROUND
  Nationally, the use of long-acting reversible contraception (LARC), specifically intrauterine devices (IUDs) and implants, by teens remains low, despite their effectiveness, safety, and ease of use.
  
  
  METHODS
  To examine patterns in use of LARC among females aged 15-19 years seeking contraceptive services, CDC and the U.S. Department of Health and Human Services' Office of Population Affairs analyzed 2005-2013 data from the Title X National Family Planning Program. Title X serves approximately 1 million teens each year and provides family planning and related preventive health services for low-income persons.
  
  
  RESULTS
  Use of LARC among teens seeking contraceptive services at Title X service sites increased from 0.4% in 2005 to 7.1% in 2013 (p-value for trend <0.001). Of the 616,148 female teens seeking contraceptive services in 2013, 17,349 (2.8%) used IUDs, and 26,347 (4.3%) used implants. Use of LARC was higher among teens aged 18-19 years (7.6%) versus 15-17 years (6.5%) (p<0.001). The percentage of teens aged 15-19 years who used LARC varied widely by state, from 0.7% (Mississippi) to 25.8% (Colorado).
  
  
  CONCLUSIONS
  Although use of LARC by teens remains low nationwide, efforts to improve access to LARC among teens seeking contraception at Title X service sites have increased use of these methods.
  
  
  CONCLUSIONS
  Health centers that provide quality contraceptive services can facilitate use of LARC among teens seeking contraception. Strategies to address provider barriers to offering LARC include: 1) educating providers that LARC is safe for teens; 2) training providers on LARC insertion and a client-centered counseling approach that includes discussing the most effective contraceptive methods first; and 3) providing contraception at reduced or no cost to the client.
authors: Lisa
authors: L
authors: Romero
authors: Karen
authors: K
authors: Pazol
authors: Lee
authors: L
authors: Warner
authors: Lorrie
authors: L
authors: Gavin
authors: Susan
authors: S
authors: Moskosky
authors: Ghenet
authors: G
authors: Besera
authors: Ana Carolina
authors: AC
authors: Loyola Briceno
authors: Tara
authors: T
authors: Jatlaoui
authors: Wanda
authors: W
authors: Barfield
mesh_terms: D000293:Adolescent; D003271:Contraceptive Agents, Female; D005193:Family Planning Services / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007434:Intrauterine Devices; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D019736:Prostheses and Implants; D014481:United States; D055815:Young Adult
chemical_list: D003271:Contraceptive Agents, Female