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2012 Reseach Abstract

Increasing Long Acting Reversible Contraception Use Among Methadone Using Women

Investigator: Mary Temple Sale, MD (AΩA, Marshall University, 2010)

Mentor: Tony Ogburn, MD

Institution: University of New Mexico School of Medicine

Objective: To investigate if providing contraceptive counseling tools for licensed drug and alcohol counselors will increase the use of long-acting reversible contraception (LARC) among women enrolled in a methadone clinic.

Methods: Female clients enrolled at a local methadone clinic were assessed by completing a survey at baseline and at 6 month follow-up to address contraceptive use, knowledge of options and access, experience receiving contraceptive counseling, and knowledge of and enrollment in Family Planning Medicaid. Eligibility criteria included: ages 18-45 years, English speaking, and not sterilized. Educational sessions were held for the clinic’s full-time counselors providing contraceptive counseling techniques and resources. We encouraged incorporation of contraceptive counseling during clients’ required monthly substance abuse counseling sessions.

Results: We surveyed 53 women at baseline and 51 women at 6 months. Forty-six women met inclusion criteria at baseline and 35 at 6 months. Baseline LARC knowledge was high at 84.8% and did not change at 6 months, nor did LARC use. Knowledge of other contraceptive options increased including the morning after pill (p= 3.17 x10 -9). There was a significant increase in Medicaid enrollment (p= 0.032).

Conclusion: Although LARC uptake did not increase at 6 months, we did demonstrate the feasibility of incorporating contraceptive counseling into substance abuse counseling. Knowledge of some contraceptive options and Medicaid enrollment increased. Concurrent Medicaid expansion and FDA approval and marketing for Plan-B One-Step® may have impacted these increases.

Last Updated: 6/19/14

Updated on June 19, 2014.