Research Article|Articles in Press

Negative perceptions and Long-Acting Reversible Contraceptive choice in adolescents and young adults: A cross-sectional study

Published:March 17, 2023DOI:



      Long Acting Reversible Contraceptives (LARC) have high rates of safety, satisfaction, and continuation in adolescents and young adults (AYA). Despite this, utilization of these methods in AYA is low. The purpose of this study was to evaluate negative personal perceptions or beliefs of birth control and LARC and their association with contraceptive use in AYA.


      We surveyed young people (14-24) seeking care at a Title X supported adolescent reproductive and sexual health clinic to assess negative perceptions of birth control methods with an emphasis on LARC. We used appropriate bivariate statistics to compare those endorsing ≤3 negative perceptions with those who had >3, and logistic regression to identify predictors of contraceptive choice.


      We recruited 345 participants; 337 (97.7%) completed the survey. Among respondents, the median age was 20 (range: 14-24) years and 7.04% of participants had ever been pregnant. The most commonly held negative perceptions were fear of device migration or breakage causing adverse health effects and concern about effect on future fertility. The number of negative perceptions endorsed did not differ significantly by age. However, a greater number of negative perceptions and younger age were clinical predictors of LARC non-use.


      AYA have negative perceptions about LARC that are often inaccurate and may limit contraceptive acceptability and perceived options. Engaged and respectful dialogue with AYA about their concerns and fears is essential to provide accurate and patient centered contraceptive counseling and to ensure that young people can make informed contraceptive choices.



      LARC (Long-Acting Reversible Contraception), IUD (Intrauterine Device), AYA (Adolescents and Young Adults)
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