IUDs as EC? Limited Awareness and High Reported Acceptability: Evidence from Argentina

Margaret S. Pichardo, Stony Brook University

Description

Background

The copper-bearing intrauterine device (IUD) is safe and the most effective form of emergency contraception (EC), but knowledge of the device for EC is low.

Objectives

We explore knowledge and attitudes regarding the IUD as EC among women in Buenos Aires, Argentina.

Materials/Methods

A convenience sample of women attending a family planning center at a public hospital were interviewed. The primary outcome of interest was acceptability of using the copper IUD as EC.

Results

While only 5 of 250 (2%) knew the IUD served as an EC, 247 of 267 (93%) were willing to use the device as such after given relevant information. Multivariate analysis (n=274) revealed that age (OR=1.042, 95%CI=1.01-1.08), no religious affiliation (OR=3.02, 95%CI= 1.19-7.66), and previous IUD use (OR=2.49, 95%CI=1.33-4.68) were positively associated with willingness to use the IUD as EC. Argentine women were less likely to accept the IUD for EC (OR=.525, 95%CI=.310-.890) compared to foreign-born women, even after adjusting for previous use of the IUD (OR=.491, 95%CI=.284-.850). Additionally, results from a pre-test revealed that women with low levels of education and those born in Argentina (compared to foreign-born) were less knowledgeable about EC pills, while highly educated women were more knowledgeable about the IUD.

Conclusion

This is the first study to examine acceptability of the IUD as EC in Latin America. Despite limited knowledge, acceptability of the IUD as EC is high. Policy implications include increasing education regarding this highly effective method and advocacy to change existing regulations in Argentina prohibiting the use of IUD as EC.

 
Apr 26th, 2:30 PM

IUDs as EC? Limited Awareness and High Reported Acceptability: Evidence from Argentina

Edwards 101

Background

The copper-bearing intrauterine device (IUD) is safe and the most effective form of emergency contraception (EC), but knowledge of the device for EC is low.

Objectives

We explore knowledge and attitudes regarding the IUD as EC among women in Buenos Aires, Argentina.

Materials/Methods

A convenience sample of women attending a family planning center at a public hospital were interviewed. The primary outcome of interest was acceptability of using the copper IUD as EC.

Results

While only 5 of 250 (2%) knew the IUD served as an EC, 247 of 267 (93%) were willing to use the device as such after given relevant information. Multivariate analysis (n=274) revealed that age (OR=1.042, 95%CI=1.01-1.08), no religious affiliation (OR=3.02, 95%CI= 1.19-7.66), and previous IUD use (OR=2.49, 95%CI=1.33-4.68) were positively associated with willingness to use the IUD as EC. Argentine women were less likely to accept the IUD for EC (OR=.525, 95%CI=.310-.890) compared to foreign-born women, even after adjusting for previous use of the IUD (OR=.491, 95%CI=.284-.850). Additionally, results from a pre-test revealed that women with low levels of education and those born in Argentina (compared to foreign-born) were less knowledgeable about EC pills, while highly educated women were more knowledgeable about the IUD.

Conclusion

This is the first study to examine acceptability of the IUD as EC in Latin America. Despite limited knowledge, acceptability of the IUD as EC is high. Policy implications include increasing education regarding this highly effective method and advocacy to change existing regulations in Argentina prohibiting the use of IUD as EC.