Trends and Variation in LARC Use among Planned Parenthood Affiliates
Methods: We analyzed de-identified, aggregate Planned Parenthood client visit data from 2009–2013 to explore trends in use and affiliate variation.
Results: The proportion of contraceptive clients using LARC increased steadily, from 4% in 2009 to 9% in 2013 (6.5% IUCs and 2.5% implants). There was wide variation between affiliates. In 2013, LARC use ranged from 1–20% of all contraceptive clients (mean=7%). IUC use ranged from 1–19% (mean=6%), and implant use from less than 1% to 6% (mean=2%).
Conclusions: LARC use increased steadily for both IUCs and implants, mirroring national trends. Examining overall utilization obscures disparities in LARC prevalence between affiliates. Research is needed to determine affiliate- and center-level factors associated with higher LARC utilization.
Learning Areas:Provision of health care to the public
Describe trends in LARC use among Planned Parenthood contraceptive clients. Identify one potential area for future systems research on LARC utilization.
Keyword(s): Contraception, Reproductive Health
Qualified on the content I am responsible for because: As the National Director of Research for Planned Parenthood Federation of America, I conceived of this study, conducted the data analysis, and interpreted the findings. Among my interests has been research to increase access to long-acting reversible contraceptive methods for those who desire them.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.