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• W2510193840 abstract "Good news! For the first time in three decades, the unintended pregnancy rate in the United States has dropped — from over 50% during 1981–2008 to 45% between 2008 and 2011 [ [1] Finer LB Zolna MR Declines in unintended pregnancy in the United States, 2008–2011. N Engl J Med. 2016; 374: 843-852 Crossref PubMed Scopus (1269) Google Scholar ]. The US teen pregnancy rate has been falling for some time and is at a historic low [ [2] Kost K Maddow-Zimet I U.S. teenage pregnancies, births and abortions. 2011: national trends by age, race and ethnicity. Guttmacher Institute, 2016 Google Scholar ]. At the same time, overall contraceptive use in the United States has remained fairly steady at about 60% among all females ages 15–44 years, but recently, use of the most effective, long-acting, reversible methods (LARCs) — intrauterine devices (IUDs) and implants — has been increasing [ 3 Daniels K Daugherty J Jones J Mosher W Current contraceptive use and variation by selected characteristics among women aged 15–44: United States, 2011–2013. in: National Health Statistics Reports. 2015: 1-14 Google Scholar , 4 Mosher WD Martinez GM Chandra A Abma JC Willson SJ Use of contraception and use of family planning services in the United States: 1982–2002. in: Advance data. 2004: 1-36 Google Scholar , 5 Kavanaugh ML Jerman J Finer LB Changes in use of long-acting reversible contraceptive methods among U.S. women, 2009–2012. Obstet Gynecol. 2015; 126: 917-927 Crossref PubMed Scopus (209) Google Scholar ]. Several large projects, including the Contraceptive Choice Project, family planning initiatives in Colorado and Iowa, and a randomized cluster trial of a clinical training intervention, have demonstrated success in increasing the use of contraception overall, including the most effective methods, and most importantly, decreasing unintended pregnancy and abortion rates [ 6 Birgisson NE Zhao Q Secura GM Madden T Peipert JF Preventing unintended pregnancy: the contraceptive CHOICE project in review. J Womens Health. 2015; 24: 349-353 Crossref PubMed Scopus (107) Google Scholar , 7 Harper CC Rocca CH Thompson KM Morfesis J Goodman S Darney PD et al. Reductions in pregnancy rates in the USA with long-acting reversible contraception: a cluster randomised trial. Lancet. 2015; 386: 562-568 Abstract Full Text Full Text PDF PubMed Scopus (144) Google Scholar , 8 Ricketts S Klingler G Schwalberg R Game change in Colorado: widespread use of long-acting reversible contraceptives and rapid decline in births among young, low-income women. Perspect Sex Reprod Health. 2014; 46: 125-132 Crossref PubMed Scopus (175) Google Scholar , 9 Biggs MA Rocca CH Brindis CD Hirsch H Grossman D Did increasing use of highly effective contraception contribute to declining abortions in Iowa?. Contraception. 2015; 91: 167-173 Abstract Full Text Full Text PDF PubMed Scopus (46) Google Scholar ]. Finally, the Affordable Care Act requires most health plans to cover certain preventive services for women, including contraceptive methods and counseling [ 10 HRSA Women's preventive services guidelines. http://www.hrsa.gov/womensguidelines/ Google Scholar , 11 Fox J Barfield W Decreasing unintended pregnancy: opportunities created by the affordable care act. JAMA. 2016; https://doi.org/10.1001/jama.2016.8800 Crossref Scopus (23) Google Scholar ]." @default.
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• W2510193840 date "2016-12-01" @default.
• W2510193840 modified "2023-09-30" @default.
• W2510193840 title "Removing medical barriers to contraception — evidence-based recommendations from the Centers for Disease Control and Prevention, 2016" @default.
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• W2510193840 doi "https://doi.org/10.1016/j.contraception.2016.08.007" @default.
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