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• W2769612006 abstract "Study Objective To describe contraceptive use among female adolescents initiating outpatient treatment for opioid use disorder. Design Retrospective chart review. Setting Outpatient clinic providing medication-assisted treatment for substance use disorders to adolescents and young adults. Participants Nonpregnant female adolescents who presented for treatment from January 1, 2013 to January 31, 2016 (N = 123). Interventions None. Main Outcome Measures Prescription contraceptive use at baseline and initiation of a new method within 90 days. Results Of 123 female adolescents who presented for treatment of opioid use disorder, 113 (91.9%) reported sexual activity and 80 (65.0%) were not using prescription contraception at intake. Previous pregnancy was reported by 43 (35.0%) and 20 (16.3%) were positive for a sexually transmitted infection. Contraceptive counseling was not documented for 73 (59.3%) patients. Among patients with no prescription contraception at baseline, 56 of 80 (70.0%) initiated a method within the study window. Significant predictors (odds ratio [OR]; 95% confidence interval) of contraceptive initiation included previous pregnancy (8.6; 1.39-52.99), education of less than a high school diploma/general equivalency diploma (7.4; 1.63-33.41), and return for follow-up visit (9.8; 2.18-43.69). Conclusion Young women who presented for opioid use disorder treatment were at high risk of adverse reproductive health outcomes. Most were sexually active and not using prescription contraception. Findings underscore the need for contraceptive counseling in this patient population. Optimally, these services would be provided in conjunction with substance use treatment. Improved contraceptive counseling documentation will allow evaluation of effective contraceptive counseling strategies for adolescents with opioid use disorders and might serve to inform future interventions." @default.
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• W2769612006 date "2018-04-01" @default.
• W2769612006 modified "2023-10-12" @default.
• W2769612006 title "A Retrospective Chart Review of Contraceptive Use among Adolescents with Opioid Use Disorder" @default.
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• W2769612006 doi "https://doi.org/10.1016/j.jpag.2017.11.002" @default.
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