Trends and Barriers of Use of Long Acting Reversible Contraception in France: Results from a Population Based Survey

Caroline Moreau, Johns Hopkins University and Institut National de la Santé et de la Recherche Médicale (INSERM)
Aline Bohet, Institut National de la Santé et de la Recherche Médicale (INSERM)
Mireille Le Guen, Institut National de la Santé et de la Recherche Médicale (INSERM)
Nathalie Bajos, Institut National de la Santé et de la Recherche Médicale (INSERM)

This study investigates trends and barriers of LARC use over the last decade among young women in France. METHODS: Data are drawn from 3 national surveys comprising 1204 women 15-29 years in 2000, 1921 in 2005 and 1274 in 2010. Logistic regression models were used to explore trends in LARC use and current predictors of use. RESULTS: In any given year, a minority of women (5.4%) used LARC, with an increase between 2005 and 2010 (OR=1.8 [1.2-2.6]). The odds of LARC use were higher among women 20- 29 years (OR=4.7 [1.1-20.3]), parous women (OR=5.4 [3.1-9.6]), women who reported an unintended pregnancy (OR=2.0 [1.1-3.7]), women in difficult financial situations (OR=2.5 [1.4-4.4]). Misinformation was frequent, with half stating the IUD was not recommended for nulliparous women. Conclusions: This study highlights the remaining barriers to LARC use among young women in France, despite them being widely available and reimbursed.