Abstract | INTRODUCTION: METHODS: MEDLINE, Embase, PsycINFO, Global Health, CINAHL, Cochrane Library, and Scopus were searched for articles published between January 1990 and July 2018. Eligible studies included those that (1) were published in the English language, (2) were published in a peer-reviewed journal, (3) reported empirical, quantitative analyses, and (4) compared at least 1 outcome of interest ( condom use, sexual behaviors other than condom use, sexually transmitted infection‒related service receipt, or sexually transmitted infections/HIV) between users of long-acting reversible contraception and users of moderately effective methods. In 2020, pooled ORs were calculated for condom use, chlamydia/ gonorrhea infection, and trichomoniasis infection; findings for other outcomes were synthesized qualitatively. The protocol is registered on the International Prospective Register of Systematic Reviews (CRD42018109489). RESULTS: A total of 33 studies were included. Long-acting reversible contraception users had decreased odds of using condoms compared with oral contraceptive users (OR=0.43, 95% CI=0.30, 0.63) and injectable, patch, or ring users (OR=0.58, 95% CI=0.48, 0.71); this association remained when limited to adolescents and young adults only. Findings related to multiple sex partners were mixed, and only 2 studies examined sexually transmitted infection testing, reporting mainly null findings. Pooled estimates for chlamydia and/or gonorrhea were null, but long-acting reversible contraception users had increased odds of trichomoniasis infection compared with oral contraceptive users (OR=2.01, 95% CI=1.11, 3.62). DISCUSSION:
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Authors | Riley J Steiner, Sanjana Pampati, Katherine M Kortsmit, Nicole Liddon, Andrea Swartzendruber, Karen Pazol |
Journal | American journal of preventive medicine
(Am J Prev Med)
Vol. 61
Issue 5
Pg. 750-760
(11 2021)
ISSN: 1873-2607 [Electronic] Netherlands |
PMID | 34686301
(Publication Type: Journal Article, Meta-Analysis, Review, Systematic Review)
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Copyright | Published by Elsevier Inc. |
Topics |
- Adolescent
- Condoms
- Contraception
- Humans
- Long-Acting Reversible Contraception
- Safe Sex
- Sexually Transmitted Diseases
(epidemiology, prevention & control)
- Young Adult
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