The preferences of women in Australia for the features of long-acting reversible contraception: results of a discrete choice experiment.

Haas, MORCID logo; Church, JORCID logo; Street, DJ; Bateson, DORCID logo; Fisher, JORCID logo; Taft, AORCID logo; Black, KIORCID logo; Lucke, JORCID logo; Hussainy, SYORCID logo; McGeechan, K; +2 more...Norman, WORCID logo; Mazza, DORCID logo and (2022) The preferences of women in Australia for the features of long-acting reversible contraception: results of a discrete choice experiment. European Journal of Contraception and Reproductive Health Care, 27 (5). pp. 424-430. ISSN 1362-5187 DOI: 10.1080/13625187.2022.2098947
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PURPOSE: Long-acting reversible contraceptives (LARC), such as intrauterine devices (IUD) and implants, are highly effective. However, the uptake of LARC in Australia has been slow and the oral contraceptive pill (OC) remains the best known and most widely used contraceptive. Our aim was to investigate women's preferences for the features of LARC. METHODS: We used a discrete choice experiment (DCE) in which each respondent completed 12 choice tasks. We recruited a general population sample of 621 women in Australia aged 18-49 using an online survey panel. A mixed logit model was used to analyse DCE responses; a latent class model explored preference heterogeneity. RESULTS: Overall, 391 (63%) of women were currently using contraception; 49.3% were using an OC. About 22% of women were using a LARC. Women prefer products that are more effective in preventing pregnancy, have low levels of adverse events (including negative effects on mood), and which their general practitioner (GP) recommends or says is suitable for them. CONCLUSIONS: Women have strong preferences for contraceptive products that are effective, safe, and recommended by their GP. The results indicate which characteristics of LARCs need to be front and centre in information material and in discussions between women and healthcare professionals.


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This is an author accepted manuscript version of an article accepted for publication, and following peer review. Please be aware that minor differences may exist between this version and the final version if you wish to cite from it.
Available under Creative Commons: Attribution-NonCommercial-No Derivative Works 4.0

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