A Retrospective Chart Review of Contraceptive Use among Adolescents with Opioid Use Disorder

To describe contraceptive use among female adolescents initiating outpatient treatment for opioid use disorder. Retrospective chart review. Outpatient clinic providing medication-assisted treatment for substance use disorders to adolescents and young adults. Nonpregnant female adolescents who presen...

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Bibliographic Details
Published in:Journal of pediatric & adolescent gynecology 2018-04, Vol.31 (2), p.122-127
Main Authors: Handy, Caitlin J., Lange, Hannah L.H., Manos, Brittny E., Berlan, Elise D., Bonny, Andrea E.
Format: Article
Language:English
Subjects:
Adolescent
Adolescent medicine
Adult
Contraception
Contraception - methods
Contraception - statistics & numerical data
Contraception Behavior - statistics & numerical data
Contraceptive Agents
Family Planning Services
Female
Humans
Opioid use disorder
Opioid-Related Disorders - epidemiology
Pregnancy
Reproductive health
Retrospective Studies
Sexual Behavior - statistics & numerical data
Young Adult
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Summary:To describe contraceptive use among female adolescents initiating outpatient treatment for opioid use disorder. Retrospective chart review. Outpatient clinic providing medication-assisted treatment for substance use disorders to adolescents and young adults. Nonpregnant female adolescents who presented for treatment from January 1, 2013 to January 31, 2016 (N = 123). None. Prescription contraceptive use at baseline and initiation of a new method within 90 days. 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). 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.
ISSN:1083-3188
1873-4332
DOI:10.1016/j.jpag.2017.11.002