In a recent study published in The Lancet Regional Health – Americas, researchers surveyed a nationally representative population of non-sterile individuals in the United States (U.S.) between the ages of 15 and 44 years who had been assigned as female at birth to understand the preferred contraceptive method, differences in these preferences based on sociodemographic factors, and the reasons for not using contraceptives.
Research conducted by experts sheds light on the use of preferred contraceptive methods in the United States and the factors that influence access to these methods. The study, published in The Lancet Regional Health – Americas, surveyed a representative population of non-sterile individuals between the ages of 15 and 44 who had been assigned female at birth. The results highlight the importance of individual preferences and the right to self-determination in reproductive health decisions.
According to the study, approximately one-fourth of prospective and current contraceptive users in the U.S., equivalent to around 8.1 million individuals, reported a preference for a method of contraception different from the one they were currently using or had access to. Vasectomy and oral contraceptives emerged as the most preferred methods among respondents.
The reasons for not using the preferred method of contraception varied widely and included concerns about side effects, logistical challenges, lack of knowledge, safety concerns, and cost. These barriers underline the need for better access to comprehensive information and counseling about contraceptives, as well as addressing discriminatory practices related to family planning.
The findings also emphasized the importance of a person-centered approach to reproductive healthcare. Patients who felt they had sufficient information to make informed decisions about contraception and had easy access to their preferred method were more likely to use it. On the other hand, inadequate person-centered counseling and instances of discrimination in family planning decreased the likelihood of using the preferred method.
The study highlights the need for an equitable approach to sexual and reproductive health, where individuals can exercise their right to make choices about contraception in a dignified and accepted manner. Furthermore, it calls attention to the impact of policies and programs that prioritize certain contraceptive methods over others, ultimately undermining an individual’s right to self-determination.
These findings have significant implications, particularly in light of recent legal developments in the U.S. Such research can inform policy decisions and efforts to improve access to preferred methods of contraception. By addressing barriers, promoting comprehensive information, and adopting person-centered approaches, policymakers can uphold reproductive and sexual health equity and ensure individuals have the autonomy to decide if, how, and when to get pregnant.
