Scholarlink

Background <p>The World Health Organization supports contraceptive care for adolescents to prevent unwanted pregnancies. Long-acting reversible contraceptives (LARCs) are safe and effective but remain underused among young women. It is essential for healthcare professionals to understand the negative perceptions of LARCs to improve their acceptance and support shared decision-making. This review and meta-study aim to identify and analyze these perceptions and barriers.</p> Methods <p>A systematic review following the PRISMA-2020 and ENTREQ guidelines was conducted of literature found in PubMed, Embase (Ovid), and Scopus. Qualitative studies investigating experienced barriers and negative perceptions towards LARCs among females aged 25 or younger were eligible for inclusion. Themes of barriers emerged from data through a phenomenological hermeneutic approach, utilizing a Ricoeur-inspired method. The CASP checklist for qualitative research was used for critical appraisal.</p> Results <p>The search yielded 413 results of which 21 studies were included for further analysis. Ten themes of barriers and negative perceptions emerged from the data: awareness and norms; influence from others; changes in bleeding pattern; concerns of future fertility; lack of control; mistrust in healthcare provider; fear of pain, bodily damage, and complications; duration of LARCs; distrust in efficacy and recognition of a foreign body.</p> Conclusion <p>This review and meta-study found multiple barriers and negative perceptions of LARCs. Barriers were founded in misconceptions, lack of knowledge, personal values, and beliefs. Healthcare providers can address these barriers through comprehensive, evidence-based contraceptive counseling. The search revealed a gap in the literature of high-quality research from Europe and Scandinavia exploring barriers towards LARCs.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Barriers and negative perceptions of long-acting reversible contraceptives: a qualitative systematic review and meta-study

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年1月30日

查看全文
  • Freja Gram,
  • Sofia A. M. Velasco,
  • Pernille Ravn,
  • Marianne K. Thygesen

摘要

Background

The World Health Organization supports contraceptive care for adolescents to prevent unwanted pregnancies. Long-acting reversible contraceptives (LARCs) are safe and effective but remain underused among young women. It is essential for healthcare professionals to understand the negative perceptions of LARCs to improve their acceptance and support shared decision-making. This review and meta-study aim to identify and analyze these perceptions and barriers.

Methods

A systematic review following the PRISMA-2020 and ENTREQ guidelines was conducted of literature found in PubMed, Embase (Ovid), and Scopus. Qualitative studies investigating experienced barriers and negative perceptions towards LARCs among females aged 25 or younger were eligible for inclusion. Themes of barriers emerged from data through a phenomenological hermeneutic approach, utilizing a Ricoeur-inspired method. The CASP checklist for qualitative research was used for critical appraisal.

Results

The search yielded 413 results of which 21 studies were included for further analysis. Ten themes of barriers and negative perceptions emerged from the data: awareness and norms; influence from others; changes in bleeding pattern; concerns of future fertility; lack of control; mistrust in healthcare provider; fear of pain, bodily damage, and complications; duration of LARCs; distrust in efficacy and recognition of a foreign body.

Conclusion

This review and meta-study found multiple barriers and negative perceptions of LARCs. Barriers were founded in misconceptions, lack of knowledge, personal values, and beliefs. Healthcare providers can address these barriers through comprehensive, evidence-based contraceptive counseling. The search revealed a gap in the literature of high-quality research from Europe and Scandinavia exploring barriers towards LARCs.