Clinical Edge

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Community-wide initiative ups teen LARC adoption sixfold

Key clinical point: In Rochester, N.Y., a comprehensive community initiative that raised awareness about and delivered training in the use of LARC increased teen LARC adoption sixfold.

Major finding: Over the course of the 3-year project, LARC use rose from about 4% to 24% in this group, a statistically significant increase (P less than .0001). During the same time period, LARC use did increase nationally, but at a lower rate, rising from 2% to 5% for the same population.

Study details: The 3-year study was a quasiexperimental pre-post design with no control group.

Disclosures: Dr. Aligne reported that his spouse received compensation for providing contraceptive implant insertion training, as did two coauthors. The LARC initiative was supported by a grant from the Greater Rochester Health Foundation.


Aligne CA et al. Am J Obstet Gynecol. 2020. doi: 10.1016/j.ajog.2020.01.029.