Long-acting reversible contraception use among residents in obstetrics/gynecology training programs

Figures & data

Figure 1 Participant flow diagram.

Abbreviation: LARC, long-acting reversible contraception; Ryan Program, Ryan Residency Training Program.

Table 1 Characteristics of residents in Ryan vs. non-Ryan affiliated Programs, all respondents (n=377)

Characteristic	Ryan (n=191)		Non-Ryan (n=186)		P-value
	Mean	SD	Mean	SD
Age	29.0	2.1	28.9	2.2	0.62
	N	%	N	%
Race					0.29
Black	9	4.7	13	7.0
White	154	81.1	155	83.3
Others	27	14.2	18	9.7
Ethnicity					0.06
Hispanic	14	7.4	5	2.7
Non-Hispanic	175	92.6	179	97.3
Marital status					0.89
Married	87	45.5	89	47.8
Not married but partnered	74	38.7	68	36.6
No partner	30	15.7	29	15.6
Respondent/Partner sex					0.16
Female respondent, male partner	147	77.0	133	71.5
Female respondent, female partner	0	0	3	1.6
Female respondent, no partner	31	16.2	30	16.1
Male respondent, female partner	13	6.8	20	10.8
Current level of training					0.26
Postgraduate year 1	51	26.7	35	18.8
Post graduate year-2	52	27.2	50	26.9
Postgraduate year 3	43	22.5	46	24.7
Postgraduate year 4	45	23.6	55	29.6
Religion					<0.01
Agnostic, atheist, and none	70	36.6	36	19.4
Hindu, Islamic, Buddhist, other	16	8.4	11	5.9
Catholic	24	12.6	49	26.3
Christian, Mormon	33	17.3	66	35.5
Jewish	29	15.2	8	4.3
Protestant	19	9.9	16	8.6
Religion dichotomized					<0.01
Agnostic, atheist, and none	70	36.6	36	19.4
Any religion	121	63.4	150	80.6
Currently pregnant or trying to conceive					0.04
No	183	95.8	168	90.3
Yes	8	4.2	18	9.7
Current LARCa use					<0.01
No	55	30.1	123	73.2
Yes	128	70.0	45	26.8

Notes: Column percentages do not always equal 100% as some survey questions were not answered by the participants.

a LARC including IUDs or implants.

Abbreviations: SD, standard deviation; LARC, long-acting reversible contraception; IUD, intrauterine device; Ryan Pragram, Ryan Residency Training Program.

Table 2 Current contraceptive method use (N=351)

Method	Frequency	%
LARC	173	49
Levonorgestrel intrauterine device	158	45
Copper intrauterine device	8	2
Subdermal implant	7	2
Non-LARC	153	44
Depot medroxyprogesterone acetate	3	1
Pills	94	27
Patch	1	0
Ring	27	8
Condoms	16	5
Abstinence	5	1
Sterilization (male or female)	1	0
Other	6	2
No method	25	7

Abbreviation: LARC, long-acting reversible contraception.

Table 3 Characteristics of study population by use of LARC vs. non-LARC method (n=351)

Characteristic	LARC (n=173)		Non-LARC/no method (n=178)		P-value
	Mean	SD	Mean	SD
Age	29.0	2.4	28.9	1.9	0.63
	N	%	N	%
Race					0.45
Black	8	4.6	14	7.9
White	144	83.2	143	80.8
Others	21	12.2	20	11.3
Ethnicity					0.44
Hispanic	11	6.4	8	4.5
Non-Hispanic	161	93.6	169	95.5
Marital status					0.68
Married	76	43.9	75	42.1
Not married but partnered	71	41.1	70	39.3
No partner	26	15.0	33	18.6
Current level of training					0.47
Postgraduate year 1	47	27.1	37	20.8
Postgraduate year 2	42	24.3	49	27.5
Postgraduate year 3	42	24.3	41	23.0
Postgraduate year 4	42	24.3	51	28.7
Personal religion					<0.01
Agnostic, Atheist, and none	67	38.7	35	19.7
Hindu, Islamic, Buddhist, other	11	6.4	12	6.7
Catholic	28	16.2	42	23.6
Christian, Mormon	36	20.8	55	30.9
Jewish	14	8.1	20	11.2
Protestant	17	9.8	14	7.9
Personal religion, dichotomized					<0.01
Agnostic, atheist, and none	67	38.7	35	19.7
Any religion	106	61.3	143	80.3
Most important reason for method choice					<0.01
Effective pregnancy prevention	82	47.4	50	28.1
Convenient and easy to use	43	24.9	41	23.1
Method is long acting	21	12.1	2	1.1
Bleeding, symptom, or menstrual control	22	12.7	56	31.5
Others	5	2.9	28	15.7

Notes: Column percentages do not always equal 100% as some survey questions were not answered by the participants.

Abbreviations: SD, standard deviation; LARC, long-acting reversible contraception.

Table 4 Factors associated with current LARC use

Factor	Adjusted model
	RR	95%	CI
Ryan Program	2.14	1.63	2.80
Personal religion, dichotomized
Agnostic, Atheist, and none
All other religions	0.76	0.64	0.92
Most important reasons for method choice
Effective pregnancy prevention	3.48	1.46	8.28
Convenient and easy to use	3.05	1.26	7.39
Method is long acting	4.14	1.75	9.80
Bleeding, symptom, or menstrual control	1.81	0.72	4.57

Abbreviations: LARC, long-acting reversible contraception; RR, relative risk; CI, confidence interval; Ryan Program, Ryan Residency Training Program.