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Knowledge of and Perceived Access to Long-Acting Reversible Contraceptives Among Individuals Considering Tubal Sterilization in the United States

Year: 2026

Type: article

Abstract: INTRODUCTION: The authors' objective was to assess knowledge of and perceived access to long-acting reversible contraceptives (LARC) among individuals in the United States considering tubal sterilization. METHODS: Using online convenience sampling through social media advertisements, the authors recruited 442 US-born individuals considering tubal sterilization for this cross-sectional study. Eligibility criteria included age 21-45 years, female sex, premenopausal, desire to avoid future pregnancy, and no history of tubal sterilization, hysterectomy, or infertility treatment. After confirming eligibility, participants completed a 45-item online survey assessing sociodemographic characteristics, contraceptive and pregnancy history, and awareness of LARC. Chi-square tests and multivariate linear regression were used to identify sociodemographic variables associated with knowledge of and perceived access to LARC. RESULTS: = -.50; 95% CI, -0.92 to -0.09). DISCUSSION: US individuals considering tubal sterilization may lack information about LARC relevant to informed contraceptive decision-making. CONCLUSION: Person-centered contraceptive counseling and shared decision-making should ensure that patients considering tubal sterilization are well informed about and can access alternative contraceptives, including LARC.

Source: The Permanente Journal

DOI: 10.7812/tpp/25.240

Authors: Kelly Treder, Amy Chiang, Agatha Okobi, Eleanor Bimla Schwarz

Institutions: Boston University, Boston Medical Center, University of California, San Francisco

Language: English

Topic: Reproductive Health and Contraception

Subfield: Public Health, Environmental and Occupational Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

OpenAlex ID: W7208727925

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