The authors have stated the following conflict of interest: Jayne Lucke is currently Chief Investigator of an ARC Linkage Grant that involves some cash and in-kind support from Family Planning NSW and Bayer Australia. Danielle Herbert was previously employed to work on an ARC Linkage Grant that involves some cash and in-kind support from Family Planning NSW and Bayer Australia.
Rural and Remote
Higher uptake of long-acting reversible and permanent methods of contraception by Australian women living in rural and remote areas
Article first published online: 1 APR 2014
© 2014 The Authors. ANZJPH © 2014 Public Health Association of Australia
Australian and New Zealand Journal of Public Health
Volume 38, Issue 2, pages 112–116, April 2014
How to Cite
Lucke, J. C. and Herbert, D. L. (2014), Higher uptake of long-acting reversible and permanent methods of contraception by Australian women living in rural and remote areas. Australian and New Zealand Journal of Public Health, 38: 112–116. doi: 10.1111/1753-6405.12208
- Issue published online: 1 APR 2014
- Article first published online: 1 APR 2014
- Manuscript Accepted: 1 JAN 2014
- Manuscript Revised: 1 DEC 2013
- Manuscript Received: 1 OCT 2013
- women's health;
Objectives: To examine factors associated with the uptake of i) long-acting reversible, ii) permanent and iii) traditional contraceptive methods among Australian women.
Methods: Participants in the Australian Longitudinal Study on Women's Health born in 1973–78 reported on their contraceptive use at three surveys: 2003, 2006 and 2009. The participants were 5,849 women aged 25–30 in 2003 randomly sampled from Medicare. The main outcome measure was current contraceptive method at age 28–33 years categorised as long-acting reversible methods (implant, IUD, injection), permanent (tubal ligation, vasectomy), and traditional methods (oral contraceptive pills, condoms, withdrawal, safe period).
Results: Compared to women living in major cities, women in inner regional areas were more likely to use long-acting (OR=1.26, 95%CI 1.03–1.55) or permanent methods (OR=1.43, 95%CI 1.17–1.76). Women living in outer regional/remote areas were more likely than women living in cities to use long-acting (OR=1.65, 95%CI 1.31–2.08) or permanent methods (OR=1.69, 95%CI 1.43–2.14).
Conclusions: Location of residence is an important factor in women's choices about long-acting and permanent contraception in addition to the number and age of their children.
Implications: Further research is needed to understand the role of geographical location in women's access to contraceptive options in Australia.