Under what conditions is it ethical to offer incentives to encourage drug-using women to use long-acting forms of contraception?
Version of Record online: 11 FEB 2012
© 2012 The Authors, Addiction © 2012 Society for the Study of Addiction
Volume 107, Issue 6, pages 1036–1041, June 2012
How to Cite
Lucke, J. C. and Hall, W. D. (2012), Under what conditions is it ethical to offer incentives to encourage drug-using women to use long-acting forms of contraception?. Addiction, 107: 1036–1041. doi: 10.1111/j.1360-0443.2011.03699.x
- Issue online: 4 MAY 2012
- Version of Record online: 11 FEB 2012
- Submitted 31 May 2011; initial review completed 1 August 2011; final version accepted 22 October 2011
- drug treatment;
- informed consent;
- reproductive health;
- reproductive rights;
- substance abuse
Aims To stimulate debate by examining ethical issues raised by Project Prevention, a US-based organization that offers $US300 to addicted individuals who agree to either undergo surgical sterilization or use long-acting forms of contraception.
Method An analysis of key ethical questions raised by Project Prevention.
Results The important issues for debate are: (i) what are the reproductive rights of drug-using women; (ii) does a substantial cash incentive undermine the ability of addicted women to make free and informed decisions about long-term contraception; and (iii) how can we best assist addicted women to access good reproductive health care and obtain treatment for their addiction?
Conclusions We need more research on ways in which small non-cash incentives for reversible methods of contraception could be used in a morally acceptable and effective way to promote the sexual, reproductive and general health of addicted women.