{"id":"https://openalex.org/W100873224","doi":null,"title":"Long-acting reversible contraception: a practical solution to reduce unintended pregnancy.","display_name":"Long-acting reversible contraception: a practical solution to reduce unintended pregnancy.","publication_year":2013,"publication_date":"2013-06-01","ids":{"openalex":"https://openalex.org/W100873224","mag":"100873224","pmid":"https://pubmed.ncbi.nlm.nih.gov/23689169"},"language":"en","primary_location":{"id":"pmid:23689169","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/23689169","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Minerva ginecologica","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5010871860","display_name":"Gina M. Secura","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"G Secura","raw_affiliation_strings":["Division of Clinical Research. Department of Obstetrics and Gynecology Washington University in St. Louis School of Medicine, St. Louis, MO 63110, USA. securag@wustl.edu"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Clinical Research. Department of Obstetrics and Gynecology Washington University in St. Louis School of Medicine, St. Louis, MO 63110, USA. securag@wustl.edu","institution_ids":["https://openalex.org/I204465549"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5010871860"],"corresponding_institution_ids":["https://openalex.org/I204465549"],"apc_list":null,"apc_paid":null,"fwci":4.2366,"has_fulltext":false,"cited_by_count":43,"citation_normalized_percentile":{"value":0.93438579,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"65","issue":"3","first_page":"271","last_page":"7"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10600","display_name":"Reproductive Health and Contraception","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10600","display_name":"Reproductive Health and Contraception","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13242","display_name":"Male Reproductive Health Studies","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13942","display_name":"International Human Rights and Reproductive Law","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3320","display_name":"Political Science and International Relations"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/long-acting-reversible-contraception","display_name":"long-acting reversible contraception","score":1.0},{"id":"https://openalex.org/keywords/unintended-pregnancy","display_name":"unintended pregnancy","score":0.949999988079071},{"id":"https://openalex.org/keywords/intrauterine-devices","display_name":"intrauterine devices","score":0.9440000057220459},{"id":"https://openalex.org/keywords/subdermal-contraceptive-implant","display_name":"subdermal contraceptive implant","score":0.972000002861023},{"id":"https://openalex.org/keywords/contraceptive-effectiveness","display_name":"contraceptive effectiveness","score":0.9150000214576721},{"id":"https://openalex.org/keywords/barriers-to-contraceptive-use","display_name":"barriers to contraceptive use","score":0.7020000219345093},{"id":"https://openalex.org/keywords/access-to-contraception","display_name":"contraceptive access","score":0.7850000262260437},{"id":"https://openalex.org/keywords/cost-barriers","display_name":"cost barriers","score":0.6830000281333923},{"id":"https://openalex.org/keywords/contraceptive-education","display_name":"contraceptive education","score":0.753000020980835},{"id":"https://openalex.org/keywords/teenage-pregnancy","display_name":"adolescent pregnancy","score":0.7179999947547913},{"id":"https://openalex.org/keywords/abortion","display_name":"abortion","score":0.5759999752044678},{"id":"https://openalex.org/keywords/oral-contraceptives","display_name":"oral contraceptives","score":0.5540000200271606},{"id":"https://openalex.org/keywords/transdermal-contraceptive-patch","display_name":"contraceptive patch","score":0.421999990940094},{"id":"https://openalex.org/keywords/contraceptive-vaginal-ring","display_name":"contraceptive vaginal ring","score":0.8569999933242798}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9145983457565308},{"id":"https://openalex.org/C2780620491","wikidata":"https://www.wikidata.org/wiki/Q3817591","display_name":"Unintended pregnancy","level":5,"score":0.9101669788360596},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.7368810772895813},{"id":"https://openalex.org/C2781185258","wikidata":"https://www.wikidata.org/wiki/Q6671830","display_name":"Long-acting reversible contraception","level":5,"score":0.6723186373710632},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.5862188935279846},{"id":"https://openalex.org/C81603835","wikidata":"https://www.wikidata.org/wiki/Q3457430","display_name":"Pill","level":2,"score":0.5712551474571228},{"id":"https://openalex.org/C2779076696","wikidata":"https://www.wikidata.org/wiki/Q1280670","display_name":"Family planning","level":4,"score":0.48958930373191833},{"id":"https://openalex.org/C160050368","wikidata":"https://www.wikidata.org/wiki/Q132453","display_name":"Developed country","level":3,"score":0.45951807498931885},{"id":"https://openalex.org/C518429986","wikidata":"https://www.wikidata.org/wiki/Q964401","display_name":"Fertility","level":3,"score":0.4272755980491638},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.41442641615867615},{"id":"https://openalex.org/C2776810592","wikidata":"https://www.wikidata.org/wiki/Q899868","display_name":"Intrauterine device","level":5,"score":0.4129226803779602},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.36976924538612366},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.17898434400558472},{"id":"https://openalex.org/C2986817661","wikidata":"https://www.wikidata.org/wiki/Q185698","display_name":"Research methodology","level":3,"score":0.10777229070663452},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.07606539130210876},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000028","descriptor_name":"Abortion, Induced","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003271","descriptor_name":"Contraceptive Agents, Female","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":true},{"descriptor_ui":"D003692","descriptor_name":"Delayed-Action Preparations","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011247","descriptor_name":"Pregnancy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011253","descriptor_name":"Pregnancy in Adolescence","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D011275","descriptor_name":"Pregnancy, Unwanted","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D049168","descriptor_name":"Pregnancy, Unplanned","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"pmid:23689169","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/23689169","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Minerva ginecologica","raw_type":"Journal Article"},{"id":"mag:100873224","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/23689169","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.979200005531311,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2177602280","https://openalex.org/W2062733389","https://openalex.org/W2392043088","https://openalex.org/W2130886871","https://openalex.org/W2073490120","https://openalex.org/W4254003468","https://openalex.org/W2611372858","https://openalex.org/W2320650964","https://openalex.org/W1984070811","https://openalex.org/W3204143327"],"abstract_inverted_index":{"Unintended":[0],"pregnancy":[1,20,124],"remains":[2],"a":[3,47,51,74,175,196,200],"significant":[4],"global":[5],"public":[6],"health":[7],"problem;":[8],"41%":[9],"of":[10,53,63,73,96,143,148,178,192,242],"all":[11],"pregnancies":[12,65],"worldwide":[13,151],"in":[14,24,36,208,214,218],"2008":[15],"were":[16,115,189],"unintended.":[17],"The":[18],"unintended":[19,64,97,123,231,259],"rate":[21,52],"is":[22,100],"greater":[23],"less":[25,145],"developed":[26,38],"regions":[27,39],"(57":[28],"per":[29,41,55],"1000":[30,56],"women":[31,150,181,217],"aged":[32,182],"15-44":[33],"years)":[34],"than":[35,146],"more":[37,119],"(42":[40],"1000),":[42],"with":[43],"the":[44,82,90,94,134,171,186,202,219,240],"United":[45],"States":[46],"notable":[48],"exception":[49],"at":[50,107,121],"52":[54],"women.":[57,164],"Among":[58],"US":[59,176],"women,":[60],"nearly":[61,179],"half":[62],"are":[66,155,170,227],"due":[67],"to":[68,92,130,133,222,235,256],"incorrect":[69],"or":[70,138],"inconsistent":[71],"use":[72,152,241,250],"contraceptive":[75,135],"method.":[76,198],"Long-acting":[77],"reversible":[78],"contraception":[79],"(LARC)":[80],"includes":[81],"intrauterine":[83],"device":[84],"and":[85,88,103,162,168,211,251,263],"subdermal":[86],"implant":[87],"offers":[89],"potential":[91],"address":[93],"problem":[95],"pregnancy.":[98,109,265],"LARC":[99,113,154,197,249],"extremely":[101],"safe":[102],"over":[104,116],"99%":[105],"effective":[106,120],"preventing":[108,122],"In":[110,174],"real-world":[111],"tests":[112],"methods":[114,243],"20":[117],"times":[118],"(HRadj=21.8,":[125],"95%":[126],"confidence":[127],"interval,":[128],"13.7":[129],"34.9)":[131],"compared":[132,221],"pill,":[136],"patch,":[137],"ring.":[139],"Despite":[140],"their":[141],"level":[142],"effectiveness,":[144],"15%":[147],"contracepting":[149],"LARC.":[153],"only":[156],"infrequently":[157],"contraindicated,":[158],"even":[159],"among":[160,216],"younger":[161],"nulliparous":[163],"Instead":[165],"education,":[166],"access,":[167],"cost":[169],"primary":[172],"barriers.":[173],"study":[177,193,203],"10000":[180],"14-45":[183],"years,":[184],"when":[185],"three":[187],"barriers":[188],"removed":[190],"75%":[191,212],"participants":[194],"chose":[195],"As":[199],"result,":[201],"reported":[204],"an":[205],"80%":[206],"reduction":[207,213],"teen":[209,264],"births":[210],"abortions":[215],"cohort":[220],"national":[223],"statistics.":[224],"If":[225],"we":[226,233,245],"serious":[228,237],"about":[229,238],"reducing":[230],"pregnancy,":[232,260],"need":[234],"be":[236],"increasing":[239],"that":[244],"know":[246],"work.":[247],"Greater":[248],"continuation":[252],"has":[253],"been":[254],"proven":[255],"effectively":[257],"reduce":[258],"including":[261],"abortion":[262]},"counts_by_year":[{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":4},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":3},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":3},{"year":2018,"cited_by_count":5},{"year":2017,"cited_by_count":4},{"year":2016,"cited_by_count":3},{"year":2015,"cited_by_count":6},{"year":2014,"cited_by_count":2},{"year":2013,"cited_by_count":2}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}