HER Salt Lake Initiative
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Contraception, Contraception, Contraception |
| Therapuetic Areas: | Reproductive |
| Healthy: | No |
| Age Range: | 16 - 45 |
| Updated: | 3/15/2019 |
| Start Date: | November 2014 |
| End Date: | March 2020 |
Highly Effective Reversible Contraceptive Initiative—Salt Lake (HER-SL)
This study aims to understand the long-term health, social, and economic impacts of
transitioning a community to Highly Effective Reversible Contraception (HER-C).
transitioning a community to Highly Effective Reversible Contraception (HER-C).
The persistently high rate of unintended pregnancy in the US suggests an inadequacy of
current prevention models and a need for new approaches to contraceptive acceptability and
promotion. Although popularity of Highly Effective Reversible Contraception (HER-C) in the US
is steadily increasing, less than 10% of contracepting women use intrauterine devices (IUDs)
or subdermal contraceptive implants, which are the most effective methods for avoiding
unintended pregnancy.
Poverty is an important predictor of unintended pregnancy where women with incomes below the
Federal Poverty Level (FPL) have over a five-fold increased risk of unintended pregnancy
relative to women with higher incomes. Because of limited public funds for family planning,
low-income women in Salt Lake County have limited access to HER-C, which has high initiation
cost but significant cost-saving potential over time. Additionally, contraceptive research
has inadequately measured the social impact of HER-C.
The first aim of the HER Salt Lake Initiative is to evaluate the increase in HER-C methods
with three strategies: 1) Client centered contraceptive counseling; 2) Removal of financial
barriers; and 3) Targeted media campaigns.
The second aim of the HER Salt Lake Initiative is to assess changes in earnings and education
among women initiating HER-C compared to other methods of contraception and model the
projected lifetime earning potential of women based on their contraceptive method choices.
current prevention models and a need for new approaches to contraceptive acceptability and
promotion. Although popularity of Highly Effective Reversible Contraception (HER-C) in the US
is steadily increasing, less than 10% of contracepting women use intrauterine devices (IUDs)
or subdermal contraceptive implants, which are the most effective methods for avoiding
unintended pregnancy.
Poverty is an important predictor of unintended pregnancy where women with incomes below the
Federal Poverty Level (FPL) have over a five-fold increased risk of unintended pregnancy
relative to women with higher incomes. Because of limited public funds for family planning,
low-income women in Salt Lake County have limited access to HER-C, which has high initiation
cost but significant cost-saving potential over time. Additionally, contraceptive research
has inadequately measured the social impact of HER-C.
The first aim of the HER Salt Lake Initiative is to evaluate the increase in HER-C methods
with three strategies: 1) Client centered contraceptive counseling; 2) Removal of financial
barriers; and 3) Targeted media campaigns.
The second aim of the HER Salt Lake Initiative is to assess changes in earnings and education
among women initiating HER-C compared to other methods of contraception and model the
projected lifetime earning potential of women based on their contraceptive method choices.
Inclusion Criteria:
- Females
- 16-45 years of age
- Seeking contraceptive counseling and services at four participating Planned Parenthood
clinics in Salt Lake County
- Desire to prevent pregnancy for at least one year
- Fluent in English or Spanish
- Their current preferred phone number must be functioning at the time of study entry
and will be tested prior to enrollment
Exclusion Criteria:
- Currently pregnant and planning to continue the pregnancy, or trying to get pregnant
- Relying on female or male sterilization as contraceptive method
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