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Sexually transmitted infections and contraceptive use in adolescents

American Journal of Preventive Medicine Feb 21, 2020

Derefinko KJ, Ashby S, Hayes T, et al. - By performing this archival data analysis of single state Medicaid claims, researchers compared the rates of sexually transmitted infection diagnosis after several forms of contraceptive use. They collected the data for female adolescents, aged 14–19 years, who got a contraceptive prescription and were observed for 1 year ( n = 62,550). Hormonal implant vs contraceptive pill was found to be related to significantly lower risk of sexually transmitted infections. A link was identified between hormonal injection and a higher risk of sexually transmitted infections. In this work, strong evidence was generated that long-acting reversible contraceptives compared with other forms of contraception confer no higher risk for the acquisition of sexually transmitted infections. Based on the observations, the use of long-acting reversible contraceptive in female adolescents was supported, as proposed and reaffirmed by the American College of Obstetricians and Gynecologists and American Academy of Pediatrics.
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