Contraceptive use and pregnancy outcomes among opioid drug-using women: a retrospective cohort study

PloS One
Charles S CornfordJames M Mason

Abstract

The contraceptive needs of illicit opioid users differ from non-drug users but are poorly understood. The aim of this study was to describe contraceptive use and pregnancy outcomes in opioid-using women, and to examine their association with a range of risk factors. This retrospective cohort study used UK general practice records, Treatment Outcomes Profile and National Drug Treatment Monitoring System data, and a nested data validation exercise. A cohort of 376 women aged 20-61 years were in active treatment for opioid addiction in October 2010 at two specialised primary care practices in North-East England. Outcomes were age-adjusted prevalence estimates for contraceptive use and pregnancy outcomes in users of illicit opioids. The association between lifestyle-related risk factors and contraception was explored. Drug-using women made lower use of planned (non-condom) contraception (24% vs 50%, p<0.001), had more frequent pregnancy terminations (0.46 vs. 0.025, p = 0.004) and higher annual incidence of chlamydia (1.1% vs. 0.33%, p<0.001), when compared with age-matched population data. Specifically, there was low use of oral contraceptives (4% vs. 25%, p<0.001), IUCD (1% vs. 6%, p<0.001), and sterilisation (7% vs. 6%, p = 0.05...Continue Reading

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Citations

Apr 4, 2018·Contraception and Reproductive Medicine·Rebecca L FischbeinDeric R Kenne
May 28, 2016·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Charles Cornford, Helen Close
Jan 1, 2016·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Patrick O'Donnell, Euan Lawson
Sep 21, 2018·Journal of Public Health Management and Practice : JPHMP·Clea A McNeelyBrittany S Isabell
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Apr 10, 2021·Demography·Mónica L Caudillo, Andrés Villarreal

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Methods Mentioned

BETA
contraception

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