Abstract
Increasingly, provider groups, policymakers and funders have emphasized removing structural barriers to “top-tier” contraceptive methods that are highly effective at preventing pregnancy. While it is critical that young women have access to these methods, this focus overlooks the diverse reasons why some young women choose methods – including emergency contraception (EC), condoms, and withdrawal – that are less effective at preventing pregnancy even when top-tier methods are available. Concerns about sexual risk-taking and childbearing tend to overtake consideration of young women’s own contraceptive preferences, decision-making capacity, and reproductive autonomy.
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