Abstract
ObjectivesWe examined differences in contraceptive uptake and discontinuation between gender-expansive individuals and cis-women in the HER Salt Lake Contraceptive Initiative. Study designWe used self-reported survey data to assess associations between gender identity, contraceptive uptake, and discontinuation. ResultsOf participants (n = 4289), 178/4289 (4%) identified as gender-expansive with 157/178 (88%) reporting recent sexual activity with men. Selection of IUD or Implant was most common, with 109/178 (61%) of gender-expansive individuals choosing these options. We observed similar methods selected (p = 0.2) and discontinuation rates at three years between participants (OR: 0.93, p = 0.8). ConclusionGender-expansive individuals had similar method selection and discontinuation rates as cis-women. ImplicationsOur finding of no difference in the uptake of contraception between cis-women and gender-expansive individuals should empower providers to openly discuss contraception with patients regardless of gender identity.
Published Version
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