Provision of hormonal and long-acting reversible contraceptive services by general practices in Scotland, UK (2004-2009)

J Fam Plann Reprod Health Care. 2014 Jan;40(1):23-9. doi: 10.1136/jfprhc-2012-100477. Epub 2013 May 21.

Abstract

Background: In the UK, a large proportion of contraceptive services are provided from general practice. However, little is known about which contraceptive services are provided and to whom.

Study design: Descriptive serial cross-sectional study of women aged 12-55 years, registered with 191 general practices in Scotland, UK between 2004 and 2009.

Results: Annual incidence of provision of hormonal and long-acting reversible contraceptives (LARCs) increased from 27.7% in 2004 to 30.1% in 2009. Amongst those women registered with a general practice for the full 5-year period the provision of LARCs increased from 8.8% to 12.5% (p<0.001). For the same group, the provision of emergency hormonal contraception (EHC) decreased from 5.2% to 2.6% (p<0.001).

Conclusions: With the exception of EHC, there was an increase over time in the provision of hormonal contraceptives and LARCs from general practices. It is important that a full range of contraceptive options remains easily available to women.

Keywords: emergency contraception; family planning service provision; general practice; hormonal contraception; long-acting reversible contraception.

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Contraception / statistics & numerical data
  • Contraception / trends*
  • Contraceptive Agents, Female / therapeutic use*
  • Cross-Sectional Studies
  • Family Planning Services / statistics & numerical data
  • Family Planning Services / trends*
  • Female
  • General Practice / statistics & numerical data
  • General Practice / trends*
  • Humans
  • Middle Aged
  • Practice Patterns, Physicians'*
  • Scotland
  • United Kingdom
  • Young Adult

Substances

  • Contraceptive Agents, Female