Intrauterine devices (IUDs) effectively prevent pregnancies. There is growing popularity of this contraception method among college students. We aimed to identify the demographics of students seeking IUDs at University of California Los Angeles (UCLA) and understand their level of perceived knowledge about the insertion process. This was a quality improvement initiative at Arthur Ashe Student Health Center at UCLA.METHODS:
An IRB exempt cross-sectional survey was conducted. The 30-item survey was pilot tested by ten women in clinic and face validated by family planning experts at UCLA. Fifty students presenting for IUD insertion took an anonymous electronic survey. Participants with contraindications to IUDs were excluded.RESULTS:
Subjects were 25 years old on average, with 73% identifying as non-Hispanic, 64% as Caucasian and 15% as Asian. Most were single (82%) and 4% were virginal. Prior birth control methods included oral contraceptive pills (60%), condoms (60%) and the ring (23%). Perceived knowledge was higher regarding IUD placement location (mean score 4/5) and benefits of placement (4.4/5) compared to the insertion process (2.9/5), after care (2.8/5) and insertion risks (3/5). Healthcare professionals were the most common information source, followed by the Internet, peers and family. Fear of side effects (33%) and fear of procedure (24%) were the leading reasons for not getting an IUD earlier.CONCLUSION:
We are developing an intervention to improve knowledge about IUDs. It includes information about the insertion process and side effect profiles. We will use our current data as a baseline and conduct a time series study with the educational material.