Contraception is essential to reproductive health because it allows individuals to plan their families and maintain bodily autonomy. However, historically, Black, Brown, and other marginalized people have been subjected to racist and unethical origins of gynecology practices, which underlie contemporary disparities in reproductive health care in the US and the mistrust between medical providers and ...Read more >

Using contraception is the most effective way to prevent pregnancy when engaging in sexual intercourse, but people struggle to use it because they understand that every single act of intercourse without contraception may not lead to pregnancy and dissatisfaction with side effects can lead to stopping effective prescription methods. Research shows that risk preferences and ...Read more >

This research aims to investigate the impact of social networks on the decision-making process of women who discontinue intrauterine devices (IUDs) due to changes in bleeding and cramping. Although IUDs are highly effective and offered to all individuals of reproductive age, side effects can lead to discontinuation. The study addresses the gap in research by ...Read more >

To meet the contraceptive needs of adolescents and provide patient-centered care, providers and clinics need to understand the factors that influence their contraceptive decision-making. Contraceptive side effects can play an important role in contraceptive satisfaction and use, particularly among adolescents. However, there is little research exploring adolescent responses to experiencing side effects. The proposed study ...Read more >

Greater understanding of side effects is an important mechanism for achieving good client experience and alignment of contraceptive function for reproductive goals. While contraceptive side effects are important determining factors in contraceptive satisfaction and continuation, the notion of side effects as unidimensional or binary (present/absent) is too crude to explain current data and user reality. ...Read more >

Current paradigms for contraceptive care and counseling are limited, or even harmful, in how they serve people experiencing side effects. Despite evidence that people seek to balance method effectiveness with few side effects, many describe feeling dismissed or discouraged when seeking follow-up care. Further, health care systems have yet to put concerted effort into building ...Read more >

Self-managed medication abortion (SMMA) is rapidly becoming a major – and in some cases the only – option for those seeking abortion in states like Mississippi with complete abortion bans; requests for SMMA in Mississippi have tripled since Roe v Wade was overturned. Qualitative research has identified facilitators and barriers to SMMA, but no quantitative ...Read more >

The US Supreme Court decision for Dobbs v Jackson Women’s Health Organization has restricted abortion for people seeking to terminate pregnancy. People who experience structural oppression due to racism, classism, sexism, and other factors are most impacted by this decision and face burdensome pathways to acquiring an abortion. Access to abortion was severely restricted by ...Read more >

The Preference Evaluation Research (PrefER) Group at the Duke Clinical Research Institute has partnered with providers from the Duke Family Planning Clinic, an academic collaborator, and community-based advocates to design a web-based survey to generate evidence on features associated with abortion-care options. The study will be designed to quantify the relative importance of various abortion-care ...Read more >

Dr. Jayme Trevino is a current first-year Complex Family Planning Fellow at Washington University in St. Louis, MO. She is originally from San Antonio, TX, where she completed her Doctor of Medicine and Master of Public Health degrees. Dr. Trevino is interested in researching how public policy affects reproductive health equity, especially in regions with ...Read more >