Interpersonal level factors refer to interactions with others in formal and informal social networks and social support systems. Contraceptive use is influenced by the patient’s interaction with their healthcare providers. However, provider bias determines which method of contraceptives they discuss, particularly among younger females. For example, one study found that up to 50% of pediatricians prefer an abstinence-only form of contraception for adolescents, with fewer than 20% discussing any type of IUD
[5]. Moreover, the propensity of discussing IUD is higher among female and younger pediatricians
[5][6]. In addition, family and friends’ perspectives of contraception may influence contraceptive selection and continuation. A recent review of the impact of social networks on contraceptive use found that families were more likely to disseminate inaccurate or negative information about LARC
[7]. This highlights the importance for healthcare providers to identify strategies to dispel negative information consistently. In the same vein, cultural barriers may affect contraceptive uptake. The deviation from receiving accurate medical information and counseling about family planning may affect the effectiveness of a method. One study reported that among 321 postpartum women of Mexican origin, LARC use was predominantly low in Austin, Texas, USA (9%) and El Paso, Texas, USA (7%)
[8]. This study also showed an overwhelmingly low use between intended and actual LARC use as only 8% used a LARC method compared to 52% who intended to use the same
[8]. This disparate utilization supports the revelation that language barriers hinder access to immediate postpartum LARC among non-English speaking patients
[9]. Moreover, healthcare providers’ unfounded belief and poor knowledge about some methods of family planning services such as the IUD limit their provision of appropriate contraceptive counseling for their patients.