Brooke W Bullington

Biographic Data

ID	4261823
NAME	Brooke W Bullington
GIVEN NAMES	Brooke W
FAMILY NAME	Bullington
SIGNATURE	BULLINGTON B W
AFFILIATIONS	University of North Carolina at Chapel Hill
ORCID	0000-0002-3341-087X
VERIFIED	Yes
TOTAL WORKS	15
TOTAL CITATIONS	20
AUTHOR COUNT	15
EDITOR COUNT	0
FIRST PUBLICATION YEAR	2022
LATEST PUBLICATION YEAR	2026
H-INDEX	2

Interest in and Experience With Intrauterine Device Self-Removal Among Current and Past Intrauterine Device Users in Utah
Open AccessBrooke W Bullington, Alexandra Gero et al.ARTICLEWomen s Health Issues2026
Objectives We sought to assess current and former intrauterine device (IUD) users' interest in and experiences with IUD self-removal and to examine associations between participant characteristics, past experiences with removal, and future interest in self-removal. Study Design We conducted a cross-sectional follow-up survey of HER Salt Lake participants who had ever used an IUD and consented to follow-up. Participants completed an electronic sur…
Barriers to contraceptive implant removal among current and prior implant users in Kisumu, Kenya
Open AccessBrooke W Bullington, Stephanie Chung et al.ARTICLEPLOS Global Public Health2025
There has been increased promotion of long-acting reversible contraception (LARC) in the Global South in recent years. Studies have documented that women face barriers to removal when they desire to discontinue their LARC method, though few have quantified how often such experiences occur. We estimated the proportion of current and prior implant users who experienced or anticipated challenges with method removal using secondary data from a popula…
Keeping the “R” in Larc (long-acting reversible contraception)
Open AccessCary Karp, Katherine Tumlinson et al.ARTICLEPLOS Global Public Health2025
As the use of subdermal contraceptive implants increases across sub-Saharan Africa, the need for person-centered removal services is more critical than ever to safeguard reproductive autonomy. In 2016, Christofield and Lacoste proposed eight conditions for client-centered implant removal, yet the extent to which these conditions have been assessed in large-scale surveys remains unexamined. Our mapping exercise collates survey information from thr…
Association Between Preterm Birth and Fulfillment of Desired Permanent Contraception
Open AccessAndrea Chalem, Christoph Jensen et al.ARTICLEMaternal and Child Health Journal2025
Patterns of Cannabis Use among Women With HIV in the United States
Open AccessDanielle F Haley, Brooke W Bullington et al.ARTICLEAIDS and Behavior2025
Obstetrician-Gynecologist Perspectives and Counseling Practices on the U.S. Medicaid Waiting Period for Permanent Contraception
Open AccessSuzanna Larkin, Brooke W Bullington et al.ARTICLEWomen s Health Issues2025
Measuring Informed Choice for Contraception in Burkina Faso
Open AccessBrooke W Bullington, Katherine Tumlinson et al.ARTICLESocial Indicators Research2025References: 5
Patient Perspectives on Clinician Support When Pursuing Permanent Contraception in the United States
Open AccessBrooke W Bullington, Madison Lyleroehr et al.ARTICLEPerspectives on Sexual and…2025References: 3
Background Given the history of coercion in the provision of sterilization, it is important that patients who desire permanent contraception receive patient‐centered care that respects their preferences. Recent literature examining the provision of postpartum permanent contraception has not explored whether patients who desire permanent contraception feel supported by their clinical teams. Methods We interviewed patients from four medical centers…
Fulfillment of Permanent Contraception among Patients with Cesarean Delivery in a Multi-Site Cohort
Open AccessBrooke W Bullington, Kristen A Berg et al.ARTICLEMaternal and Child Health Journal2024
Uncertainty in Postpartum Permanent Contraception Decision-Making
Open AccessBrooke W Bullington, Madeline Thornton et al.ARTICLEWomen s Health Issues2024
Exploring adolescent‐facing US clinicians' perceptions of their contraceptive counseling and use of shared decision‐making
Open AccessMadeline Thornton, Emily S Mann et al.ARTICLEPerspectives on Sexual and…2024References: 2
Clinicians in this study frequently engaged in non-patient-centered techniques during contraceptive counseling with adolescents. These findings can inform practice recommendations to support clinicians in providing high-quality contraceptive counseling using shared decision-making
Assessing the Suitability of Unmet Need as a Proxy for Access to Contraception and Desire to Use It
Open AccessLeigh Senderowicz, Bruce Bullington et al.ARTICLEStudies in Family Planning2023Cited by: 8References: 41
Unmet need for contraception is a widely used but frequently misunderstood indicator. Although calculated from measures of pregnancy intention and current contraceptive use, unmet need is commonly used as a proxy measure for (1) lack of access to contraception and (2) desire to use it. Using data from a survey in Burkina Faso, we examine the extent to which unmet need corresponds with and diverges from these two concepts, calculating sensitivity,…
Measuring Contraceptive Autonomy at Two Sites in Burkina Faso
Open AccessLeigh Senderowicz, Brooke W Bullington et al.ARTICLEStudies in Family Planning2023Cited by: 12References: 65
There is growing consensus in the family planning community around the need for novel measures of autonomy. Existing literature highlights the tension between efforts to pursue contraceptive targets and maximize uptake on the one hand, and efforts to promote quality, person‐centeredness, and contraceptive autonomy on the other hand. Here, we pilot a novel measure of contraceptive autonomy, measuring it at two Health and Demographic Surveillance S…
Frequency and impact of long wait times for family planning in public-sector healthcare facilities in Western Kenya
Open AccessChristopher R Williams, Caitlin R Williams et al.ARTICLEGlobal Health Action2022
BACKGROUND: Long wait times for family planning services are a barrier to high quality care and client satisfaction. Existing literature examining family planning wait times has methodological limitations, as most studies use data collected during exit interviews, which are subject to recall, courtesy, and selection bias. OBJECTIVE: We sought to employ a mixed methods approach to capture the prevalence, length, causes, and impacts of wait times f…
Evaluating the feasibility of the Community Score Card and subsequent contraceptive behavior in Kisumu, Kenya
Open AccessDickens Onyango, Dickens Otieno Onyango et al.ARTICLEBMC Public Health2022
Successful and impactful implementation of the CSC in the Kenyan context requires intensive community and provider sensitization, and pandemic conditions may have muted the impact on contraceptive uptake in this small pilot effort. Further investigation is needed to understand whether the CSC - or other social accountability efforts - can result in improved contraceptive access

Frequency and impact of long wait times for family planning in public-sector healthcare facilities in Western Kenya
Open AccessChristopher R Williams, Caitlin R Williams et al.ARTICLEGlobal Health Action2022
BACKGROUND: Long wait times for family planning services are a barrier to high quality care and client satisfaction. Existing literature examining family planning wait times has methodological limitations, as most studies use data collected during exit interviews, which are subject to recall, courtesy, and selection bias. OBJECTIVE: We sought to employ a mixed methods approach to capture the prevalence, length, causes, and impacts of wait times f…
Evaluating the feasibility of the Community Score Card and subsequent contraceptive behavior in Kisumu, Kenya
Open AccessDickens Onyango, Dickens Otieno Onyango et al.ARTICLEBMC Public Health2022
Successful and impactful implementation of the CSC in the Kenyan context requires intensive community and provider sensitization, and pandemic conditions may have muted the impact on contraceptive uptake in this small pilot effort. Further investigation is needed to understand whether the CSC - or other social accountability efforts - can result in improved contraceptive access
Assessing the Suitability of Unmet Need as a Proxy for Access to Contraception and Desire to Use It
Open AccessLeigh Senderowicz, Bruce Bullington et al.ARTICLEStudies in Family Planning2023Cited by: 8References: 41
Unmet need for contraception is a widely used but frequently misunderstood indicator. Although calculated from measures of pregnancy intention and current contraceptive use, unmet need is commonly used as a proxy measure for (1) lack of access to contraception and (2) desire to use it. Using data from a survey in Burkina Faso, we examine the extent to which unmet need corresponds with and diverges from these two concepts, calculating sensitivity,…
Measuring Contraceptive Autonomy at Two Sites in Burkina Faso
Open AccessLeigh Senderowicz, Brooke W Bullington et al.ARTICLEStudies in Family Planning2023Cited by: 12References: 65
There is growing consensus in the family planning community around the need for novel measures of autonomy. Existing literature highlights the tension between efforts to pursue contraceptive targets and maximize uptake on the one hand, and efforts to promote quality, person‐centeredness, and contraceptive autonomy on the other hand. Here, we pilot a novel measure of contraceptive autonomy, measuring it at two Health and Demographic Surveillance S…
Fulfillment of Permanent Contraception among Patients with Cesarean Delivery in a Multi-Site Cohort
Open AccessBrooke W Bullington, Kristen A Berg et al.ARTICLEMaternal and Child Health Journal2024
Uncertainty in Postpartum Permanent Contraception Decision-Making
Open AccessBrooke W Bullington, Madeline Thornton et al.ARTICLEWomen s Health Issues2024
Exploring adolescent‐facing US clinicians' perceptions of their contraceptive counseling and use of shared decision‐making
Open AccessMadeline Thornton, Emily S Mann et al.ARTICLEPerspectives on Sexual and…2024References: 2
Clinicians in this study frequently engaged in non-patient-centered techniques during contraceptive counseling with adolescents. These findings can inform practice recommendations to support clinicians in providing high-quality contraceptive counseling using shared decision-making
Barriers to contraceptive implant removal among current and prior implant users in Kisumu, Kenya
Open AccessBrooke W Bullington, Stephanie Chung et al.ARTICLEPLOS Global Public Health2025
There has been increased promotion of long-acting reversible contraception (LARC) in the Global South in recent years. Studies have documented that women face barriers to removal when they desire to discontinue their LARC method, though few have quantified how often such experiences occur. We estimated the proportion of current and prior implant users who experienced or anticipated challenges with method removal using secondary data from a popula…
Keeping the “R” in Larc (long-acting reversible contraception)
Open AccessCary Karp, Katherine Tumlinson et al.ARTICLEPLOS Global Public Health2025
As the use of subdermal contraceptive implants increases across sub-Saharan Africa, the need for person-centered removal services is more critical than ever to safeguard reproductive autonomy. In 2016, Christofield and Lacoste proposed eight conditions for client-centered implant removal, yet the extent to which these conditions have been assessed in large-scale surveys remains unexamined. Our mapping exercise collates survey information from thr…
Association Between Preterm Birth and Fulfillment of Desired Permanent Contraception
Open AccessAndrea Chalem, Christoph Jensen et al.ARTICLEMaternal and Child Health Journal2025
Patterns of Cannabis Use among Women With HIV in the United States
Open AccessDanielle F Haley, Brooke W Bullington et al.ARTICLEAIDS and Behavior2025
Obstetrician-Gynecologist Perspectives and Counseling Practices on the U.S. Medicaid Waiting Period for Permanent Contraception
Open AccessSuzanna Larkin, Brooke W Bullington et al.ARTICLEWomen s Health Issues2025
Measuring Informed Choice for Contraception in Burkina Faso
Open AccessBrooke W Bullington, Katherine Tumlinson et al.ARTICLESocial Indicators Research2025References: 5
Patient Perspectives on Clinician Support When Pursuing Permanent Contraception in the United States
Open AccessBrooke W Bullington, Madison Lyleroehr et al.ARTICLEPerspectives on Sexual and…2025References: 3
Background Given the history of coercion in the provision of sterilization, it is important that patients who desire permanent contraception receive patient‐centered care that respects their preferences. Recent literature examining the provision of postpartum permanent contraception has not explored whether patients who desire permanent contraception feel supported by their clinical teams. Methods We interviewed patients from four medical centers…
Interest in and Experience With Intrauterine Device Self-Removal Among Current and Past Intrauterine Device Users in Utah
Open AccessBrooke W Bullington, Alexandra Gero et al.ARTICLEWomen s Health Issues2026
Objectives We sought to assess current and former intrauterine device (IUD) users' interest in and experiences with IUD self-removal and to examine associations between participant characteristics, past experiences with removal, and future interest in self-removal. Study Design We conducted a cross-sectional follow-up survey of HER Salt Lake participants who had ever used an IUD and consented to follow-up. Participants completed an electronic sur…