Racial/ethnic disparities in contraceptive use: variation by age and women's reproductive experiences

Disparities in unintended pregnancy in the United States are related, in part, to black and Hispanic women being overall less likely to use effective contraceptive methods. However, the fact that these same groups are more likely to use female sterilization, a highly effective method, suggests there...

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Podrobná bibliografia
Vydané v:	American journal of obstetrics and gynecology Ročník 210; číslo 6; s. 526.e1 - 526.e9
Hlavní autori:	Dehlendorf, Christine, Park, Seo Young, Emeremni, Chetachi A., Comer, Diane, Vincett, Kathryn, Borrero, Sonya
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	United States Mosby, Inc 01.06.2014
Predmet:	Adolescent Adult Age Factors Black or African American - statistics & numerical data contraception Contraception - methods Contraception - statistics & numerical data Contraception Behavior - ethnology Contraception Behavior - statistics & numerical data disparities Female Health Surveys Hispanic or Latino - statistics & numerical data Humans Obstetrics and Gynecology Odds Ratio Pregnancy Pregnancy, Unplanned - ethnology race/ethnicity Regression Analysis Socioeconomic Factors United States White People - statistics & numerical data United States disparities contraception race/ethnicity
ISSN:	0002-9378, 1097-6868, 1097-6868
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Popis
Shrnutí:	Disparities in unintended pregnancy in the United States are related, in part, to black and Hispanic women being overall less likely to use effective contraceptive methods. However, the fact that these same groups are more likely to use female sterilization, a highly effective method, suggests there may be variability in disparities in contraceptive use across a woman's life course. We sought to assess the relationship between race/ethnicity and contraceptive use in a nationally representative sample and to approximate a life course perspective by examining effect modification on these disparities by women's age, parity, and history of unintended pregnancy. We conducted an analysis of the 2006 through 2010 National Survey of Family Growth to determine the association between race/ethnicity and: (1) use of any method; (2) use of a highly or moderately effective method among women using contraception; and (3) use of a highly effective method among women using contraception. We then performed analyses to assess interactions between race/ethnicity and age, parity, and history of unintended pregnancy. Our sample included 7214 females aged 15-44 years. Compared to whites, blacks were less likely to use any contraceptive method (adjusted odds ratio, 0.65); and blacks and Hispanics were less likely to use a highly or moderately effective method (adjusted odds ratio, 0.49 and 0.57, respectively). Interaction analyses revealed that racial/ethnic disparities in contraceptive use varied by women's age, with younger women having more prominent disparities. Interventions designed to address disparities in unintended pregnancy should focus on improving contraceptive use among younger women.
Bibliografia:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Contact Information: Christine Dehlendorf, MD MAS, 995 Potrero Avenue Ward 83, San Francisco, CA 94110, cdehlendorf@fcm.ucsf.edu, (415) 206-8712, (415) 516-8917 cell (415) 206-8387 fax
ISSN:	0002-9378 1097-6868 1097-6868
DOI:	10.1016/j.ajog.2014.01.037