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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Veröffentlicht in:American journal of obstetrics and gynecology Jg. 210; H. 6; S. 526.e1 - 526.e9
Hauptverfasser: Dehlendorf, Christine, Park, Seo Young, Emeremni, Chetachi A., Comer, Diane, Vincett, Kathryn, Borrero, Sonya
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States Mosby, Inc 01.06.2014
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ISSN:0002-9378, 1097-6868, 1097-6868
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Abstract 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.
AbstractList 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.
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.OBJECTIVEDisparities 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.STUDY DESIGNWe 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.RESULTSOur 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.CONCLUSIONInterventions designed to address disparities in unintended pregnancy should focus on improving contraceptive use among younger women.
Objective 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. Study Design 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. Results 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. Conclusion Interventions designed to address disparities in unintended pregnancy should focus on improving contraceptive use among younger women.
Author Borrero, Sonya
Emeremni, Chetachi A.
Dehlendorf, Christine
Comer, Diane
Park, Seo Young
Vincett, Kathryn
Author_xml – sequence: 1
  givenname: Christine
  surname: Dehlendorf
  fullname: Dehlendorf, Christine
  organization: Departments of Family and Community Medicine; Obstetrics, Gynecology, and Reproductive Sciences; and Epidemiology and Biostatistics, University of California, San Francisco, School of Medicine, San Francisco, CA
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  givenname: Seo Young
  surname: Park
  fullname: Park, Seo Young
  organization: Center for Research on Health Care Data Center and Division of General Internal Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, PA
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  givenname: Chetachi A.
  surname: Emeremni
  fullname: Emeremni, Chetachi A.
  organization: Center for Research on Health Care Data Center and Division of General Internal Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, PA
– sequence: 4
  givenname: Diane
  surname: Comer
  fullname: Comer, Diane
  organization: Center for Research on Health Care Data Center and Division of General Internal Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, PA
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  givenname: Kathryn
  surname: Vincett
  fullname: Vincett, Kathryn
  organization: Amherst College, Amherst, MA
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  givenname: Sonya
  surname: Borrero
  fullname: Borrero, Sonya
  organization: Center for Research on Health Care Data Center and Division of General Internal Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, PA
BackLink https://www.ncbi.nlm.nih.gov/pubmed/24495671$$D View this record in MEDLINE/PubMed
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Issue 6
Keywords disparities
contraception
race/ethnicity
Language English
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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
OpenAccessLink https://www.ncbi.nlm.nih.gov/pmc/articles/4303233
PMID 24495671
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PQPubID 23479
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elsevier_sciencedirect_doi_10_1016_j_ajog_2014_01_037
elsevier_clinicalkeyesjournals_1_s2_0_S0002937814000969
elsevier_clinicalkey_doi_10_1016_j_ajog_2014_01_037
PublicationCentury 2000
PublicationDate 2014-06-01
PublicationDateYYYYMMDD 2014-06-01
PublicationDate_xml – month: 06
  year: 2014
  text: 2014-06-01
  day: 01
PublicationDecade 2010
PublicationPlace United States
PublicationPlace_xml – name: United States
PublicationTitle American journal of obstetrics and gynecology
PublicationTitleAlternate Am J Obstet Gynecol
PublicationYear 2014
Publisher Mosby, Inc
Publisher_xml – name: Mosby, Inc
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SSID ssj0002292
Score 2.5007668
Snippet Disparities in unintended pregnancy in the United States are related, in part, to black and Hispanic women being overall less likely to use effective...
Objective Disparities in unintended pregnancy in the United States are related, in part, to black and Hispanic women being overall less likely to use effective...
SourceID pubmedcentral
proquest
pubmed
crossref
elsevier
SourceType Open Access Repository
Aggregation Database
Index Database
Enrichment Source
Publisher
StartPage 526.e1
SubjectTerms 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
Title Racial/ethnic disparities in contraceptive use: variation by age and women's reproductive experiences
URI https://www.clinicalkey.com/#!/content/1-s2.0-S0002937814000969
https://www.clinicalkey.es/playcontent/1-s2.0-S0002937814000969
https://dx.doi.org/10.1016/j.ajog.2014.01.037
https://www.ncbi.nlm.nih.gov/pubmed/24495671
https://www.proquest.com/docview/1531951561
https://pubmed.ncbi.nlm.nih.gov/PMC4303233
Volume 210
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