Racial/ethnic disparities in contraceptive use: Variation by age and women's reproductive experiences
Identifieur interne : 001860 ( Main/Merge ); précédent : 001859; suivant : 001861Racial/ethnic disparities in contraceptive use: Variation by age and women's reproductive experiences
Auteurs : Christine Dehlendorf ; Seo Young Park ; Chetachi A. Emeremni ; Ms. Diane Comer ; Ms. Kathryn Vincett ; Sonya BorreroSource :
- American journal of obstetrics and gynecology [ 0002-9378 ] ; 2014.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Afro-Américains (), Analyse de régression, Comportement en matière de contraception (), Comportement en matière de contraception (ethnologie), Contraception (), Contraception (utilisation), Enquêtes de santé, Facteurs de l'âge, Facteurs socioéconomiques, Femelle, Grossesse, Grossesse non planifiée (ethnologie), Hispano-américain (), Humains, Odds ratio, Population d'origine européenne (), États-Unis d'Amérique.
- MESH :
- ethnologie : Comportement en matière de contraception, Grossesse non planifiée.
- utilisation : Contraception.
- Adolescent, Adulte, Afro-Américains, Analyse de régression, Comportement en matière de contraception, Contraception, Enquêtes de santé, Facteurs de l'âge, Facteurs socioéconomiques, Femelle, Grossesse, Hispano-américain, Humains, Odds ratio, Population d'origine européenne, États-Unis d'Amérique.
- Wicri :
- geographic : États-Unis.
English descriptors
- KwdEn :
- Adolescent, Adult, African Americans (statistics & numerical data), Age Factors, Contraception (methods), Contraception (statistics & numerical data), Contraception (utilization), Contraception Behavior (ethnology), Contraception Behavior (statistics & numerical data), European Continental Ancestry Group (statistics & numerical data), Female, Health Surveys, Hispanic Americans (statistics & numerical data), Humans, Odds Ratio, Pregnancy, Pregnancy, Unplanned (ethnology), Regression Analysis, Socioeconomic Factors, United States.
- MESH :
- geographic : United States.
- ethnology : Contraception Behavior, Pregnancy, Unplanned.
- methods : Contraception.
- statistics & numerical data : African Americans, Contraception, Contraception Behavior, European Continental Ancestry Group, Hispanic Americans.
- utilization : Contraception.
- Adolescent, Adult, Age Factors, Female, Health Surveys, Humans, Odds Ratio, Pregnancy, Regression Analysis, Socioeconomic Factors.
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 2006–2010 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 (ies).
Our sample included 7,214 women aged 15–44. Compared to whites, blacks were less likely to use any contraceptive method (AOR: 0.65); and blacks and Hispanics were less likely to use a highly or moderately effective method (AORs: 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.
Url:
DOI: 10.1016/j.ajog.2014.01.037
PubMed: 24495671
PubMed Central: 4303233
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PMC:4303233Le document en format XML
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<author><name sortKey="Emeremni, Chetachi A" sort="Emeremni, Chetachi A" uniqKey="Emeremni C" first="Chetachi A." last="Emeremni">Chetachi A. Emeremni</name>
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<series><title level="j">American journal of obstetrics and gynecology</title>
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<term>Adult</term>
<term>African Americans (statistics & numerical data)</term>
<term>Age Factors</term>
<term>Contraception (methods)</term>
<term>Contraception (statistics & numerical data)</term>
<term>Contraception (utilization)</term>
<term>Contraception Behavior (ethnology)</term>
<term>Contraception Behavior (statistics & numerical data)</term>
<term>European Continental Ancestry Group (statistics & numerical data)</term>
<term>Female</term>
<term>Health Surveys</term>
<term>Hispanic Americans (statistics & numerical data)</term>
<term>Humans</term>
<term>Odds Ratio</term>
<term>Pregnancy</term>
<term>Pregnancy, Unplanned (ethnology)</term>
<term>Regression Analysis</term>
<term>Socioeconomic Factors</term>
<term>United States</term>
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<term>Adulte</term>
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<term>Comportement en matière de contraception ()</term>
<term>Comportement en matière de contraception (ethnologie)</term>
<term>Contraception ()</term>
<term>Contraception (utilisation)</term>
<term>Enquêtes de santé</term>
<term>Facteurs de l'âge</term>
<term>Facteurs socioéconomiques</term>
<term>Femelle</term>
<term>Grossesse</term>
<term>Grossesse non planifiée (ethnologie)</term>
<term>Hispano-américain ()</term>
<term>Humains</term>
<term>Odds ratio</term>
<term>Population d'origine européenne ()</term>
<term>États-Unis d'Amérique</term>
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<keywords scheme="MESH" type="geographic" xml:lang="en"><term>United States</term>
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<term>Grossesse non planifiée</term>
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<term>Contraception Behavior</term>
<term>European Continental Ancestry Group</term>
<term>Hispanic Americans</term>
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<term>Socioeconomic Factors</term>
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<term>Adulte</term>
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<term>Comportement en matière de contraception</term>
<term>Contraception</term>
<term>Enquêtes de santé</term>
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<term>Facteurs socioéconomiques</term>
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<term>Grossesse</term>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title>
<p id="P2">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.</p>
</sec>
<sec id="S2"><title>Study Design</title>
<p id="P3">We conducted an analysis of the 2006–2010 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 (ies).</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P4">Our sample included 7,214 women aged 15–44. Compared to whites, blacks were less likely to use any contraceptive method (AOR: 0.65); and blacks and Hispanics were less likely to use a highly or moderately effective method (AORs: 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.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P5">Interventions designed to address disparities in unintended pregnancy should focus on improving contraceptive use among younger women.</p>
</sec>
</div>
</front>
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