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

Identifieur interne : 001860 ( Main/Merge ); précédent : 001859; suivant : 001861

Racial/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 Borrero

Source :

RBID : PMC:4303233

Descripteurs français

English descriptors

Abstract

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 2006–2010 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).

Results

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.

Conclusions

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:4303233

Le document en format XML

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