Racial and Ethnic Disparities in Contraceptive Use in Young Women
Faculty AdvisorLuu D. Ireland, MD, MPH
UMass Chan AffiliationsSenior Scholars Program
School of Medicine
Department of Obstetrics and Gynecology
Health Services Administration
Obstetrics and Gynecology
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AbstractBackground: Young women have the highest rates of unintended pregnancies among reproductive aged women. Black and Latina women are at highest risk. Few studies have examined reasons for these differences. In this study, we examined disparities in contraceptive use and contraceptive counseling by race and ethnicity among young women. Methods: Using the 2011-2013 National Survey of Family Growth (NSFG), a cross-sectional, nationally representative database, our analysis included women aged 15-24 years who had sexual intercourse within the past year, and were not pregnant or seeking pregnancy. The primary outcomes were contraceptive use and receipt of contraceptive services within the past 12 months. Results: Young women who identify as Hispanic (H) or Non-Hispanic Black (NHB) are less likely to report current contraceptive use than their non-Hispanic White (NHW) or Non-Hispanic Other (NHO) counterparts. This finding remains statistically significant among NHB women after controlling for confounders (H: adjusted OR=0.57±0.17, 95% CI [0.32, 1.02]; NHB: adjusted OR=0.51±0.13, 95% CI [0.31-0.82;] NHO: OR=1.91±0.67, 95% CI [0.96, 3.81]). There were no differences in birth control counseling received by race/ethnicity. However, NHW and NHO were more likely to have been issued contraception within the last 12 months (H: 49.6%, NHB: 49.0%, NHW: 60.1%, NHO: 64.8; p=0.047). Conclusions/Implications: Young Black and Latina women are less likely to use contraception than other racial and ethnic groups; this difference persists among young black women after controlling for sociodemographic differences. Future studies should explore reasons for the decreased contraceptive usage rate among young black women.
Permanent Link to this Itemhttp://hdl.handle.net/20.500.14038/49312
Cecilia Bahamon participated in this study as a medical student as part of the Senior Scholars research program at the University of Massachusetts Medical School. Her work was presented on Senior Scholars Program Poster Presentation Day at the University of Massachusetts Medical School, Worcester, MA, on May 3, 2017. This poster was presented at the 2017 American College of Obstetricians and Gynecologists (ACOG) Annual Clinical and Scientific Meeting, May 6, 2017, San Diego, California.