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dc.contributor.advisorLuu D. Ireland, MD, MPH
dc.contributor.authorBahamon, Cecilia
dc.contributor.authorLeung, Katherine G.
dc.contributor.authorIreland, Luu D.
dc.date2022-08-11T08:10:55.000
dc.date.accessioned2022-08-23T17:25:00Z
dc.date.available2022-08-23T17:25:00Z
dc.date.issued2017-05-03
dc.date.submitted2017-05-26
dc.identifier.doi10.13028/dtwd-2377
dc.identifier.urihttp://hdl.handle.net/20.500.14038/49312
dc.description<p>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.</p>
dc.description.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.
dc.language.isoen_US
dc.rightsCopyright is held by the author(s), with all rights reserved.
dc.subjectcontraception
dc.subjectcontraceptives
dc.subjectcontraceptive services
dc.subjectyoung women
dc.subjectrace
dc.subjectethnicity
dc.subjectdisparaties
dc.subjectHealth Services Administration
dc.subjectMedical Education
dc.subjectObstetrics and Gynecology
dc.titleRacial and Ethnic Disparities in Contraceptive Use in Young Women
dc.typePoster
dc.identifier.legacyfulltexthttps://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=1253&amp;context=ssp&amp;unstamped=1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/ssp/252
dc.identifier.contextkey10217717
refterms.dateFOA2022-08-28T06:34:00Z
html.description.abstract<p>Background: 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.</p> <p>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.</p> <p>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).</p> <p>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.</p>
dc.identifier.submissionpathssp/252
dc.contributor.departmentSenior Scholars Program
dc.contributor.departmentSchool of Medicine
dc.contributor.departmentDepartment of Obstetrics and Gynecology


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