Rameet H Singh1, Rebecca G Rogers2, Lawrence Leeman3, Noelle Borders2, Jessica Highfill2, Eve Espey2. 1. University of New Mexico School of Medicine Department of Obstetrics and Gynecology, Albuquerque, NM, USA. Electronic address: RHSingh@salud.unm.edu. 2. University of New Mexico School of Medicine Department of Obstetrics and Gynecology, Albuquerque, NM, USA. 3. University of New Mexico School of Medicine Department of Family and Community Medicine, Albuquerque, NM, USA.
Abstract
OBJECTIVE: The objective of the study was to determine if postpartum contraceptive choices by primiparous women differ by ethnicity. STUDY DESIGN: Retrospective nested cohort study analyzing women's characteristics and contraceptive choice. RESULTS: Of 652 participants, 312 (47.8%) were Hispanic, 287 (44.0%) were non-Hispanic white, and 53 (8.1%) were American Indian (AI). In multivariate analysis, depot medroxyprogesterone acetate (DMPA) and intrauterine device (IUD)/implant choice was related to AI [DMPA: odds ratio (OR) 15.28, confidence interval (CI) 4.49-52.04; IUD/implant: OR 0.46, CI 0.22-0.92] and Hispanic (DMPA: OR 3.44, CI 1.12-10.58) ethnicity. CONCLUSION: DMPA use was higher among Hispanic and AI women and IUD/implant use lower in AI women compared to non-Hispanic white women.
OBJECTIVE: The objective of the study was to determine if postpartum contraceptive choices by primiparous women differ by ethnicity. STUDY DESIGN: Retrospective nested cohort study analyzing women's characteristics and contraceptive choice. RESULTS: Of 652 participants, 312 (47.8%) were Hispanic, 287 (44.0%) were non-Hispanic white, and 53 (8.1%) were American Indian (AI). In multivariate analysis, depot medroxyprogesterone acetate (DMPA) and intrauterine device (IUD)/implant choice was related to AI [DMPA: odds ratio (OR) 15.28, confidence interval (CI) 4.49-52.04; IUD/implant: OR 0.46, CI 0.22-0.92] and Hispanic (DMPA: OR 3.44, CI 1.12-10.58) ethnicity. CONCLUSION:DMPA use was higher among Hispanic and AI women and IUD/implant use lower in AI women compared to non-Hispanic white women.
Authors: David Ngendahimana; Jessica Amalraj; Barbara Wilkinson; Emily Verbus; Mary Montague; Jane Morris; Kavita Shah Arora Journal: BMC Womens Health Date: 2021-01-07 Impact factor: 2.809
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