Tania Maria Caballero1,2, Laura Bou Delgado3,4,5, Linxuan Wu3,6, Krishna Upadhya3,7, Sara B Johnson3,8,9, Lisa R DeCamp3,4,10. 1. Division of General Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD, USA. Tcaball1@jhmi.edu. 2. Johns Hopkins Center for Health/Salud and Opportunity for Latinos, Baltimore, MD, USA. Tcaball1@jhmi.edu. 3. Division of General Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD, USA. 4. Johns Hopkins Center for Health/Salud and Opportunity for Latinos, Baltimore, MD, USA. 5. Universidad Central del Caribe School of Medicine, Bayamón, PR, USA. 6. Center for Child and Community Health Research (CCHR), Johns Hopkins Bayview Medical Center, Baltimore, MD, USA. 7. George Washington University School of Medicine, Washington DC, USA. 8. Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. 9. Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. 10. ACCORDS (Adult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado, Children's Hospital Colorado, Aurora, CO, USA.
Abstract
OBJECTIVES: To characterize contraceptive method use and satisfaction among Spanish-speaking Latina immigrants who attend their child's well care visit. METHODS: Spanish-speaking women whose youngest child was ≤ 4 years old completed an orally-administered Spanish-language survey in a pediatric clinic (N = 194). Survey items were based on previously published contraceptive use assessments among diverse populations. We used chi-square and Fisher exact test to describe maternal characteristics by contraceptive method effectiveness categories: Tier 1, most effective methods (hormonal implant, intrauterine device, tubal ligation, and vasectomy); Tier 2, very effective methods (hormonal injection, oral contraceptive pill, hormonal patch, and hormonal ring); Tier 3, effective methods (condoms), and no method. RESULTS: 34% of women were using a Tier 1 method, 40% were using a Tier 2 method, and 17% had unmet contraceptive need (no pregnancy intention, no birth control); 84% were satisfied with their current method and 82% of women were uninsured. Tier 2 method or no method users were more likely than women using a Tier 1 method to have children < 9 months old (X2 (6, N = 190) = 20.4, p = .002). CONCLUSIONS: Latina immigrants with young children who attend their child's pediatric visit are mostly using effective contraceptives and are satisfied with their method. A culturally supportive medical home and access to no-cost long-acting reversible contraceptives through a temporary private grant likely contributed to high contraceptive use and satisfaction in our study. Describing maternal contraceptive use among Latina immigrant mothers can inform future equitable, culturally tailored, approaches to pediatric maternal contraceptive need screening.
OBJECTIVES: To characterize contraceptive method use and satisfaction among Spanish-speaking Latina immigrants who attend their child's well care visit. METHODS: Spanish-speaking women whose youngest child was ≤ 4 years old completed an orally-administered Spanish-language survey in a pediatric clinic (N = 194). Survey items were based on previously published contraceptive use assessments among diverse populations. We used chi-square and Fisher exact test to describe maternal characteristics by contraceptive method effectiveness categories: Tier 1, most effective methods (hormonal implant, intrauterine device, tubal ligation, and vasectomy); Tier 2, very effective methods (hormonal injection, oral contraceptive pill, hormonal patch, and hormonal ring); Tier 3, effective methods (condoms), and no method. RESULTS: 34% of women were using a Tier 1 method, 40% were using a Tier 2 method, and 17% had unmet contraceptive need (no pregnancy intention, no birth control); 84% were satisfied with their current method and 82% of women were uninsured. Tier 2 method or no method users were more likely than women using a Tier 1 method to have children < 9 months old (X2 (6, N = 190) = 20.4, p = .002). CONCLUSIONS: Latina immigrants with young children who attend their child's pediatric visit are mostly using effective contraceptives and are satisfied with their method. A culturally supportive medical home and access to no-cost long-acting reversible contraceptives through a temporary private grant likely contributed to high contraceptive use and satisfaction in our study. Describing maternal contraceptive use among Latina immigrant mothers can inform future equitable, culturally tailored, approaches to pediatric maternal contraceptive need screening.
Authors: Abigail R A Aiken; Mitchell D Creinin; Andrew M Kaunitz; Anita L Nelson; James Trussell Journal: Contraception Date: 2014-08-07 Impact factor: 3.375