Postpartum contraceptive choices among ethnically diverse women in new Mexico
Singh, R.H.; Rogers, R.G.; Leeman, L.; Borders, N.; Highfill, J.; Espey, E.
Contraception 89(6): 512-515
2014
ISSN/ISBN: 1879-0518 PMID: 24486007 DOI: 10.1016/j.contraception.2013.12.017Document Number: 578963
The objective of the study was to determine if postpartum contraceptive choices by primiparous women differ by ethnicity. Retrospective nested cohort study analyzing women's characteristics and contraceptive choice. 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. DMPA use was higher among Hispanic and AI women and IUD/implant use lower in AI women compared to non-Hispanic white women.
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