Postpartum contraceptive choices among ethnically diverse women in New Mexico

• Published in: Contraception (Stoneham) Vol. 89; no. 6; pp. 512 - 515
• Main Authors: Singh, Rameet H, Rogers, Rebecca G, Leeman, Lawrence, Borders, Noelle, Highfill, Jessica, Espey, Eve
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.06.2014; Elsevier
• Subjects: Adult; American Indian; Biological and medical sciences; Choice Behavior; Cohort Studies; Condoms; Contraception; Contraception Behavior - ethnology; Contraceptive Agents, Female - administration & dosage; Contraceptives, Oral - administration & dosage; Drug Implants; Ethnicity; European Continental Ancestry Group; Female; Genital system. Reproduction; Gynecology. Andrology. Obstetrics; Hispanic; Hispanic Americans; Hospitals, University; Hospitals, Urban; Humans; Indians, North American; Intrauterine Devices; Maternal Behavior - ethnology; Medical sciences; Medroxyprogesterone Acetate - administration & dosage; New Mexico; Obstetrics and Gynecology; Pharmacology. Drug treatments; Postpartum Period; Primiparous; Retrospective Studies; Young Adult; United States; New Mexico; North America; America; Primiparous; Ethnicity; Contraception; American Indian; Hispanic; Human; Choice; Female; Contraceptive; Woman; Puerperium; Ethnic group
• ISSN: 0010-7824; 1879-0518
• DOI: 10.1016/j.contraception.2013.12.017

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.