Awareness and Use of Contraceptive Methods and Perceptions of Long-Acting Reversible Contraception Among White and Non-White Women.

Background: Unintended pregnancies continue to account for half of all pregnancies in the United States, primarily due to incorrect or inconsistent use of contraception methods. Long-acting reversible contraception (LARC) methods are safe and highly effective, yet underutilized. Low uptake of LARC m...

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Publicado en:Journal of Women's Health (15409996) Vol. 30; no. 9; pp. 1313 - 1321
Autores principales: Lin, Chyongchiou J., Maier, John, Nwankwo, Chidinma, Burley, Cassie, deBorja, Leyan, Aaraj, Yassmin Al, Lewis, Elizabeth, Rhem, Marla, Nowalk, Mary Patricia, South-Paul, Jeannette
Formato: research tables/charts Journal Article
Publicado: Mary Ann Liebert, Inc. Sep2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2021
      vid: 30
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      pub: Mary Ann Liebert, Inc.
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        10.1089/jwh.2020.8642
        152459367
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        atl: Awareness and Use of Contraceptive Methods and Perceptions of Long-Acting Reversible Contraception Among White and Non-White Women.
      aug:
        au:
          Lin, Chyongchiou J.
          Maier, John
          Nwankwo, Chidinma
          Burley, Cassie
          deBorja, Leyan
          Aaraj, Yassmin Al
          Lewis, Elizabeth
          Rhem, Marla
          Nowalk, Mary Patricia
          South-Paul, Jeannette
        affil: Department of Family Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
      sug:
        subj:
          Contraception Methods
          Long-Acting Reversible Contraceptives Therapeutic Use
          Intrauterine Devices Utilization
          Contraception Utilization
          Health Knowledge Evaluation
          Attitude to Health Evaluation
          Race Factors
          Human
          Focus Groups
          Adolescence
          Adult
          Middle Age
          Female
          White Persons
          Descriptive Statistics
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
      ab: Background: Unintended pregnancies continue to account for half of all pregnancies in the United States, primarily due to incorrect or inconsistent use of contraception methods. Long-acting reversible contraception (LARC) methods are safe and highly effective, yet underutilized. Low uptake of LARC may be due to inadequate education, misconceptions, and cultural factors such as race, ethnicity, or religion. This study examined racial differences in contraceptive awareness and use among women seeking care at family health centers. Materials and Methods: Focus groups were used to identify recurrent themes in contraceptive choice of participants and develop a survey, completed by nonpregnant female patients 18–45 years of age from seven family health centers. Results: Among a total of 465 participants, 210 (46.2%) of whom were non-white, awareness of most types of birth control was generally high. Awareness of all types of contraceptives was significantly higher among white than non-white women (p < 0.001). Across most types of contraceptives, use was significantly higher among white women than non-white women with the exception of injectable hormones which were used significantly more often by non-white women (46.0% vs. 28.5%; p < 0.001). Reasons for using LARC did not vary by type nor by race but reasons for not using LARC varied by race and by specific method. Conclusions: Differing patterns of awareness, use, and perceptions of contraceptive methods between white and non-white women were revealed. By understanding factors that influence contraceptive awareness, use, and perceptions, clinicians can better address the contraceptive needs and concerns of their female patients. Clinical Trial # NCT 03486743.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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