Postpartum contraceptive choices among ethnically diverse women in New Mexico

Contraception. 2014 Jun;89(6):512-5. doi: 10.1016/j.contraception.2013.12.017. Epub 2014 Jan 7.

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.

Keywords: American Indian; Contraception; Ethnicity; Hispanic; Primiparous.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Choice Behavior
  • Cohort Studies
  • Condoms
  • Contraception Behavior* / ethnology
  • Contraceptive Agents, Female / administration & dosage*
  • Contraceptives, Oral / administration & dosage*
  • Drug Implants
  • Female
  • Hispanic or Latino
  • Hospitals, University
  • Hospitals, Urban
  • Humans
  • Indians, North American
  • Intrauterine Devices*
  • Maternal Behavior / ethnology
  • Medroxyprogesterone Acetate / administration & dosage*
  • New Mexico
  • Postpartum Period*
  • Retrospective Studies
  • White People
  • Young Adult

Substances

  • Contraceptive Agents, Female
  • Contraceptives, Oral
  • Drug Implants
  • Medroxyprogesterone Acetate