Household income and contraceptive methods among female youth: a cross-sectional study using the Canadian Community Health Survey (2009-2010 and 2013-2014).

CMAJ open Pub Date : 2019-10-01 DOI:10.9778/cmajo.20190087
E. Nethery, L. Schummers, K. S. Maginley, S. Dunn, W. Norman
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引用次数: 10

Abstract

BACKGROUND Low socioeconomic status is one of many barriers that may limit access to family planning services. We aimed to examine the relation between household income and contraceptive methods among female youth in Canada. METHODS Our study population included sexually active females aged 15-24 who were trying to avoid pregnancy. We used cross-sectional data from the 2009-2010 and 2013-2014 cycles of the Canadian Community Health Survey to compare household income and other sociodemographic covariates for those using oral contraceptives, injectable contraceptives, condoms or a dual method (condoms plus oral or injectable contraceptives). RESULTS Of female youth at risk for unintended pregnancy, 59.2% reported using oral contraceptives, 29.0% used dual methods, 16.8% used condoms only, 2.5% used injectable contraceptives and 13.6% did not use contraception. In multiple regression models, lower annual household income (< $80 000) was associated with decreased use of oral contraceptives (relative risk [RR] 0.85, 95% confidence interval [CI] 0.80-0.91) and dual methods (RR 0.81, 95% CI 0.71-0.91), increased use of condoms (RR 1.36, 95% CI 1.11-1.67) and injectable contraceptives (RR 1.69, 95% CI 0.98-2.92), and a greater risk of contraceptive nonuse (RR 1.19, 95% CI 0.94-1.50). INTERPRETATION We found that lower household income was associated with decreased use of oral contraceptives and increased reliance on injectable contraceptives and condoms only. Young, low-income females may face barriers to accessing the full range of contraceptive methods available in Canada. Easier access to affordable contraception may decrease the number of female youth at risk for unintended pregnancy due to financial barriers.
女青年的家庭收入和避孕方法:加拿大社区健康调查的横断面研究(2009-2010年和2013-2014年)。
低社会经济地位是限制获得计划生育服务的诸多障碍之一。我们的目的是研究加拿大女性青年家庭收入和避孕方法之间的关系。方法我们的研究人群包括15-24岁试图避免怀孕的性活跃女性。我们使用2009-2010年和2013-2014年加拿大社区健康调查周期的横断面数据,比较使用口服避孕药、注射避孕药、避孕套或双重方法(避孕套加口服或注射避孕药)的家庭收入和其他社会人口统计学协变量。结果意外怀孕高危女性青年中,59.2%报告使用口服避孕药,29.0%报告使用双避孕方法,16.8%报告仅使用避孕套,2.5%报告使用注射避孕药,13.6%报告未使用避孕措施。在多元回归模型中,较低的家庭年收入(< 8万美元)与口服避孕药的使用减少(相对危险度[RR] 0.85, 95%可信区间[CI] 0.80-0.91)和双重方法(RR 0.81, 95% CI 0.71-0.91)、避孕套的使用增加(RR 1.36, 95% CI 1.11-1.67)和注射避孕药的使用增加(RR 1.69, 95% CI 0.98-2.92)以及不使用避孕药的风险增加(RR 1.19, 95% CI 0.94-1.50)相关。我们发现,较低的家庭收入与口服避孕药的使用减少和对注射避孕药和避孕套的依赖增加有关。在加拿大,低收入的年轻女性在获得各种避孕方法方面可能面临障碍。更容易获得负担得起的避孕措施可能会减少由于经济障碍而面临意外怀孕风险的女性青年人数。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
5.40
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