Factors associated with never-use of long-acting reversible contraception among adult reproductive-aged women in Ohio.

IF 3.4 2区医学 Q1 DEMOGRAPHY

Perspectives on Sexual and Reproductive Health Pub Date : 2023-03-01 DOI:10.1363/psrh.12212

Payal Chakraborty, Shibani Chettri, Maria F Gallo, Mikaela H Smith, Robert B Hood, Danielle Bessett, John B Casterline, Alison H Norris, Abigail Norris Turner

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引用次数: 0

Abstract

Background: The number of women using long-acting reversible contraception (LARC)-intrauterine devices (IUDs) and implants-is increasing and 14% of contraceptive users in the United States adopt LARC. We examined correlates of LARC never-use in a population-based survey of reproductive-aged women in Ohio.

Methods: We analyzed data from the 2018-19 Ohio Survey of Women. We examined the prevalence of LARC never-use and reasons for never-use among ever users of contraception (N = 2388). Using Poisson regression to generate prevalence ratios (PRs), we examined associations between selected correlates (demographic factors, healthcare access/quality measures, and religious/political views) and LARC never-use.

Results: Most Ohio women (74%) had never used LARC. Commonly reported reasons for not using an IUD or an implant were preferring a different method (46% and 45%, respectively), not wanting an object inside their body (45% and 43%), side effect concerns (39% and 33%), insertion/removal concerns (31% and 25%), and unfamiliarity (13% and 20%). Conservative political views (PR: 1.12, 95% confidence interval [CI]: 1.04-1.22), pro-life affiliation (PR: 1.11, 95% CI: 1.02-1.20), placing high importance on religion in daily life (PR: 1.15, 95% CI: 1.06-1.26), and being non-Hispanic white as compared to non-Hispanic Black (PR: 1.20, 95% CI: 1.02-1.41) were significantly associated with LARC never-use. Findings were generally similar for models analyzing IUD and implant never-use separately.

Conclusions: Among ever-users of contraception, LARC never-use was associated with having conservative political views, being religious, and having a pro-life affiliation. Except for race/ethnicity, demographic and healthcare measures were not associated with LARC never-use among women in Ohio.

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俄亥俄州成年育龄妇女从未使用长效可逆避孕措施的相关因素

背景:使用长效可逆避孕(LARC)——宫内节育器(iud)和植入物——的妇女人数正在增加，美国14%的避孕药具使用者采用LARC。我们在俄亥俄州一项以人口为基础的育龄妇女调查中检查了LARC从未使用的相关因素。方法:我们分析了2018-19年俄亥俄州妇女调查的数据。我们调查了从未使用LARC的流行率和从未使用避孕药的原因(N = 2388)。使用泊松回归生成患病率比率(pr)，我们检查了选定的相关因素(人口因素、医疗保健获取/质量措施和宗教/政治观点)与LARC从未使用之间的关联。结果:大多数俄亥俄州妇女(74%)从未使用过LARC。通常报告的不使用宫内节育器或植入物的原因是更喜欢不同的方法(分别为46%和45%)，不想在体内植入物体(45%和43%)，副作用(39%和33%)，插入/取出问题(31%和25%)以及不熟悉(13%和20%)。保守的政治观点(PR: 1.12, 95%可信区间[CI]: 1.04-1.22)、反堕胎倾向(PR: 1.11, 95% CI: 1.02-1.20)、在日常生活中高度重视宗教(PR: 1.15, 95% CI: 1.06-1.26)、非西班牙裔白人与非西班牙裔黑人(PR: 1.20, 95% CI: 1.02-1.41)与从未使用LARC显著相关。分别分析宫内节育器和从未使用过植入物的模型结果大致相似。结论:在曾经使用过避孕措施的人群中，从未使用过LARC的人群具有保守的政治观点、宗教信仰和反堕胎倾向。除种族/民族外，人口统计学和保健措施与俄亥俄州妇女从不使用LARC无关。

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来源期刊

Perspectives on Sexual and Reproductive Health Multiple-

CiteScore

5.10

自引率

3.40%

发文量

期刊介绍： Perspectives on Sexual and Reproductive Health provides the latest peer-reviewed, policy-relevant research and analysis on sexual and reproductive health and rights in the United States and other developed countries. For more than four decades, Perspectives has offered unique insights into how reproductive health issues relate to one another; how they are affected by policies and programs; and their implications for individuals and societies. Published four times a year, Perspectives on Sexual and Reproductive Health includes original research, special reports and commentaries on the latest developments in the field of sexual and reproductive health, as well as staff-written summaries of recent findings in the field.