Journal of Racial and Ethnic Health Disparities最新文献

{"title":"Optimising Pre-Eclampsia Screening in Black Women; a Secondary Analysis of Data from Non-Intervention Screening Studies.","authors":"Anastasija Arechvo, Argyro Syngelaki, Moritz Döbert, Anna Nektaria Varouxaki, Min Yi Tan, Liona Poon, Peter von Dadelszen, Kypros H Nicolaides, Laura A Magee","doi":"10.1007/s40615-025-02680-7","DOIUrl":"https://doi.org/10.1007/s40615-025-02680-7","url":null,"abstract":"<p><strong>Objective: </strong>To compare pre-eclampsia screening strategies among Black vs. White ethnicity women.</p><p><strong>Methods: </strong>Using data from prospective non-intervention cohort studies in Europe, we evaluated pre-eclampsia risk in singleton pregnancies. Risk was determined by clinical risk factor screening ('clinical'), 'clinical' with Black ethnicity as a moderate-risk factor ('clinical-modified'), and the Fetal Medicine Foundation competing-risks model at 11-13 weeks' gestation ('model_11-13 ' for preterm pre-eclampsia) and 35-36 weeks ('model_35-36 ' for late preterm/term pre-eclampsia). To compare screening performance, models' screen-positive rates were adjusted to match 'clinical' screening.</p><p><strong>Results: </strong>At 11-13 weeks, 61,174 pregnancies were screened; preterm pre-eclampsia occurred in 493 (0.8%). At an overall 11.2% screen-positive-rate, 'model_11-13 ' (vs. 'clinical') detection of preterm pre-eclampsia almost doubled for Black (88.0% from 46.4%) and White (66.4% from 36.7%) women. For 'clinical-modified', the overall screen-positive-rate was 18.5% and the detection rate for 'model_11-13 ' (vs. 'clinical-modified') was 94.0% from 85.0% for Black women, and 77.3% from 36.7% for White. At 35-36 weeks, 29,035 pregnancies were screened; subsequent pre-eclampsia occurred in 654 (2.3%). At an overall 10.9% screen-positive-rate, 'model_35-36 ' (vs. 'clinical') detection of pre-eclampsia more than doubled for both Black (74.8% from 26.2%) and White (69.6% from 33.1%) women. For 'clinical-modified', the overall screen-positive-rate was 15.5% and the detection rate for 'model_35-36 ' (vs. 'clinical-modified') was 84.1% from 85.0% for Black women, and 78.5% from 33.1% for White.</p><p><strong>Conclusions: </strong>The screening performance of the competing-risks model is superior to that of clinical risk factor screening without and with addition of Black ethnicity as a moderate clinical risk factor.</p>","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145238969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interventions to Improve the Mental Health of Black Youth in Western Countries: A Scoping Review.","authors":"Eyasu Yakob, Aloysius Nwabugo Maduforo, Ibukun Christiana Kayode, Tiphanie Okorie, Prosper Komolafe, Folajinmi Oluwasina, Bukola Salami","doi":"10.1007/s40615-025-02666-5","DOIUrl":"https://doi.org/10.1007/s40615-025-02666-5","url":null,"abstract":"<p><strong>Background: </strong>Black youth in Western countries experience disproportionate mental health challenges driven by systemic racism, cultural stigma, and limited access to culturally appropriate care. While the need for tailored interventions is increasingly recognized, there remains a lack of synthesized evidence on evaluated mental health programs, those systematically assessed for effectiveness, targeting this population. This scoping review aimed to identify, map, and synthesize peer-reviewed studies evaluating mental health interventions designed to improve psychological outcomes among Black youth aged 15-24 years living outside of Africa.</p><p><strong>Methods: </strong>Using Arksey and O'Malley's five-stage scoping review framework, we conducted a comprehensive search across eight electronic databases: MEDLINE, Embase, CINAHL, PsycINFO, Scopus, Web of Science, HealthStar, and Socio Index. The search covered studies published after the year 2000. Eligible studies included primary research conducted in Western countries that evaluated a mental health intervention for Black youth and reported psychological outcomes. Titles, abstracts, and full texts were screened using predefined criteria. Data were extracted using a standardized charting form and synthesized thematically by the mental health issue addressed.</p><p><strong>Results: </strong>Nine studies met the inclusion criteria. Interventions focused on five key areas: violence prevention, depression, substance use, stress and anxiety, and suicidality. Most programs were culturally adapted and demonstrated positive outcomes, though limitations included small sample sizes, limited methodological diversity, and a lack of long-term follow-up.</p><p><strong>Conclusion: </strong>Culturally grounded interventions show promise in improving mental health outcomes for Black youth. Future research should focus on intersectionality, long-term impact, and broader representation across diverse Black subpopulations.</p>","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stroke-Related Predictors of Hypertension Self-Management Among African American Adults.","authors":"Dhruvangi P Sharma, Dawn M Aycock, Susan J Kelley, Trudy Gaillard, Patrick L Washington","doi":"10.1007/s40615-025-02659-4","DOIUrl":"https://doi.org/10.1007/s40615-025-02659-4","url":null,"abstract":"<p><p>African Americans (AA) experience significant disparities in uncontrolled hypertension and stroke. Despite hypertension self-management (HTN-SM) playing a crucial role in blood pressure (BP) control, stroke-related factors as predictors of HTN-SM remain unexplored in this population. This study examined stroke-related theoretical variables-stroke risk perceptions, stroke knowledge, history of stroke symptoms, perceived stress, perceived health, and self-efficacy for managing hypertension-as predictors of HTN-SM for primary stroke prevention in middle-aged to older AA. Using a cross-sectional, correlational design guided by the Health Belief Model, AA 45 years and older were recruited from the United States. Data were collected via surveys administered through Qualtrics or telephonic interviews. Participants (N = 142) had a mean age of 63 years (SD = 12.0) and an average hypertension duration of 13.7 years (SD = 11.1). Among those recalling their last BP reading (n = 99; 70%), the mean systolic BP was 133 mmHg (SD = 13.4), and diastolic was 80 mmHg (SD = 10.7). The mean HTN-SM score was 58.1 (SD = 16.7); 72% scored < 70, indicating inadequate HTN-SM. Deficits in HTN-SM were related to diet and exercise. Participants reported low-moderate stroke risk perceptions, moderate stroke knowledge, low-moderate perceived stress, fair/good perceived health, and inadequate self-efficacy. The model explained 34.6% of the variance in HTN-SM (R² = .34, p = < .001); self-efficacy (β = .42, p = .000) and perceived health (β = -.21, p = .003) were significant predictors, controlling for age. Although most participants self-reported BP readings considered controlled, there were HTN-SM deficits. Enhancing self-efficacy for managing hypertension may be more effective for improving self-management behaviors than solely increasing overall stroke awareness in AA.</p>","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145244613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"School Climate and Perceived Discrimination: Associations with Teen Mental Health.","authors":"Sunday Azagba, Galappaththige S R de Silva, Todd Ebling","doi":"10.1007/s40615-025-02684-3","DOIUrl":"https://doi.org/10.1007/s40615-025-02684-3","url":null,"abstract":"<p><strong>Introduction: </strong>Mental health challenges and suicidal behaviors represent a significant public health concern. This study examines the associations between school connectedness, perceived racial discrimination, and mental health outcomes among U.S. high school students.</p><p><strong>Methods: </strong>Data were drawn from the 2023 Youth Risk Behavior Survey, a nationally representative survey of high school students in the United States. Primary independent variables included school connectedness and perceived racial discrimination, with a composite measure derived to represent the intersection of these two factors. Dependent variables were poor mental health, suicidal thoughts, and suicide attempts. Multivariable logistic regression models were employed to analyze these relationships.</p><p><strong>Results: </strong>The findings indicate that lower school connectedness and higher perceived racial discrimination are significantly associated with poor mental health, suicidal thoughts, and suicide attempts. Specifically, students reporting lower school connectedness and higher perceived racial discrimination had significantly higher odds of poor mental health (OR = 1.39, 95% CI = 1.32 - 1.46), suicidal ideation (OR = 1.42, 95% CI = 1.35 - 1.50), and suicide attempts (OR = 1.37, 95% CI = 1.29 - 1.45). Furthermore, a dose-response association was observed, wherein the frequency of perceived racial discrimination was associated with progressively higher odds of experiencing adverse mental health outcomes.</p><p><strong>Conclusion: </strong>This study reveals significant associations between lower school connectedness, perceived racial discrimination, and adverse mental health among adolescents. These findings underscore the importance of fostering supportive school environments to promote positive adolescent health.</p>","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145232917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disability and Depression Among People with Cardiovascular Diseases: Does Race or Type of Disease Matter?","authors":"Rockson Ansong, Grace Kyei, Evans Kyei","doi":"10.1007/s40615-025-02641-0","DOIUrl":"https://doi.org/10.1007/s40615-025-02641-0","url":null,"abstract":"<p><strong>Background: </strong>Disability and depression are related in individuals with cardiovascular disease (CVD), but how race/ethnicity or specific CVD types affect this relationship remains unclear.</p><p><strong>Objective: </strong>To assess the association between three types of disabilities and depression in people with CVD and examine whether race/ethnicity or specific CVD types influence these relationships.</p><p><strong>Method: </strong>Using the 2013-2018 NHANES dataset, we analyzed 5908 adults with self-reported CVDs. We measured depression using the first eight items of the Patient Health Questionnaire depression scale, ADL disabilities with the Physical Functioning Questionnaire, and seeing and hearing disabilities, using the Disability Questionnaire. We conducted chi-square tests and multivariable logistic regression analyses, including interaction terms for race/ethnicity and CVD type.</p><p><strong>Results: </strong>32.5% of our population reported some form of disability, and 11.3% experienced depression. Depression was more common among individuals with ADL, vision, or hearing disabilities. Among those without ADL disabilities, stroke survivors had the highest depression risk, followed by individuals with multiple CVDs. Those with only hypertension and no ADL disability had the lowest risk. However, among individuals with ADL disabilities, those with hypertension had a higher risk of depression than stroke survivors or those with multiple CVDs. Notably, among people with severe visual impairment, those with multiple CVDs were less likely to be depressed than those with only hypertension. In this study, females and single individuals had higher odds of depression, while those who were Black, had higher incomes, had at least a high school education, or were aged 55 and older were less likely. Race/ethnicity was not a significant predictor in adjusted models.</p><p><strong>Conclusion: </strong>The relationship between disability and depression in people with CVD is complex and varies by CVD type. Healthcare providers should consider disability type and specific CVD conditions when screening for depression and planning interventions.</p>","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145238944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Individual- and Community-level Socioeconomic Status and Liver Transplant Outcomes: A Retrospective Cohort Study.","authors":"Alexander D Stoker, Man Yee Keung, Skye Buckner-Petty, David M Rosenfeld, Peter E Frasco, Michelle C Nguyen, Blanca C Lizaola-Mayo, Adam J Milam","doi":"10.1007/s40615-025-02629-w","DOIUrl":"https://doi.org/10.1007/s40615-025-02629-w","url":null,"abstract":"<p><p>This study evaluated the relationship between socioeconomic status (SES) at both the individual- and community-level and clinical outcomes among liver transplant recipients. A retrospective cohort study was conducted with 1567 deceased donor liver transplantation cases performed at Mayo Clinic Arizona from 2004 to 2022. Predictors included insurance status, self-reported education, the HOUsing-based index of Socioeconomic Status (HOUSES) index, and the Area Deprivation Index (ADI). The primary outcome was time to graft failure, analyzed using Cox proportional hazard models. The secondary outcome was mortality, also analyzed using Cox proportional hazard models. Exploratory outcomes included 30-day readmission and follow-up appointments using Poisson regression models. The sample was 66% male and 73% non-Hispanic White. There were 127 graft failures (8.1%), with 1-year, 5-year, and 10-year graft survival rates of 95.8%, 83.0%, and 67.7%, respectively. None of the individual- or community-level SES predictors were significantly associated with graft failure in the Cox proportional hazard models. There were 298 deaths, with 1-year, 5-year, and 10-year patient survival rates of 96.7%, 91.3%, and 86.5%, respectively. Patients with Medicaid and Medicare had a higher hazard of mortality compared to those with private insurance (HR = 2.20, 95% CI: 1.38-3.52 and HR = 1.54, 95% CI: 1.19-2.00, respectively). The other SES predictors were not significantly associated with mortality. Exploratory analyses showed inconsistent associations, though patients with Medicare had a longer hospital length of stay (Beta = 0.22, 95% CI: 0.07-0.37). Individual- and community-level SES were inconsistently associated with clinical outcomes following liver transplantation, but insurance status emerged as the most important clinical outcome predictor; future studies should develop interventions to mitigate this relationship.</p>","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maintaining Balance: Examining Mental Wellness in Black Women During the Menopausal Transition.","authors":"Elyria Kemp, Graham McDougall, Xueyan Liu, Candice Sorapuru, Kelly Jones","doi":"10.1007/s40615-025-02647-8","DOIUrl":"https://doi.org/10.1007/s40615-025-02647-8","url":null,"abstract":"<p><p>Black women experience menopause earlier and with more severe symptoms than other racial groups, placing them at heightened risk for mental health challenges during midlife. Despite this vulnerability, they remain underrepresented in mental health care utilization. This research investigates the attitudinal, cultural, lifestyle, and behavioral factors that influence how Black women perceive, seek, and access mental health care during the menopausal transition. Using a mixed-methods approach, the research integrates qualitative interviews (n = 23) and a segmentation analysis (n = 231) to uncover nuanced insights into the lived experiences of Black women and their mental health decision-making. Qualitative findings reveal key themes related to emotional suppression, stigma, cultural expectations, structural barriers, and the role of self-care. The segmentation analysis, performed using K-means clustering, identified four distinct groups-Reluctant Avoidants, Evolving Discerners, Practical Engagers, and Steady Seekers-each with unique orientations toward mental health care. Based on these profiles, this research proposes targeted engagement strategies for enhancing access to care. The findings contribute to a deeper understanding of the interplay between cultural identities and mental health behavior and highlight the need for improving care delivery for underserved populations.</p>","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relations of Social Determinants of Health to Pain and Function in Individuals with Knee Osteoarthritis in a Hispanic-dominant Community.","authors":"Kosaku Aoyagi, Michael LaValley, Tuhina Neogi, Robert Edwards, Roxanna Shababi, Elias Rivas, Sudip Bajpeyi, Abhijit Mandal, Eva Moya, Julia Lechuga","doi":"10.1007/s40615-025-02662-9","DOIUrl":"https://doi.org/10.1007/s40615-025-02662-9","url":null,"abstract":"<p><strong>Background: </strong>Social determinants of health have been associated with knee osteoarthritis (OA) symptoms. However, there is a dearth of research on the influence of social determinants of health on knee OA among Hispanics despite Hispanics being disproportionately impacted by racial/ethnic disparities in pain and function. Thus, we sought to investigate the relations of social determinants of health to pain and function in individuals with knee OA in a Hispanic-dominant community.</p><p><strong>Methods: </strong>We included participants residing in El Paso, Texas, a major Hispanic community in the US. We evaluated relations of income level, education level and perceived discrimination to The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) knee pain, quantitative sensory testing (QST) measures of pressure pain threshold (PPT), temporal summation (TS) and conditioned pain modulation (CPM), and WOMAC function using linear or logistic regression models adjusting for age, sex and BMI.</p><p><strong>Results: </strong>Fifty-nine participants with knee OA were included (76% Hispanic). Higher income and education levels were associated with less knee pain and better function. Higher income and education levels had non-significant trends toward associations with non-facilitated TS and higher PPT, respectively. In contrast, perceived discrimination was not associated with any of the outcomes.</p><p><strong>Conclusions: </strong>We found that income and education levels were associated with pain and function and showed non-significant associations with central pain sensitization assessed by PPT and TS. Perceived discrimination was not associated with any outcome. These findings underscore the importance of social determinants of health in precision pain management for Hispanic individuals with knee OA.</p>","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Online Racism, Smoking Motives, and Loneliness Among Black Emerging Adults: The Role of Rumination and Vigilance.","authors":"Brian TaeHyuk Keum, Brendesha M Tynes","doi":"10.1007/s40615-025-02671-8","DOIUrl":"https://doi.org/10.1007/s40615-025-02671-8","url":null,"abstract":"<p><strong>Objectives: </strong>Racism is an important social determinant that disproportionately increases the risk of smoking among Black emerging adults. In today's digital era, Black emerging adults encounter online racism, including online racial discrimination (direct and vicarious) and exposure to racist content on systemic racism and race-related hate crimes. Yet, little is known about the relationship between online racism and smoking motives among Black emerging adults. Thus, we examined whether the associated anticipatory psychosocial costs (rumination, vigilance) would help explain the link between online racism and the outcomes of smoking motives and feelings of loneliness.</p><p><strong>Methods: </strong>With a sample of 436 Black emerging adults (Mage = 25.32, SD = 3.27), we conducted a latent variable path analysis to examine the indirect relation of online racism on our outcome variables (smoking motives, loneliness) via online racism-related rumination and racism-related vigilance.</p><p><strong>Results: </strong>Controlling for current tobacco product use and average hours online per day, rumination and vigilance explained significant indirect associations between online racism and smoking motives and loneliness. The direct associations between online racism and the outcome variables were not significant.</p><p><strong>Conclusion: </strong>Results suggest that online racism may be a potential risk factor that may motivate Black emerging adults to engage in smoking to cope with their anticipatory costs and the negative social implications of racism-related vigilance. The pathway tested in the current study provides considerations for interventions to disrupt the negative impact of online racism on smoking behaviors among Black emerging adults.</p>","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Racial/Ethnic and Socioeconomic Disparities of Contraceptive Preference-Use Match in the United States.","authors":"Jusung Lee, Krista J Howard, Amanda M Ryan, Ria Jain, Hafsa B Imran, Jeffrey T Howard","doi":"10.1007/s40615-025-02667-4","DOIUrl":"https://doi.org/10.1007/s40615-025-02667-4","url":null,"abstract":"<p><strong>Objectives: </strong>To examine factors associated with a contraceptive preference-use match, defined as alignment between an individual's stated contraceptive preference and actual use, in the USA, with a focus on disparities across demographic and socioeconomic groups.</p><p><strong>Methods: </strong>The population-based study used the 2022 Behavioral Risk Factor Surveillance System (BRFSS). The key outcome was a match between contraceptive preference and actual use. Independent variables included demographic, socioeconomic, and health-related characteristics. Multivariable logistic regression was performed to investigate significant factors associated with contraceptive matches.</p><p><strong>Results: </strong>Of a total of 12,154 participants, the most preferred contraceptive method was short-acting reversible contraception (SAC) (29.5%), followed by long-acting reversible contraception (LARC) (25.0%), permanent (19.1%), and other/barrier methods (17.4%). Approximately 81.0% of participants were contraceptive users, and the overall contraceptive preference-use match was 45.8%. LARC showed the highest match rate (49.0%), followed by other/barriers (46.7%), SAC (38.3%), and permanent methods (33.7%). While Black individuals had a higher match rate with permanent methods (OR 1.83), they had a lower match rate with LARC (OR 0.65) and SAC (OR 0.42). In contrast, participants aged 40-44 years had 1.61 times greater odds of LARC matches. Individuals with higher education levels also showed a greater match than those with less than a high school diploma.</p><p><strong>Conclusions: </strong>Findings highlight that racial/ethnic minorities and individuals with low socioeconomic status (SES) experience a lower preference-use match of LARC and SAC, while individuals with low SES show greater matches for other/barrier methods. Addressing these disparities may enhance reproductive autonomy and equitable access to contraceptives.</p>","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}