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

Postpartum contraceptive choices among ethnically diverse women in New Mexico

Rameet H Singh  1 , Rebecca G Rogers  2 , Lawrence Leeman  3 , Noelle Borders  2 , Jessica Highfill  2 , Eve Espey  2
Affiliations
Comparative Study

Postpartum contraceptive choices among ethnically diverse women in New Mexico

Rameet H Singh et al. Contraception. 2014 Jun.

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.

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