Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comparative Study
. 2020 Jan;79(1):16-22.

Highly-Effective Contraception Use More Likely Among Native Hawaiian Women than Non-Native Hawaiian Women at Title X Clinics in Hawai'i

Chelsea Yin  1 , Scott Harvey  1 , Jennifer Elia  1 , Bliss Kaneshiro  1 , Donald Hayes  2 , Reni Soon  1
Affiliations
Comparative Study

Highly-Effective Contraception Use More Likely Among Native Hawaiian Women than Non-Native Hawaiian Women at Title X Clinics in Hawai'i

Chelsea Yin et al. Hawaii J Health Soc Welf. 2020 Jan.

Abstract

Differences in contraceptive method use have been noted among women of different races, but studies describing contraceptive method use among Native Hawaiian women have not been published. To examine method choice in this group, the authors conducted a database review of the Hawai'i State Department of Health Title X program. Reviewed were client visit records (CVRs) that health care providers completed for women who were ages 15-44 years, avoiding pregnancy, not currently pregnant, and using a contraceptive method (N=54 513). Because a patient could have had several visits during the study period, the contraceptive method chosen at the last visit was selected for analysis. Statistical analyses included descriptive statistics, bivariate analyses, and logistic regression. The proportion of Native Hawaiian women who selected a highly-effective method of contraception (HEC), defined as an intrauterine device, implant, or permanent contraception, was higher than the proportion of non-Native Hawaiian women who selected an HEC. Overall, 15.4% of Native Hawaiian women during the study period chose HEC, compared to 8.8% of non-Native Hawaiian women. In a logistic regression analysis, Native Hawaiian women ages 15-29 were 1.46 times more likely to use HEC (95% CI: 1.35-1.58) than non-Native Hawaiian women ages 15-29, and Native Hawaiian women ages 30-44 were 1.69 times more likely to use HEC (95% CI: 1.53-1.87) than non-Native Hawaiian women in the same age group. Because Native Hawaiian women are reported to have higher rates of unintended pregnancy in the state compared to other racial groups, additional research exploring contraceptive non-use and pregnancy intention are needed.

Keywords: IUD; Native Hawaiian; Title X; contraception; implant; permanent contraception; unintended pregnancy.

PubMed Disclaimer

Conflict of interest statement

None of the authors identify a conflict of interest.

Figures

Figure 1.
Figure 1.
Use of Highly Effective Contraception Between 2006–2012 by Native Hawaiian and Non-Native Hawaiian Women Who Chose a Contraceptive Method at a Title X Clinic in Hawai‘i
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Brown S, Eisenberg L, editors. Washington, DC: National Academy Press; 1995. The Best Intentions: Unintended pregnancy and the well-being of children and families. - PubMed
    1. Finer L, Zolna M. Declines in unintended pregnancy in the United States, 2008-2011. N Engl J Med. 2016;374:843–852. - PMC - PubMed
    1. Kost K. New York: Guttmacher Institute; 2015. Unintended pregnancy rates at the state level: estimates for 2010 and trends since 2002. http://www.guttmacher.org/pubs/StateUP10.pdf. Accessed March 18, 2018.
    1. Hawaii Health Data Warehouse, Hawaii State Department of Health, Pregnancy Risk Assessment Monitoring System, PRAMS Health Indicator 5-Year Aggregate Report – Pregnancy intention – for the State of Hawaii, for the Years 2007-2011. Report Created 9/30/15. http://hhdw.org/wp-content/uploads/PRAMS_Pregnancy%20Intention_AGG5_0000.... Accessed December 10, 2018.
    1. Trussell J. Contraceptive failure in the United States. Contraception. 2011;83:397–404. - PMC - PubMed

Publication types

Substances