Pregnancy Intention and Use of Contraception Among Hispanic Women in the United States: Data from the National Survey of Family Growth, 2006–2010

Masinter, Lisa; Feinglass, Joe; Simon, Melissa A.

doi:10.1089/jwh.2013.4366

Cited by 18 publications

(15 citation statements)

References 35 publications

(43 reference statements)

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“…Previous research using heterosexual samples has demonstrated that unintended pregnancies are not randomly distributed across the population, but that disparities in unintended pregnancies occur along social fault lines that reflect other dimensions of inequality, such as race/ethnicity and socioeconomic status. 60,61 The results presented here reflect similar trends: black SMW and women with lower levels of education had a higher prevalence of unintended pregnancies than white women or women with higher socioeconomic status. These results highlight the importance of investigating multiply marginalized populations who may be in need of increased access to reproductive health services, including contraception.…”

Section: Discussionsupporting

confidence: 74%

Unintended Pregnancy, Depression, and Hazardous Drinking in a Community-Based Sample of Sexual Minority Women

Everett

McCabe

Hughes

2016

Journal of Women's Health

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Context: Unintended pregnancy is a stressful life event with important implications for women's health. Little research has examined sexual minority women's (SMW; lesbian, bisexual, mostly heterosexual) experiences of unintended pregnancy, and no studies have examined the relationship between unintended pregnancy, mental health, and negative coping behaviors in this population. Methods: We used the Chicago Health and Life Experiences of Women (CHLEW) Study (n = 454), a diverse sample of SMW, to examine the relationship between self-reported unintended pregnancy, depressive symptoms, and hazardous drinking. We used generalized linear model-building techniques and adjusted for key sociodemographic controls, as well as unintended pregnancy risk factors, including childhood physical and sexual abuse and age of sexual debut. Results: Twenty-four percent of the sample reported an unintended pregnancy. SMW who reported unintended pregnancies also reported significantly more depressive symptoms and greater risk of hazardous drinking. Adjusting for childhood abuse explained the relationship between unintended pregnancy and depressive symptoms, but not the relationship between unintended pregnancy and hazardous drinking. Conclusions: Unintended pregnancy among SMW is an understudied topic. Our results suggest that unintended pregnancy is not uncommon among SMW and highlight the need for more research to investigate the mechanisms that link unintended pregnancy to depression and to hazardous drinking within this population.

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Section: Discussionsupporting

confidence: 74%

Unintended Pregnancy, Depression, and Hazardous Drinking in a Community-Based Sample of Sexual Minority Women

Everett

McCabe

Hughes

2016

Journal of Women's Health

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“…In addition, Latinas are 2 times more likely to be diagnosed with other sexually transmitted infections such as chlamydia (CDC, 2009) and cervical cancer than non-Hispanic White women (American Cancer Society, 2009). Latinas are less likely to get screened for cervical cancer and receive follow-up treatment once cervical abnormalities are detected (American Cancer Society, 2009 improper condom use and perceptions of low risk of pregnancy (Masinter, Feinglass, & Simon, 2013).…”

Section: Health Promotion With Latino Communitiesmentioning

confidence: 99%

Latino Community Health Workers and the Promotion of Sexual and Reproductive Health

Lechuga

Garcia

Owczarzak

et al. 2015

Health Promotion Practice

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Community health worker (CHW) programs have existed for over 50 years across the world. However, only recently has research evidence documented their effectiveness. Research is still needed to identify issues related to implementation and sustainability of CHW programs. This article explores the role and challenges of U.S. Latino CHWs trained to deliver a comprehensive sexual and reproductive health educational intervention to Latino families. We conducted a semistructured interview with a purposive convenience sample of 19 CHWs. Findings suggest that CHWs occupy roles that go beyond those they were trained for. CHWs serve not only as educators but also as providers of social support, facilitators of access to resources, patient navigators, and civil rights advocates. Lack of clarity of the role of a CHW influenced perceptions of adequacy of compensation, training, and integration into the agency that trained them. Policy facilitating the standardization of the CHW occupational category and role expectations is imperative to ensure successful implementation and sustainability of U.S. CHW programs.

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“… 1 Nonetheless, US rates remain higher than any other industrialised nation, 2 and pregnancies among Hispanic adolescents are disproportionately high. 3 By 12th grade, 68% of Hispanics i report having had sex, and 22% report having had four or more sexual partners. 4 Before the age of 20 years, roughly one in three Hispanic teens have been pregnant at least once—a rate that is one and a half times the national average and further exemplifies the significant disparities experienced by Hispanic adolescents.…”

Section: Introductionmentioning

confidence: 99%

Assessing the effectiveness of a patient-centred computer-based clinic intervention,Health-E You/Salud iTu,to reduce health disparities in unintended pregnancies among Hispanic adolescents: study protocol for a cluster randomised control trial

et al. 2018

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IntroductionTeen pregnancy rates in the USA remain higher than any other industrialised nation, and pregnancies among Hispanic adolescents are disproportionately high. Computer-based interventions represent a promising approach to address sexual health and contraceptive use disparities. Preliminary findings have demonstrated that the Health-E You/Salud iTu, computer application (app) is feasible to implement, acceptable to Latina adolescents and improves sexual health knowledge and interest in selecting an effective contraceptive method when used in conjunction with a healthcare visit. The app is now ready for efficacy testing. The purpose of this manuscript is to describe patient-centred approaches used both in developing and testing the Health-E You app and to present the research methods used to evaluate its effectiveness in improving intentions to use an effective method of contraception as well as actual contraceptive use.Methods and analysisThis study is designed to assess the effectiveness of a patient-centred computer-based clinic intervention, Health-E You/Salud iTu, on its ability to reduce health disparities in unintended pregnancies among Latina adolescent girls. This study uses a cluster randomised control trial design in which 18 school-based health centers from the Los Angeles Unified School District were randomly assigned, at equal chance, to either the intervention (Health-E You app) or control group. Analyses will examine differences between the control and intervention group’s knowledge of and attitudes towards contraceptive use, receipt of contraception at the clinic visit and self-reported use of contraception at 3-month and 6-month follow-ups. The study began enrolling participants in August 2016, and a total of 1400 participants (700 per treatment group) are expected to be enrolled by March 2018.Ethics and disseminationEthics approval was obtained through the University of California, San Francisco Institutional Review Board. Results of this trial will be submitted for publication in peer-reviewed journals. This study is registered with the US National Institutes of Health.Trial registration numberNCT02847858.

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Pregnancy Intention and Use of Contraception Among Hispanic Women in the United States: Data from the National Survey of Family Growth, 2006–2010

Abstract: There is a high frequency of unintended pregnancy and lack of contraceptive use among Hispanic women. These findings highlight the need for improved reproductive education and contraceptive counseling in this population.

Cited by 18 publications

References 35 publications

Unintended Pregnancy, Depression, and Hazardous Drinking in a Community-Based Sample of Sexual Minority Women

Unintended Pregnancy, Depression, and Hazardous Drinking in a Community-Based Sample of Sexual Minority Women

Latino Community Health Workers and the Promotion of Sexual and Reproductive Health

Assessing the effectiveness of a patient-centred computer-based clinic intervention,Health-E You/Salud iTu,to reduce health disparities in unintended pregnancies among Hispanic adolescents: study protocol for a cluster randomised control trial

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