Socioeconomic differences persist in use of permanent vs long-acting reversible contraception: An analysis of the National Survey of Family Growth, 2006 to 2010 vs 2015 to 2017

Beshar, Isabel; So, Jodi; Chelvakumar, Meena; Cahill, Erica P.; Shaw, Kate A.; Shaw, Jonathan G.

doi:10.1016/j.contraception.2020.12.008

Cited by 17 publications

(14 citation statements)

References 16 publications

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“…It has been widely proved that Long-acting Reversible Contraceptives (LARCs) are effective in the prevention of unwanted pregnancies, abortion or recurrent abortions, although their rate of use is below desired [3,14,15]. Previous studies have already indicated the need to favour access to LARCs meeting women's individual characteristics [16], regardless of factors such as education and income levels, marital status, or ethnicity [17,18].…”

Section: Introductionmentioning

confidence: 99%

Results of the National Contraception Survey Conducted by Sociedad Española de Contracepción (2020)

León-Larios

Alés

Martínez

et al. 2022

JCM

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Background: The National Contraception Survey conducted by Sociedad Española de Contracepción intends to know the sexual and contraceptive habits of Spanish women of reproductive age. Methods: A descriptive and cross-sectional study with random sample selection was conducted with women aged from 14 to 49 years old in July and August 2020. Results: A total of 1801 women participated in the study, of which 78.7% used some contraception method during their sexual relationships. The most frequently used methods were condoms (31.3%) and combined oral contraceptives (18.5%) at their last sexual encounter. A total of 25.7% used both condoms and pills, especially younger women and those who had no steady partners (p < 0.001). Use of Long-acting Reversible Contraceptives continues to be low, although a slight increase in their use is observed, and they are recommended for 50% of the users who need contraception. Counselling on contraception was provided to 64.3% of the women, mainly by their gynaecologists. Regarding the decision to use a contraceptive method, the one suggested by health professionals was more influential, although this was not the case for women aged less than 20 years old (p < 0.001). A total of 38.4% of the women have used emergency oral contraception at least once and 66.8% of those who do not make continuous use of contraception methods do so out of personal choice. Conclusions: It is necessary to deepen work on counselling and awareness among the population towards the use of efficient contraceptive methods that prevent unplanned pregnancies.

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Section: Introductionmentioning

confidence: 99%

Results of the National Contraception Survey Conducted by Sociedad Española de Contracepción (2020)

León-Larios

Alés

Martínez

et al. 2022

JCM

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“…This continues to the present time, for example, with allegations of forced sterilizations occurring among detainees at U.S. Immigration and Customs Enforcement camps 27 . Further, 2015–2017 data from the National Survey of Family Growth show people with lower incomes and education remain more likely to use a permanent method compared to a long‐acting reversible method 28 . We lack data to disentangle whether the lower prevalence of female sterilization in Catholic hospitals is attributable to an infringement of people's rights to receive their desired method or from Catholic hospitals respecting a lower demand for female sterilization.…”

Section: Discussionmentioning

confidence: 95%

“…27 Further, 2015–2017 data from the National Survey of Family Growth show people with lower incomes and education remain more likely to use a permanent method compared to a long‐acting reversible method. 28 We lack data to disentangle whether the lower prevalence of female sterilization in Catholic hospitals is attributable to an infringement of people's rights to receive their desired method or from Catholic hospitals respecting a lower demand for female sterilization. Future research to elucidate the differences in preferences regarding female sterilization is needed.…”

Section: Discussionmentioning

confidence: 99%

Delivery at Catholic hospitals and postpartum contraception use, five US states, 2015–2018

Menegay

Andridge

Rivlin

et al. 2022

Perspect Sexual Reproductive

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Objectives To evaluate whether the prevalence of postpartum contraceptive use was lower among people who delivered at a Catholic hospital compared to a non‐Catholic hospital. Methods We linked 2015–2018 Pregnancy Risk Assessment Monitoring System (PRAMS) survey data from five states to hospital information from the corresponding birth certificate file. People with a live birth self‐reported their use of contraception methods on the PRAMS survey at 2–6 months postpartum, which we coded into two dichotomous (yes vs. no) outcomes for use of female sterilization and highly‐effective contraception (female/male sterilization, intrauterine device, implant, injectable, oral contraception, patch, or ring). We conducted multilevel log‐binomial regression to examine the relationship between birth hospital type and postpartum contraception use adjusting for confounders. Results Prevalence of female sterilization for people who delivered at a Catholic hospital was 51% lower than that of their counterparts delivering at a non‐Catholic hospital (adjusted prevalence ratio: 0.49; 95% confidence interval: 0.37–0.65). Conclusion We found lower use of postpartum female sterilization, but no difference in highly effective contraception overall, for people who delivered at a Catholic hospital compared to a non‐Catholic hospital.

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“…Tubal ligation remains common in the USA, particularly among low-income individuals 7 and those with chronic medical conditions such as diabetes. 8 Compared to privately insured individuals, US patients with public insurance more frequently report a desire for reversal of tubal sterilization.…”

Section: Introductionmentioning

confidence: 99%

Comparative Effectiveness and Safety of Intrauterine Contraception and Tubal Ligation

et al. 2022

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Background Tubal ligation remains common in the USA, especially among low-income patients. Objective To compare the effectiveness and safety of intrauterine contraceptives (IUC) to laparoscopic tubal ligation for Medicaid clients. Design We partnered with patient and clinician stakeholders to conduct a retrospective cohort study using California Medicaid claims for patients who had an IUC placed or laparoscopic tubal ligation performed in 2008–2014, excluding procedures performed within 42 days of a birth. We applied log-linear (Poisson) event-history regression models for clustered person-period data to adjust for sociodemographic variables and pre-procedure health status when examining associations between these contraceptive procedures and claims related to contraceptive failure, complications, and pain in the first year post-procedure. Key Results We identified 35,705 patients who had a levonorgestrel IUC placed, 23,628 patients who had a copper IUC placed, and 23,965 patients who underwent laparoscopic tubal ligation. In unadjusted analyses, rates of pregnancy within 1 year were similar following levonorgestrel IUC (2.40%) or copper IUC placement (2.99%) or tubal ligation (2.64%). In adjusted analyses, compared to tubal ligation, pregnancy was less common following placement of a levonorgestrel IUC (adj IRR 0.72, 95% CI 0.64–0.82) and similar with placement of a copper IUC (adj IRR 0.92, 95% CI 0.82–1.05). Procedural complications such as infection (0.35% vs. 2.91%) were significantly less common with IUC placement than tubal ligation. Claims for pelvic and abdominal pain decreased in frequency with time since all procedures; 6 to 12 months post-procedure, pelvic pain claims were less common after levonorgestrel IUC (adj IRR 0.69, 95% CI 0.65–0.73) or copper IUC placement (adj IRR 0.70, 95% CI 0.66–0.75) than tubal ligation. Conclusions IUC appears at least as effective as laparoscopic tubal ligation at 1-year post-procedure with lower rates of infection and pelvic pain 6 to 12 months post-procedure. Clinical Trial Registration NCT03438682

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Socioeconomic differences persist in use of permanent vs long-acting reversible contraception: An analysis of the National Survey of Family Growth, 2006 to 2010 vs 2015 to 2017

Cited by 17 publications

References 16 publications

Results of the National Contraception Survey Conducted by Sociedad Española de Contracepción (2020)

Results of the National Contraception Survey Conducted by Sociedad Española de Contracepción (2020)

Delivery at Catholic hospitals and postpartum contraception use, five US states, 2015–2018

Comparative Effectiveness and Safety of Intrauterine Contraception and Tubal Ligation

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