Singh Rameet H, Rogers Rebecca G, Leeman Lawrence, Borders Noelle, Highfill Jessica, Espey Eve
University of New Mexico School of Medicine Department of Obstetrics and Gynecology, Albuquerque, NM, USA.
University of New Mexico School of Medicine Department of Obstetrics and Gynecology, Albuquerque, NM, USA.
Contraception. 2014 Jun;89(6):512-5. doi: 10.1016/j.contraception.2013.12.017. Epub 2014 Jan 7.
The objective of the study was to determine if postpartum contraceptive choices by primiparous women differ by ethnicity.
Retrospective nested cohort study analyzing women's characteristics and contraceptive choice.
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.
DMPA use was higher among Hispanic and AI women and IUD/implant use lower in AI women compared to non-Hispanic white women.
本研究的目的是确定初产妇的产后避孕选择是否因种族不同而存在差异。
回顾性巢式队列研究，分析女性特征和避孕选择。
652名参与者中，312名（47.8%）为西班牙裔，287名（44.0%）为非西班牙裔白人，53名（8.1%）为美国印第安人（AI）。在多变量分析中，醋酸甲羟孕酮长效注射剂（DMPA）和宫内节育器（IUD）/植入物的选择与美国印第安人（DMPA：优势比[OR]15.28，置信区间[CI]4.49 - 52.04；IUD/植入物：OR 0.46，CI 0.22 - 0.92）及西班牙裔（DMPA：OR 3.44，CI 1.12 - 10.58）种族相关。
与非西班牙裔白人女性相比，西班牙裔和美国印第安人女性中DMPA的使用比例较高，而美国印第安人女性中IUD/植入物的使用比例较低。
