Watson Annalisa, Yarger Jennifer, Sedlander Erica, Urbina Josephine, Hopkins Kristine, Rodriguez Maria I, Fuentes Liza, Harper Cynthia C
School of Public Health, University of California, Berkeley, CA, United States.
Department of Obstetrics, Gynecology and Reproductive Sciences, Bixby Center for Global Reproductive Health, University of California, San Francisco, CA, United States.
Contracept X. 2023 Nov 28;5:100103. doi: 10.1016/j.conx.2023.100103. eCollection 2023.
This study examines the concern that contraception affects future fertility among community college students and its association with contraceptive use.
We used baseline data from a randomized controlled trial with 2060 community college students assigned female at birth. We used mixed-effects multivariate logistic regression adjusted for clustered data to assess sociodemographic factors associated with concerns about contraception affecting future fertility and to test the association between this concern and contraceptive use.
Most participants (69%) worried about contraception affecting their future fertility. Multivariable results indicated that first-generation college students (adjusted odds ratio [aOR], 1.24; 95% confidence interval [CI], 1.01-1.55) and non-English speakers at home (aOR, 1.30; 95% CI, 1.04-1.64) were more concerned. Racial and ethnic differences were significant, with Black non-Hispanic (aOR, 2.83; 95% CI, 1.70-4.70), Asian/Pacific Islander non-Hispanic (aOR, 2.12; 95% CI, 1.43-3.14), and Hispanic (aOR, 1.54; 95% CI, 1.17-2.02) participants more likely to be concerned than White non-Hispanic counterparts. Participants who received contraceptive services in the past year had lower odds of this concern (aOR, 0.72; 95% CI 0.59-0.88). Furthermore, participants with this concern had lower odds of using contraception (aOR, 0.67; 95% CI, 0.49-0.91), especially hormonal contraception (aOR, 0.77; 95% CI, 0.61-0.97).
Most students feared contraception's impact on fertility, and this fear was associated with not using contraception. Disparities in this concern may be tied to discrimination, reproductive coercion, and limited reproductive health care access. Addressing concerns about contraception affecting future fertility is crucial to person-centered contraceptive counseling.
This study examines the concern that contraception affects future fertility among sexually active female community college students and its impact on contraceptive use. Most participants expressed concerns about contraception affecting future fertility. Addressing future fertility concerns in patient-centered contraceptive counseling is crucial for reaching young people.
本研究探讨社区大学生对避孕会影响未来生育能力的担忧及其与避孕措施使用之间的关联。
我们使用了一项随机对照试验的基线数据，该试验涉及2060名出生时被指定为女性的社区大学生。我们使用混合效应多变量逻辑回归并针对聚类数据进行调整，以评估与担心避孕会影响未来生育能力相关的社会人口学因素，并检验这种担忧与避孕措施使用之间的关联。
大多数参与者（69%）担心避孕会影响他们未来的生育能力。多变量结果表明，第一代大学生（调整后的优势比[aOR]为1.24；95%置信区间[CI]为1.01 - 1.55）以及在家中说非英语的人（aOR为1.30；95% CI为1.04 - 1.64）更担心。种族和民族差异显著，非西班牙裔黑人（aOR为2.83；95% CI为1.70 - 4.70）、非西班牙裔亚裔/太平洋岛民（aOR为2.12；95% CI为1.43 - 3.14）和西班牙裔（aOR为1.54；95% CI为1.17 - 2.02）参与者比非西班牙裔白人参与者更可能担心。在过去一年接受过避孕服务的参与者有这种担忧的几率较低（aOR为0.72；95% CI为0.59 - 0.88）。此外，有这种担忧的参与者使用避孕措施的几率较低（aOR为0.67；95% CI为0.49 - 0.91），尤其是使用激素避孕措施（aOR为0.77；95% CI为0.61 - 0.97）。
大多数学生担心避孕对生育能力的影响，而这种担忧与不使用避孕措施有关。这种担忧方面的差异可能与歧视、生殖胁迫以及获得生殖保健服务的机会有限有关。解决对避孕会影响未来生育能力的担忧对于以患者为中心的避孕咨询至关重要。
本研究探讨了性活跃的女性社区大学生对避孕会影响未来生育能力的担忧及其对避孕措施使用的影响。大多数参与者表达了对避孕会影响未来生育能力的担忧。在以患者为中心的避孕咨询中解决对未来生育能力的担忧对于接触年轻人至关重要。
