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Patterns of contraception choice among Hispanic and non-Hispanic female adolescents

  • Florence Desrosiers , Martha Arden und Martin Fisher EMAIL logo
Veröffentlicht/Copyright: 19. Januar 2013

Abstract

Background: This study examines contraception choices among Hispanic and non-Hispanic girls, to determine if there are differences when the barrier of cost is removed by facilitating enrollment in a Title X Family Planning Program.

Methods: Charts of adolescent females aged 13–19 years, seen for the first time at a university hospital clinic from January 1, 2005 to December 31, 2007, were reviewed. Access to contraception was facilitated by enrollment in the Title X Family Planning Program. Patients were categorized as public insurance if they had Medicaid or Child/Family Health Plus or chose to enroll in the Title X program.

Results: Among the 666 eligible patients, 27% were Hispanic, with a mean age of 14.9 years. At least 20% had used one form of contraception before their first clinic visit. About one-third of the youth were enrolled in the Title X Family Planning Program, with no statistical difference between Hispanic and non-Hispanic youth. Three hundred and ninety subjects (58%) chose contraception during their visit. Hispanic subjects, who represented 32% of the group, were more likely to choose condoms and oral contraceptive pills compared to non-Hispanic subjects. The privately insured adolescents chose condoms less often than the publicly insured adolescents, and this was true regardless of ethnicity.

Conclusion: There are significant differences in contraception choices between Hispanic and non-Hispanic youth. The Title X Family Planning Program allowed young women to make independent choices. Adolescents may benefit from further improvements in culturally sensitive family planning programs.


Corresponding author: Martin Fisher, MD, Division of Adolescent Medicine, Cohen Children’s Medical Center of New York, North Shore-Long Island Jewish Health System, 410 Lakeville Road, Suite 108, New Hyde Park, NY 11042, USA

References

1. Felice ME, Feinstein RA, Fisher M, Kaplan DW, Olmedo LF, et al. American academy of pediatrics. Committee on adolescence. Contraception in adolescents. Pediatrics 1999;104:1161–6.10.1542/peds.104.5.1161Suche in Google Scholar

2. Eaton DK, Kann L, Kinchen S, Shanklin S, Ross J, et al. Youth risk behavior surveillance – United States, 2007. MMWR Surveill Summ 2008;57:1–131.Suche in Google Scholar

3. Santelli J, Sandford T, Orr M. Transnational comparison of adolescent contraceptive use. Arch Pediatrics 2008;126:92–4.10.1001/archpediatrics.2007.28Suche in Google Scholar

4. Forrest JD. Epidemiology of unintended pregnancy and contraceptive use. Am J Obstet Gynecol 1994;170:1485–9.10.1016/S0002-9378(12)91804-9Suche in Google Scholar

5. Klerman LV, Johnson KA, Chang CH, Wright-Slaughter P, Goodman DC. Accessibility of family planning services: impact of structural and organizational factors. Matern Child Health J 2007;11:19–26.10.1007/s10995-006-0149-0Suche in Google Scholar

6. Gilliam ML, Hernandez M. Providing contraceptive care to low-income, African American teens: the experience of urban community health centers. J Community Health 2007;32:231–44.10.1007/s10900-007-9045-9Suche in Google Scholar

7. Raine T, Minnis AM, Padian NS. Determinants of contraceptive method among young women at risk for unintended pregnancy and sexually transmitted infections. Contraception 2003;68: 19–25.10.1016/S0010-7824(03)00107-0Suche in Google Scholar

8. Office of Population Affairs Clearinghouse. Fact sheet: Title X Family Planning Program. January 2008.Suche in Google Scholar

9. Elster A, Jarosik J, VanGeest J, Fleming M. Racial and ethnic disparities in health care for adolescents: a systematic review of the literature. Arch Pediatr Adolesc Med 2003;157:867–74.10.1001/archpedi.157.9.867Suche in Google Scholar

10. RaineT, Harper C, Paukku M, Darney P. Race, adolescents contraceptive choice and pregnancy at presentation to a family planning clinic. Obstet Gynecol 2002;99:241–7.Suche in Google Scholar

11. Costa FM, Jessor R, Fortenberry JD, Donovan JE. Psychosocial conventionality, health orientation, and contraceptive use in adolescence. J Adolesc Health 1996;18:404–16.10.1016/1054-139X(95)00192-USuche in Google Scholar

12. Greydanus DE, Patel DR, Rimsza ME. Contraception in the adolescent: an update. Pediatrics 2001;107:562–73.10.1542/peds.107.3.562Suche in Google Scholar PubMed

Received: 2012-5-15
Accepted: 2012-6-24
Published Online: 2013-01-19
Published in Print: 2013-06-01

©2013 by Walter de Gruyter Berlin Boston

Heruntergeladen am 23.12.2025 von https://www.degruyterbrill.com/document/doi/10.1515/ijamh-2013-0025/html?lang=de
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