Contraceptive Care Disparities Among Sexual Orientation Identity and Racial/Ethnic Subgroups of U.S. Women: A National Probability Sample Study.
Contraceptive Care Disparities Among Sexual Orientation Identity and Racial/Ethnic Subgroups of U.S. Women: A National Probability Sample Study.
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美国妇女性取向认同和种族/民族亚群之间的避孕护理差异：全国概率样本研究。
DOI：
10.1089/jwh.2020.8992
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发表时间：
2021
期刊：
影响因子：
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通讯作者：
Austin,SBryn
中科院分区：
文献类型：
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作者：
Agénor,Madina;Pérez,AshleyE;Wilhoit,Amanda;Almeda,Florence;Charlton,BrittanyM;Evans,MeganL;Borrero,Sonya;Austin,SBryn
背景：性少数妇女可能出于各种原因使用避孕药具，但在避孕保健方面面临着明显的障碍，包括耻辱和歧视。然而，研究性取向差异的避孕保健主要依赖于非概率样本的主要是白色妇女，因此可能无法推广到美国妇女的整体或黑人和拉丁美洲妇女，特别是。材料和方法：使用2006年至2017年全国家庭增长调查的数据，对15-44岁的美国女性进行了一次全国性的大概率抽样。（25，473人），我们使用多变量逻辑回归来估计接受避孕方法或处方以及避孕咨询的调整优势比，结果：在所有女性中，33.9%的人接受过避孕，18.3%的人接受过避孕咨询。黑色（比值比[OR] = 0.73，95%置信区间[CI]：0.65-0.82）（OR = 0.73，95% CI：0.64-0.82）异性恋女性，白色（OR = 0.80，95% CI：0.65-0.99）和黑人（OR = 0.43，95% CI：0.32-0.58）双性恋女性和白色（OR = 0.23，95% CI：0.13-0.43），黑人（OR = 0.19，95% CI：0.09-0.40），拉丁裔（OR = 0.08，95% CI：0.03-0.22）女同性恋者接受避孕的调整后几率显著低于白色异性恋者。白色（OR = 0.36，95% CI：0.15-0.85），黑人（OR = 0.42，95% CI：0.18-0.98），拉丁裔（OR = 0.22，95%CI：0.09-0.53）相对于白色异性恋女性，女同性恋女性获得避孕咨询的调整后几率也显著较低。政策，计划和做法，促进获得以人为本的避孕保健之间的边缘化的性取向身份和种族/民族亚组的美国妇女需要促进生殖健康的公平。
Background:Sexual minority women may use contraception for various reasons but face notable barriers to contraceptive care, including stigma and discrimination. However, studies examining sexual orientation disparities in contraceptive care have largely relied on nonprobability samples of predominately White women and may thus not be generalizable to U.S. women overall or Black and Latina women in particular.Materials and Methods:Using data from the 2006 to 2017 National Survey of Family Growth, a large national probability sample of U.S. women 15–44 years of age (N= 25,473), we used multivariable logistic regression to estimate adjusted odds ratios for receiving a contraceptive method or prescription and contraceptive counseling from a health care provider in the past year among sexual orientation identity and racial/ethnic subgroups of heterosexual, bisexual, and lesbian White, Black, and Latina women relative to White heterosexual women.Results:Among women overall, 33.9% had received contraception and 18.3% had obtained contraceptive counseling. Black (odds ratio [OR] = 0.73, 95% confidence interval [CI]: 0.65–0.82) and Latina (OR = 0.73, 95% CI: 0.64–0.82) heterosexual women, White (OR = 0.80, 95% CI: 0.65–0.99) and Black (OR = 0.43, 95% CI: 0.32–0.58) bisexual women, and White (OR = 0.23, 95% CI: 0.13–0.43), Black (OR = 0.19, 95% CI: 0.09–0.40), and Latina (OR = 0.08, 95% CI: 0.03–0.22) lesbian women had significantly lower adjusted odds of receiving contraception compared with White heterosexual women. White (OR = 0.36, 95% CI: 0.15–0.85), Black (OR = 0.42, 95% CI: 0.18–0.98), and Latina (OR = 0.22, 95% CI: 0.09–0.53) lesbian women also had significantly lower adjusted odds of obtaining contraceptive counseling relative to White heterosexual women.Conclusions:Policies, programs, and practices that facilitate access to person-centered contraceptive care among marginalized sexual orientation identity and racial/ethnic subgroups of U.S. women are needed to promote reproductive health equity.