Contraceptive selection and practice: Associations with self-identified race and socioeconomic disadvantage.
Contraceptive selection and practice: Associations with self-identified race and socioeconomic disadvantage.
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DOI：
10.1016/j.socscimed.2020.113366
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发表时间：
2020-12
期刊：
影响因子：
--
通讯作者：
Wright KQ
中科院分区：
文献类型：
--
作者：
Wright KQ
许多研究人员和政策制定者将避孕计划与改善妇女和儿童的社会经济成果联系起来。然而，这些研究忽视了社会经济地位如何成为避孕选择和行为的最初驱动因素。在这里，我对免费接受新型避孕方法的避孕客户进行了一项独特的纵向研究，研究了社会经济劣势、自我认同种族和入组时避孕方法选择的综合衡量标准之间的关系。然后我研究了社会经济劣势是否与避孕药具转换或终止有关。我证明，社会经济劣势会降低选择宫内节育器的机会，而黑人种族会员会增加选择 3 个月注射剂的机会，多种族会员会增加选择阴道环的机会。然后，我证明社会经济劣势和自我认同的种族与转换方法以及在较小程度上停止方法之间存在交叉和可变的关联。这些发现为避孕计划的实施提供了重要的见解：消除获得避孕服务的财务障碍并不能消除影响日常生活经验中的方法选择和使用的社会经济背景。综合来看，这些结果表明，向妇女提供避孕服务的方式应确保她们获得生殖正义，同时又不掩盖对造成不利条件并影响避孕药具使用本身的机构进行社会变革的必要性。
Many researchers and policymakers have linked contraceptive programs to improvements in women’s and children’s socioeconomic outcomes. However, these studies have overlooked how socioeconomic status may be an initial driver of contraceptive choice and behavior. Here, I examine the relationship between a comprehensive measure of socioeconomic disadvantage, self-identified race, and contraceptive method selection at enrollment in a unique longitudinal study of contraceptive clients who received a new type of method at no cost. I then examine whether socioeconomic disadvantage has an association with contraceptive switching or discontinuation. I demonstrate that socioeconomic disadvantage decreases the chance of selecting any IUD, while Black racial membership increases the chance of selecting the 3-month injectable and Multiracial membership increases the chance of selecting the Vaginal Ring. I then demonstrate that socioeconomic disadvantage and self-identified race have intersectional and variable associations with switching, and, to a lesser extent, discontinuing methods. These findings offer an important insight for implementation in contraceptive programs: eliminating financial barriers to access contraceptive services does not eliminate the socioeconomic contexts that influence method selection and use that occur as part of everyday lived experiences. Taken cumulatively, these results suggest that contraceptive services should be offered to women in ways that ensure access to reproductive justice without obscuring the need for social changes in the institutions that create disadvantage and shape contraceptive use itself.
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影响因子：
5.4
作者：
Chae, David H.;Clouston, Sean;Kramer, Michael R.
通讯作者：
Kramer, Michael R.
影响因子：
4.1
作者：
CHESNEY, MA;TASTO, DL
通讯作者：
TASTO, DL
影响因子：
12.7
作者：
Higgins, Jenny A.;Kramer, Renee D.;Ryder, Kristin M.
通讯作者：
Ryder, Kristin M.
影响因子：
3.5
作者：
Kost K;Lindberg L
通讯作者：
Lindberg L
DOI：
10.1111/jomf.12618
发表时间：
2020-02
期刊：
Journal of marriage and the family
影响因子：
--
作者：
Guzzo KB;Hayford SR
通讯作者：
Hayford SR