Racial and ethnic disparities in long-term contraception use among the birthing population at an academic hospital in the Southeastern United States.
Racial and ethnic disparities in long-term contraception use among the birthing population at an academic hospital in the Southeastern United States.
复制标题
DOI：
10.1177/21695067231192873
复制
发表时间：
2023-09
期刊：
影响因子：
--
通讯作者：
Alfred, Myrtede C
中科院分区：
文献类型：
--
作者：
Akintunde, Tosin;Howard, Jeffrey;Wilson, Dulaney;Gore, Amartha;Morton, Christine;Hebbar, Latha;Goodier, Chris;Alfred, Myrtede C
确保妇女和分娩者能够获得自己选择的避孕药具对于以患者为中心的护理、健康公平和生殖正义至关重要。虽然美国国家数据的趋势揭示了长期避孕药具使用方面的种族差异，但卫生系统和医院层面的调查对于了解差异和鼓励干预措施至关重要。我们使用了在一家大型学术医院分娩的 5011 名患者的数据来确定种族/族裔和社会脆弱性指数 (SVI) 对接受长期避孕程序几率的影响。结果表明，SVI 极大地影响非西班牙裔白人妇女和分娩者长期避孕的几率。相比之下，西班牙裔和非西班牙裔黑人妇女和分娩者由于种族/民族而接受长期避孕程序的几率明显更高。造成这些差异的因素可能包括医疗保健提供者、组织和外部政策。各级护理的干预对于解决避孕护理、结果和患者体验方面的差异至关重要。
Ensuring women and birthing people have access to the contraceptive of their choice is essential for patient-centered care, health equity, and reproductive justice. While trends in national data in the United States reveal racial disparities in long-term contraceptive use, health-system and hospital-level investigations are essential to understand disparities and encourage interventions. We used data from 5011 patients who delivered at a large academic hospital to determine the effect of race/ethnicity and social vulnerability index (SVI) on the odds of undergoing a long-term contraceptive procedure. Results indicate that SVI substantially affects the odds of long-term contraception for non-Hispanic White women and birthing people. In contrast, Hispanic and non-Hispanic Black women and birthing people have significantly higher odds of undergoing a long-term contraceptive procedure due to race/ethnicity. Contributions to these disparities may be based on factors including healthcare providers, organizational and external policies. Interventions at all levels of care are essential to address disparities in contraceptive care, outcomes, and patient experience.