The Impact of Race and Ethnicity on Receipt of Family Planning Services in the United States
The Impact of Race and Ethnicity on Receipt of Family Planning Services in the United States
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DOI：
10.1089/jwh.2008.0976
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发表时间：
2009-01-01
影响因子：
3.5
通讯作者：
Ibrahim, Said
中科院分区：
文献类型：
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作者：
Borrero, Sonya;Schwarz, Eleanor B.;Ibrahim, Said
目标：本研究旨在探讨独立的影响，患者种族或种族的使用计划生育服务和接受咨询绝育和其他节育方法的可能性：本研究采用了国家，横截面数据收集的2002年全国家庭增长调查（NSFG）。我们的分析包括年龄在18-44岁之间的女性，她们在过去12个月内有过异性性交，没有积极寻求怀孕，也没有接受过绝育手术。主要结果是在过去12个月内接受计划生育服务。具体的服务，我们检查了（1）提供或处方的方法，（2）检查有关使用节育，（3）咨询有关绝育，（4）咨询有关birthcontrol.Results：虽然我们发现没有种族/民族差异的整体使用计划生育服务，有种族/民族差异的具体类型的服务。西班牙裔和黑人女性比白色女性更容易接受避孕咨询（调整后OR 1.5，95%置信区间[ CI] 1.2，1.8，调整后OR 1.3，95% CI 1.1，1.7）。西班牙裔妇女比白色妇女更有可能报告已咨询有关绝育（调整OR 1.5，95%CI 1.0，2.3）。结论：少数民族妇女更有可能接受有关绝育和其他节育方法的咨询。然而，在获得计划生育服务方面没有种族或族裔差异。未来的研究需要检查的质量和内容的避孕咨询接受少数民族与非少数民族妇女相比。
Objective: This study sought to examine the independent effect of patient race or ethnicity on the use of family planning services and on the likelihood of receiving counseling for sterilization and other birth control methods.Methods: This study used national, cross-sectional data collected by the 2002 National Survey of Family Growth (NSFG). Our analysis included women aged 18-44 years who had heterosexual intercourse within the past 12 months, who were not actively seeking to get pregnant, and who had not undergone surgical sterilization. The primary outcome was receipt of family planning services within the past 12 months. Specific services we examined were (1) provision of or prescription for a method of birth control, (2) checkup related to using birth control, (3) counseling about sterilization, and (4) counseling about birth control.Results: Although we found no racial/ethnic differences in the overall use of family planning services, there were racial/ethnic differences in the specific type of service received. Hispanic and black women were more likely than white women to receive counseling for birth control (adjusted OR 1.5, 95% confidence interval [ CI] 1.2, 1.8, and adjusted OR 1.3, 95% CI 1.1, 1.7, respectively). Hispanic women were more likely than white women to report having been counseled about sterilization (adjusted OR 1.5, 95% CI 1.0, 2.3).Conclusions: Minority women were more likely to receive counseling about sterilization and other birth control methods. However, there were no differences in access to family planning services by race or ethnicity. Future studies are needed to examine the quality and content of contraceptive counseling received by minority compared with nonminority women.