Document Type

Article

Publication Date

9-2023

Identifier

DOI: 10.1177/21695067231192873; PMCID: PMC10782179

Abstract

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.

Journal Title

Proc Hum Factors Ergon Soc Annu Meet

Volume

67

Issue

1

First Page

609

Last Page

613

Keywords

Contraception; Health Equity; Health System; Long-term Contraceptives; Maternal Care; Racial/Ethnic Disparities

Comments

This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed.

Publisher's Link: https://journals.sagepub.com/doi/10.1177/21695067231192873

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