Racial and ethnic differences in contraception use and obstetric outcomes: A review

In the United States, racial and ethnic minority women experience higher rates of contraceptive non-use, failure, unintended pregnancy, and lower use of long-acting reversible contraception (LARC), compared to whites. Simultaneously researchers have found that unintended pregnancy is associated with...

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Bibliographic Details
Published in:Seminars in perinatology 2017-08, Vol.41 (5), p.273-277
Main Authors: Jackson, Andrea V., Wang, Lin-Fan, Morse, Jessica
Format: Article
Language:English
Subjects:
Continental Population Groups
Contraception - methods
Contraception Behavior - ethnology
Contraception use
Disparities
Ethnic Groups
Female
Humans
Obstetrics
Pregnancy
Pregnancy Outcome - ethnology
Prenatal Care - methods
Reproductive Health
Unintended pregnancy
United States
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Summary:In the United States, racial and ethnic minority women experience higher rates of contraceptive non-use, failure, unintended pregnancy, and lower use of long-acting reversible contraception (LARC), compared to whites. Simultaneously researchers have found that unintended pregnancy is associated with poor pregnancy outcomes and pregnancy behaviors, including pre-term birth and late initiation of prenatal care, respectively. Due to the association of pregnancy intention and obstetrical outcomes, public health efforts have focused on the increase in contraception use among these populations as a way to decrease poor pregnancy outcomes. In this review, we present the current literature on unintended pregnancy and contraception use by racial and ethnic minorities in the United States and the association of pregnancy intention and obstetrical outcomes and place these associations within the social and historical context in which these patients live and make their reproductive choices.
ISSN:0146-0005
1558-075X
DOI:10.1053/j.semperi.2017.04.003