Differences in Contraceptive Discontinuation Among Black and White Women: Evidence from the Contraceptive CHOICE Project

Journal of Women's Health
Jenifer E AllsworthJeffrey F Peipert

Abstract

We sought to evaluate whether differences in rates of contraceptive discontinuation exist among black and white women receiving contraceptive counseling and no-cost contraception among users of long-acting reversible contraceptive (LARC; intrauterine devices or subdermal implant) and non-LARC (oral contraceptive pills, contraceptive vaginal ring, patch, or injection) methods. We analyzed data from a prospective cohort study of 7546 non-Hispanic black and white women who participated in the Contraceptive CHOICE Project. Among women who initiated their method within 12 weeks of enrollment, discontinuation was defined as any break in use longer than 1 month. Using Cox proportional hazards regression analysis, we estimated discontinuation stratified by use of LARC methods. There were no statistically significant differences in contraceptive discontinuation between black and white women at 12, 24, or 36 months among both LARC [12-month adjusted hazard ratio (HRadj-12M) 1.01 (95% confidence interval or 95% CI 0.86-1.18); HRadj-24M 1.10 (95% CI 0.97-1.24); and HRadj-36M 1.10 (95% CI 0.98-1.23)] and non-LARC users [HRadj-12M 1.08 (95% CI 0.92, 1.26); HRadj-24M 1.07 (95% CI 0.94, 1.23); and HRadj-36M 1.08 (95% CI 0.95, 1.23)] adjusting ...Continue Reading

References

Jan 1, 1995·Journal of Health and Social Behavior·B G Link, J Phelan
Aug 26, 1998·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·M Polaneczky, M Liblanc
Sep 21, 2005·Journal of Pediatric and Adolescent Gynecology·Lisa Kessler TuchmanGail B Slap
Feb 17, 2007·Contraception·James Trussell
Jun 15, 2010·American Journal of Obstetrics and Gynecology·Gina M SecuraJeffrey F Peipert
Apr 22, 2011·Obstetrics and Gynecology·Jeffrey F PeipertGina Secura
Sep 3, 2011·Perspectives on Sexual and Reproductive Health·Grace ShihChristine Dehlendorf
Sep 3, 2011·Perspectives on Sexual and Reproductive Health·Christine DehlendorfPhilip Darney
Oct 25, 2011·Contraception·Lawrence B Finer, Mia R Zolna
Oct 25, 2011·Contraception·Tiffany BehringerEleanor Bimla Schwarz
Dec 7, 2011·Obstetrics and Gynecology·Paula M CastañoCarolyn Westhoff
May 25, 2012·The New England Journal of Medicine·Brooke WinnerGina M Secura
Sep 11, 2012·Contraception·Tessa MaddenJeffrey F Peipert
Oct 23, 2012·Contraception·Samantha GarbersMary Ann Chiasson
Nov 22, 2012·Obstetrics and Gynecology·Jessica R RosenstockGina M Secura
Jan 25, 2013·Obstetrics and Gynecology·Jourdan E StuartJeffrey F Peipert
Mar 16, 2013·Perspectives on Sexual and Reproductive Health·Sarah R Hayford, Karen Benjamin Guzzo
Apr 9, 2013·Race and Social Problems·Karen Benjamin Guzzo, Sarah R Hayford
Sep 12, 2013·Perspectives on Sexual and Reproductive Health·Josephine Jacobs, Maria Stanfors
Oct 10, 2013·Obstetrics and Gynecology·Micaela Oʼneil-CallahanGina Secura
Feb 6, 2014·American Journal of Obstetrics and Gynecology·Christine DehlendorfSonya Borrero
Aug 12, 2015·American Journal of Obstetrics and Gynecology·Justin T DiedrichJeffrey F Peipert
Nov 4, 2015·Journal of Pediatric and Adolescent Gynecology·Sofya MaslyanskayaUnab I Khan
Dec 17, 2015·Journal of Women's Health·Kate Grindlay, Daniel Grossman
Feb 7, 2016·Journal of Pediatric and Adolescent Gynecology·Molly K MurphySadia Haider
Mar 11, 2016·The New England Journal of Medicine·Lawrence B Finer, Mia R Zolna
Jan 9, 2017·American Journal of Obstetrics and Gynecology·Lisa S CallegariSonya Borrero
Mar 21, 2017·American Journal of Obstetrics and Gynecology·Sharon J PhillipsMichele R Hacker

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Citations

Sep 24, 2019·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Andrea M PetersonAngela Dempsey
Oct 28, 2019·Current Opinion in Obstetrics & Gynecology·Amitha K Ganti, Paula J A Hillard
Jun 14, 2021·Journal of the National Medical Association·Lydia H PeckerNatalie Whaley

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Methods Mentioned

BETA
contraception
hysterectomy

Software Mentioned

Stata
CHOICE

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