Use of Reversible Contraceptive Methods Among U.S. Women with Physical or Sensory Disabilities

Perspectives on Sexual and Reproductive Health
Justine P WuAnanda Sen

Abstract

Women with disabilities experience a higher rate of adverse pregnancy outcomes than women without disabilities. Preventing or delaying pregnancy when that is the best choice for a woman is a critical strategy to reducing pregnancy-related disparities, yet little is known about current contraceptive use among women with disabilities. A cohort of 545 reproductive-age women with physical disabilities (i.e., difficulty walking, climbing, dressing or bathing) or sensory disabilities (i.e., difficulty with vision or hearing) was identified from among participants in the 2011-2013 National Survey of Family Growth. Those at risk for unplanned pregnancy were categorized by whether they were using highly effective reversible contraceptive methods (IUD, implant), moderately effective ones (pill, patch, ring, injectable), less effective ones (condoms, withdrawal, spermicides, diaphragm, natural family planning) or no method. Multinomial regression was conducted to examine the association between disability and type of contraceptive used. Some 39% of women with disabilities were at risk of unplanned pregnancy, and 27% of those at risk were not using contraceptives. The presence of disability was associated with decreased odds of using highl...Continue Reading

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Citations

Feb 26, 2020·Perspectives on Sexual and Reproductive Health·Willi Horner-JohnsonBlair G Darney
Aug 7, 2021·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Angela Senders, Willi Horner-Johnson
Aug 15, 2021·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Willi Horner-JohnsonJeanne-Marie Guise

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