Lack of insurance and parity influence choice between long-acting reversible contraception and sterilization in women postpregnancy

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Background: Disparities in postpregnancy contraception utilization exist, with low-income women disproportionately undergoing sterilization. We assessed the impact of increased intrauterine device (IUD) availability on rates of female sterilization. Study Design: Hospital billing records were used to identify women with an IUD placement or sterilization within 1 year of a pregnancy at a university hospital between Oct 2005 and Jun 2007. Demographic data were compared between women receiving either an IUD or sterilization. Results: There were 365 sterilizations and 223 IUD placements during the study period. IUD placements doubled over the study period from 6% to 12% of all deliveries, while sterilizations remained stable at 11% (p

Original languageEnglish (US)
Pages (from-to)42-47
Number of pages6
JournalContraception
Volume86
Issue number1
DOIs
StatePublished - Jul 2012

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Intrauterine Devices
Parity
Insurance
Contraception
Reproductive Sterilization
Hospital Records
Demography
Pregnancy

Keywords

  • Contraception
  • Family planning
  • Health disparities
  • Intrauterine device
  • Postabortion contraception
  • Postpartum bilateral tubal ligation
  • Postpartum contraception
  • Sterilization

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

Cite this

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abstract = "Background: Disparities in postpregnancy contraception utilization exist, with low-income women disproportionately undergoing sterilization. We assessed the impact of increased intrauterine device (IUD) availability on rates of female sterilization. Study Design: Hospital billing records were used to identify women with an IUD placement or sterilization within 1 year of a pregnancy at a university hospital between Oct 2005 and Jun 2007. Demographic data were compared between women receiving either an IUD or sterilization. Results: There were 365 sterilizations and 223 IUD placements during the study period. IUD placements doubled over the study period from 6{\%} to 12{\%} of all deliveries, while sterilizations remained stable at 11{\%} (p",
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AB - Background: Disparities in postpregnancy contraception utilization exist, with low-income women disproportionately undergoing sterilization. We assessed the impact of increased intrauterine device (IUD) availability on rates of female sterilization. Study Design: Hospital billing records were used to identify women with an IUD placement or sterilization within 1 year of a pregnancy at a university hospital between Oct 2005 and Jun 2007. Demographic data were compared between women receiving either an IUD or sterilization. Results: There were 365 sterilizations and 223 IUD placements during the study period. IUD placements doubled over the study period from 6% to 12% of all deliveries, while sterilizations remained stable at 11% (p

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