Journal article
Contraceptive Use Among Women With Medical Conditions in a Nationwide Privately Insured Population
Obstetrics and gynecology (New York. 1953), Vol.126(6), pp.1151-1159
12/2015
DOI: 10.1097/AOG.0000000000001134
PMCID: PMC11022835
PMID: 26551183
Abstract
To examine contraceptive use among women with selected medical conditions.
We used a nationwide health care claims database to identify women aged 15-44 years continuously enrolled in private insurance during 2004-2011 with and without selected medical conditions. We assessed current permanent and reversible prescription contraceptive use during October 1, 2010, to September 30, 2011, with diagnosis, procedure, and pharmacy codes and calculated prevalence by age and condition. We used polytomous logistic regression to calculate odds of female sterilization or reversible prescription methods compared with neither. Among users of reversible methods, we used logistic regression to calculate odds of using long-acting reversible contraceptives compared with shorter acting methods.
A low proportion of women with medical conditions were using sterilization or reversible prescription methods (45% and 30% of women aged 15-34 and 35-44 years, respectively), and this proportion was consistently lower among the older age group across all medical conditions. Across both age groups, sterilization and long-acting reversible contraceptives were used less frequently than shorter acting methods (injectable, pill, patch, or ring). The odds of sterilization were higher among women with any compared with no condition for women aged 15-34 years (odds ratio [OR] 4.9, 95% confidence interval [CI], 4.5-5.3) and 35-44 years (OR 1.2, 95% CI, 1.1-1.2). Among women using reversible prescription methods, the odds of using long-acting reversible contraceptives were increased among those with any compared with no condition for women aged 15-34 years (OR 2.2, 95% CI, 2.1-2.5) and 35-44 years (OR 1.1, 95% CI, 1.1-1.2).
Despite the potential for serious maternal and fetal pregnancy-associated risks, contraceptive use was not optimal among women with medical conditions.
III.
Details
- Title: Subtitle
- Contraceptive Use Among Women With Medical Conditions in a Nationwide Privately Insured Population
- Creators
- Steven W Champaloux - National Center for Chronic Disease Prevention and Health PromotionNaomi K Tepper - National Center for Chronic Disease Prevention and Health PromotionKathryn M Curtis - Centers for Disease Control and PreventionLauren B Zapata - Centers for Disease Control and PreventionMaura K Whiteman - National Center for Chronic Disease Prevention and Health PromotionPolly A Marchbanks - Centers for Disease Control and PreventionDenise J Jamieson - National Center for Chronic Disease Prevention and Health Promotion
- Resource Type
- Journal article
- Publication Details
- Obstetrics and gynecology (New York. 1953), Vol.126(6), pp.1151-1159
- DOI
- 10.1097/AOG.0000000000001134
- PMID
- 26551183
- PMCID
- PMC11022835
- NLM abbreviation
- Obstet Gynecol
- ISSN
- 0029-7844
- eISSN
- 1873-233X
- Language
- English
- Date published
- 12/2015
- Academic Unit
- Obstetrics and Gynecology; VPMA - Administration
- Record Identifier
- 9984446513402771
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