Contraceptive use among low-income and ethnic minority women living in three urban underserved neighborhoods
Adejoke B. Ayoola, PhD, RN; Emily Johnson, BSN, RN; Gail Landheer Zandee, MSN, RN; Kendra Pennings
- Sigma Affiliation
- Kappa Epsilon at-Large
- Contributor Affiliation(s)
- Calvin College, Grand Rapids, Michigan, USA
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Ayoola, Adejoke B. by View
Popular Works for Ayoola, Adejoke B. by Download
Session presented on Thursday, July 24, 2014:
Purpose: Ineffective and non'use of contraceptives have been associated with increased risk of unplanned pregnancy in the United States. Unplanned pregnancy rates and their adverse outcomes such as low birth weight and preterm birth are higher among minority and low-income women. Healthy People 2020 established a family planning goal to 'increase the proportion of females at risk of unplanned pregnancy or their partners who used contraception at most recent sexual intercourse' from the current baseline of 83.3% to 91.6%. This study examined the rate of contraceptive use and types of contraception used by low-income mostly minority women living in underserved neighborhoods.
Methods: One hundred and ten convenience sample of low-income women who called to be part of a larger study were included in this analysis. The women were asked in a pre-intervention screening survey about their contraceptive use and sexual behaviors 12 months prior to the time of interview. Simple descriptive analyses namely univariate and bivariate analyses were conducted using STATA 10.
Results: Forty-eight (43.6 %) of the women were African American, 39.1% were Hispanic, and 15.5% were White. The women were 18 to 55 years of age (mean =31 years). Forty percent of these women who were not pregnant or planning to get pregnant had sex without using any contraceptives in the past 12 months. The percentage of women who used a contraceptive decreased from 77.3% users in the last 12 months to 63.6 % current users. The most common methods used within the last 12 months were: condom use by male partner (28.2%), birth control pills (14.6%), depo provera (12.7%), intrauterine device (10.9%) and the patch (1.8%).
Conclusion: Many of the low-income women from medically underserved neighborhoods in this study did not use contraceptives and of those who used contraceptives, the majority used condoms, which is described as a least effective method. These women are at risk of unplanned pregnancy if they continue to use the least effective contraceptive methods. Contraceptive education and resources on effective contraception should be provided, if the U.S. is to meet the Healthy People 2020 contraceptive use goal.
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.
|Review Type||Abstract Review Only: Reviewed by Event Host|
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Showing items related by title, author, creator and subjects.
Successful strategies for recruiting low-income minority group women in a community-based health promotion program Ayoola, Adejoke B.; Zandee, Gail Landheer; Pennings, Kendra; Schipper, Laura (2014-11-17)Session presented on Friday, July 25, 2014: Purpose: Low-income and minority groups need to be well represented in health promotion studies so as to identify and address the existing health disparities in the U.S. However, ...
Social determinants of women's mental health and barriers to help-seeking in three ethnically diverse, impoverished, and underserved communities Molewyk-Doornbos, Mary; DeGroot, Joleen; Zandee, Gail Landheer (2013-10-22)Session presented on: Tuesday, July 23, 2013: Purpose: Depression and anxiety are significant mental health issues in the United States today that tend to affect ethnically diverse, impoverished women disproportionately. ...
Ayoola, Adejoke B.; Granner, Josephine (2017-09-29)More than half of pregnancies in the United States are unplanned, and many of these are associated with contraceptive non-use. This session presents 20 reasons that women reported for switching or discontinuing contraceptives. ...
Women's reproductive knowledge and their ability to teach their daughters about reproductive changes Adams, Yenupini Joyce; Ayoola, Adejoke B. (2016-03-21)Session presented on Tuesday, November 10, 2015: Purpose: Life span approach to promoting reproductive health requires initiating reproductive education early, during the pre-pubertal and early adolescent period. Mothers ...
The association between exposure to intimate partner violence and having an abnormal pap test and HPV infections among women in a low-income, urban area Hindin, Patricia; Btoush, Rula M. (2016-03-17)Session presented on Monday, July 27, 2015: Purpose: The purpose of this presentation is to examine the association between intimate partner violence (IPV) and abnormal Papanicolaou (Pap) test results, including human ...