title: Contraceptive use and risk of unintended pregnancy in California.
abstract: California is home to more than one out of eight American women of reproductive age. Because California has a large, diverse and growing population, national statistics do not necessarily describe the reproductive health of California women. This article presents risk for pregnancy and sexually transmitted infections among women in California based on the California Women's Health Survey. Over 8900 women of reproductive age who participated in this survey between 1998 and 2001 provide estimates of access to care and use of family-planning methods in the state. We find that 49% of the female population aged 18-44 in California is at risk of unintended pregnancy. Nine percent (9%) of women at risk of an unintended pregnancy are not using any method of contraception, primarily for method-related reasons, such as a concern about side effects or a dislike of available contraceptive methods. Among women at risk for unintended pregnancy, we find disparities by race/ethnicity and education in use of contraceptive methods.
authors.affiliation: Center for Reproductive Health Research and Policy, University of California, 2356 Sutter Street, Suite 200, UCSF Box 1744, San Francisco 94143-1744, USA. greened@obgyn.ucsf.edu
authors.forename: Diana G
authors.initials: DG
authors.lastname: Foster
authors.forename: Julia
authors.initials: J
authors.lastname: Bley
authors.forename: John
authors.initials: J
authors.lastname: Mikanda
authors.forename: Marta
authors.initials: M
authors.lastname: Induni
authors.forename: Abigail
authors.initials: A
authors.lastname: Arons
authors.forename: Nikki
authors.initials: N
authors.lastname: Baumrind
authors.forename: Philip D
authors.initials: PD
authors.lastname: Darney
authors.forename: Felicia
authors.initials: F
authors.lastname: Stewart
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D002140:California / Q000453:epidemiology; D003267:Contraception / Q000379:methods* / Q000592:standards; D003268:Contraception Behavior / Q000208:ethnology / Q000706:statistics & numerical data*; D004522:Educational Status; D005260:Female; D006306:Health Surveys; D006801:Humans; D007182:Income; D019458:Insurance Coverage; D007348:Insurance, Health; D011247:Pregnancy; D011275:Pregnancy, Unwanted / Q000208:ethnology; D018456:Reproductive Medicine; D012307:Risk Factors; D012959:Socioeconomic Factors