Postpartum contraceptive choices among ethnically diverse women in New Mexico.
OBJECTIVE
The objective of the study was to determine if postpartum contraceptive choices by primiparous women differ by ethnicity.


METHODS
Retrospective nested cohort study analyzing women's characteristics and contraceptive choice.


RESULTS
Of 652 participants, 312 (47.8%) were Hispanic, 287 (44.0%) were non-Hispanic white, and 53 (8.1%) were American Indian (AI). In multivariate analysis, depot medroxyprogesterone acetate (DMPA) and intrauterine device (IUD)/implant choice was related to AI [DMPA: odds ratio (OR) 15.28, confidence interval (CI) 4.49-52.04; IUD/implant: OR 0.46, CI 0.22-0.92] and Hispanic (DMPA: OR 3.44, CI 1.12-10.58) ethnicity.


CONCLUSIONS
DMPA use was higher among Hispanic and AI women and IUD/implant use lower in AI women compared to non-Hispanic white women.
University of New Mexico School of Medicine Department of Obstetrics and Gynecology, Albuquerque, NM, USA. Electronic address: RHSingh@salud.unm.edu.
Rameet H
RH
Singh
University of New Mexico School of Medicine Department of Obstetrics and Gynecology, Albuquerque, NM, USA.
Rebecca G
RG
Rogers
University of New Mexico School of Medicine Department of Family and Community Medicine, Albuquerque, NM, USA.
Lawrence
L
Leeman
University of New Mexico School of Medicine Department of Obstetrics and Gynecology, Albuquerque, NM, USA.
Noelle
N
Borders
University of New Mexico School of Medicine Department of Obstetrics and Gynecology, Albuquerque, NM, USA.
Jessica
J
Highfill
University of New Mexico School of Medicine Department of Obstetrics and Gynecology, Albuquerque, NM, USA.
Eve
E
Espey
D000328:Adult; D002755:Choice Behavior; D015331:Cohort Studies; D017280:Condoms; D003268:Contraception Behavior / Q000208:ethnology; D003271:Contraceptive Agents, Female / Q000008:administration & dosage*; D003276:Contraceptives, Oral / Q000008:administration & dosage*; D004343:Drug Implants; D005260:Female; D006630:Hispanic or Latino; D006785:Hospitals, University; D006786:Hospitals, Urban; D006801:Humans; D007198:Indians, North American; D007434:Intrauterine Devices; D008425:Maternal Behavior / Q000208:ethnology; D017258:Medroxyprogesterone Acetate / Q000008:administration & dosage*; D009516:New Mexico; D049590:Postpartum Period; D012189:Retrospective Studies; D044465:White People; D055815:Young Adult
D003271:Contraceptive Agents, Female; D003276:Contraceptives, Oral; D004343:Drug Implants; D017258:Medroxyprogesterone Acetate
American Indian; Contraception; Ethnicity; Hispanic; Primiparous