American Journal of Obstetrics & Gynecology
Volume 202, Issue 3 , Pages 214-220 , March 2010

Disparities in family planning

  • Christine Dehlendorf, MD, MAS

      Affiliations

    • Department of Family and Community Medicine, University of California, San Francisco
    • Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, CA
    • Corresponding Author InformationReprints: Christine Dehlendorf, MD, MAS, 995 Potrero Ave., Ward 83, San Francisco, CA 94110
  • ,
  • Maria Isabel Rodriguez, MD

      Affiliations

    • Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, CA
  • ,
  • Kira Levy, BA

      Affiliations

    • Department of Family and Community Medicine, University of California, San Francisco
  • ,
  • Sonya Borrero, MD, MS

      Affiliations

    • Division of General Internal Medicine, Department of Medicine, University of Pittsburg, PA
  • ,
  • Jody Steinauer, MD, MAS

      Affiliations

    • Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, CA

Received 23 April 2009 ,Revised 15 July 2009 ,Accepted 17 August 2009.

References 

  1. Wulf D, Donovan P. Women and societies benefit when childbearing is planned: issues in brief. New York, NY: The Alan Guttmacher Institute; 2002;
  2. Kost K, Landry DJ, Darroch JE. Predicting maternal behaviors during pregnancy: does intention status matter?. Fam Plann Perspect. 1998;30:79–88
  3. Hook K. Refused abortion: a follow-up study of 249 women whose applications were refused by the National Board of Health in Sweden. Acta Psychiatr Scand Suppl. 1963;39:1–156
  4. Najman JM, Morrison J, Williams G, Andersen M, Keeping JD. The mental health of women 6 months after they give birth to an unwanted baby: a longitudinal study. Soc Sci Med. 1991;32:241–247
  5. Cheng D, Schwarz EB, Douglas E, Horon I. Unintended pregnancy and associated maternal preconception, prenatal and postpartum behaviors. Contraception. 2009;79:194–198
  6. Gipson JD, Koenig MA, Hindin MJ. The effects of unintended pregnancy on infant, child, and parental health: a review of the literature. Stud Fam Plann. 2008;39:18–38
  7. Kost K, Landry DJ, Darroch JE. The effects of pregnancy planning status on birth outcomes and infant care. Fam Plann Perspect. 1998;30:223–230
  8. Baydar N. Consequences for children of their birth planning status. Fam Plann Perspect. 1995;27:228–23445
  9. Klepinger DH, Lundberg S, Plotnick RD. Adolescent fertility and the educational attainment of young women. Fam Plann Perspect. 1995;27:23–28
  10. Chen XK, Wen SW, Fleming N, Demissie K, Rhoads GG, Walker M. Teenage pregnancy and adverse birth outcomes: a large population based retrospective cohort study. Int J Epidemiol. 2007;36:368–373
  11. Moore KA, Myers DE, Morrison DR, Nord CW, Brown B, Edmonston B. Age at first childbirth and later poverty. J Res Adolesc. 1993;3:393–422
  12. Boden JM, Fergusson DM, John Horwood L. Early motherhood and subsequent life outcomes. J Child Psychol Psychiatry. 2008;49:151–160
  13. Olausson PO, Haglund B, Weitoft GR, Cnattingius S. Teenage childbearing and long-term socioeconomic consequences: a case study in Sweden. Fam Plann Perspect. 2001;33:70–74
  14. Stern AM. Sterilized in the name of public health: race, immigration, and reproductive control in modern California. Am J Public Health. 2005;95:1128–1138
  15. Shapiro TM, Fisher W, Diana A. Family planning and female sterilization in the United States. Soc Sci Med. 1983;17:1847–1855
  16. Roberts D. The pill at 40–a new look at a familiar method: black women and the pill. Fam Plann Perspect. 2000;32:92–93
  17. Morgan M. The payment of drug addicts to increase their sterilization rate is morally unjustified and not simply ‘a fine balance’. J Obstet Gynaecol. 2004;24:119–123
  18. Malat J. Racial differences in Norplant use in the United States. Soc Sci Med. 2000;50:1297–1308
  19. Boonstra H, Duran V, Northington Gamble V, Blumenthal P, Dominguez L, Pies C. The “boom and bust phenomenon”: the hopes, dreams, and broken promises of the contraceptive revolution. Contraception. 2000;61:9–25
  20. Barrett G, Smith SC, Wellings K. Conceptualization, development, and evaluation of a measure of unplanned pregnancy. J Epidemiol Community Health. 2004;58:426–433
  21. Kendall C, Afable-Munsuz A, Speizer I, Avery A, Schmidt N, Santelli J. Understanding pregnancy in a population of inner-city women in New Orleans–results of qualitative research. Soc Sci Med. 2005;60:297–311
  22. Lifflander A, Gaydos LM, Hogue CJ. Circumstances of pregnancy: low income women in Georgia describe the difference between planned and unplanned pregnancies. Matern Child Health J. 2007;11:81–89
  23. Finer LB, Henshaw SK. Disparities in rates of unintended pregnancy in the United States, 1994 and 2001. Perspect Sex Reprod Health. 2006;38:90–96
  24. Mosher WD, Martinez GM, Chandra A, Abma JC, Willson SJ. Use of contraception and use of family planning services in the United States: 1982-2002. Adv Data. 2004;350:1–36
  25. Jones RK, Darroch JE, Henshaw SK. Patterns in the socioeconomic characteristics of women obtaining abortions in 2000-2001. Perspect Sex Reprod Health. 2002;34:226–235
  26. Centers for Disease Control and Prevention. Births: preliminary data for 2005. http://www.cdc.gov/nchs/data/hestat/prelimbirths05_tables.pdf#232Accessed March 13, 2009
  27. Dehlendorf C, Marchi K, Vittinghoff E, Braveman P. Sociocultural determinants of teenage childbearing among Latinas in California. Matern Child Health J. 2009 Jan 27;[Epub ahead of print]
  28. Xie H, Cairns BD, Cairns RB. Predicting teen motherhood and teen fatherhood: individual characteristics and peer affiliations. Soc Dev. 2001;10:488–511
  29. Carvajal SC, Parcel GS, Banspach SW, et al. Psychosocial predictors of delay of first sexual intercourse by adolescents. Health Psychol. 1999;18:443–452
  30. Hogan DP, Kitagawa EM. The impact of social status, family structure, and neighborhood on the fertility of black adolescents. Am J Sociol. 1985;90:825–855
  31. Hayward MD, Grady W, Bill JOG. The influence of socioeconomic status on adolescent pregnancy. Soc Sci Q. 1992;73:750–772
  32. Rose A, Koo HP, Bhaskar B, Anderson K, White G, Jenkins RR. The influence of primary caregivers on the sexual behavior of early adolescents. J Adolesc Health. 2005;37:135–144
  33. Santelli JS, Lowry R, Brener ND, Robin L. The association of sexual behaviors with socioeconomic status, family structure, and race/ethnicity among US adolescents. Am J Public Health. 2000;90:1582–1588
  34. Frost JJ, Darroch JE. Factors associated with contraceptive choice and inconsistent method use, United States, 2004. Perspect Sex Reprod Health. 2008;40:94–104
  35. Krings KM, Matteson KA, Allsworth JE, Mathias E, Peipert JF. Contraceptive choice: how do oral contraceptive users differ from condom users and women who use no contraception?. Am J Obstet Gynecol. 2008;198:e46–e47
  36. Foster DG, Bley J, Mikanda J, et al. Contraceptive use and risk of unintended pregnancy in California. Contraception. 2004;70:31–39
  37. Ranjit N, Bankole A, Darroch JE, Singh S. Contraceptive failure in the first two years of use: differences across socioeconomic subgroups. Fam Plann Perspect. 2001;33:19–27
  38. Trussell J, Vaughan B. Contraceptive failure, method-related discontinuation and resumption of use: results from the 1995 national survey of family growth. Fam Plann Perspect. 1999;31:64–7293
  39. Fu H, Darroch JE, Haas T, Ranjit N. Contraceptive failure rates: new estimates from the 1995 national survey of family growth. Fam Plann Perspect. 1999;31:56–63
  40. Vaughan B, Trussell J, Kost K, Singh S, Jones R. Discontinuation and resumption of contraceptive use: results from the 2002 national survey of family growth. Contraception. 2008;78:271–283
  41. Kilbourne AM, Switzer G, Hyman K, Crowley-Matoka M, Fine MJ. Advancing health disparities research within the health care system: a conceptual framework. Am J Public Health. 2006;96:2113–2121
  42. Scott CS, Shifman L, Orr L, Owen RG, Fawcett N. Hispanic and black American adolescents' beliefs relating to sexuality and contraception. Adolescence. 1988;23:667–688
  43. Guendelman S, Denny C, Mauldon J, Chetkovich C. Perceptions of hormonal contraceptive safety and side effects among low-income Latina and non-Latina women. Matern Child Health J. 2000;4:233–239
  44. Gilliam ML, Warden M, Goldstein C, Tapia B. Concerns about contraceptive side effects among young Latinas: a focus-group approach. Contraception. 2004;70:299–305
  45. Thorburn S, Bogart LM. Conspiracy beliefs about birth control: barriers to pregnancy prevention among African Americans of reproductive age. Health Educ Behav. 2005;32:474–487
  46. Bird ST, Bogart LM. Birth control conspiracy beliefs, perceived discrimination, and contraception among African Americans: an exploratory study. J Health Psychology. 2003;8:263–276
  47. Kuiper H, Miller S, Martinez E, Loeb L, Darney P. Urban adolescent females' views on the implant and contraceptive decision-making: a double paradox. Fam Plann Perspect. 1997;29:167–172
  48. Clark LR. Will the pill make me sterile? (Addressing reproductive health concerns and strategies to improve adherence to hormonal contraceptive regimens in adolescent girls). J Pediatr Adolesc Gynecol. 2001;14:153–162
  49. Silverman J, Torres A, Forrest JD. Barriers to contraceptive services. Fam Plann Perspect. 1987;19:94–97101-2
  50. Rivera CP, Mendez CB, Gueye NA, Bachmann GA. Family planning attitudes of medically underserved Latinas. J Womens Health (Larchmt). 2007;16:879–882
  51. Clark LR, Barnes-Harper KT, Ginsburg KR, Holmes WC, Schwarz DF. Menstrual irregularity from hormonal contraception: a cause of reproductive health concerns in minority adolescent young women. Contraception. 2006;74:214–219
  52. Garces-Palacio IC, Altarac M, Scarinci IC. Contraceptive knowledge and use among low-income Hispanic immigrant women and non-Hispanic women. Contraception. 2008;77:270–275
  53. Baldwin SB, Solorio R, Washington DL, Yu H, Huang YC, Brown ER. Who is using emergency contraception? (Awareness and use of emergency contraception among California women and teens). Womens Health Issues. 2008;18:360–368
  54. Foster DG, Ralph LJ, Arons A, Brindis CD, Harper CC. Trends in knowledge of emergency contraception among women in California, 1999-2004. Womens Health Issues. 2007;17:22–28
  55. Murphy P, Kirkman A, Hale RW. A national survey of women's attitudes toward oral contraception and other forms of birth control. Womens Health Issues. 1995;5:94–99
  56. US Census Bureau. Educational attainment in the United States 2007. http://www.census.gov/population/www/socdemo/education/cps2007.htmlAccessed March 21, 2009
  57. McKee MD, O'Sullivan LF, Weber CM. Perspectives on confidential care for adolescent girls. Ann Fam Med. 2006;4:519–526
  58. Fisher TD. Characteristics of mothers and fathers who talk to their adolescent children about sexuality. J Psychol Human Sex. 1990;3:53–70
  59. Meneses LM, Orrell-Valente JK, Guendelman SR, Oman D, Irwin CE. Racial/ethnic differences in mother-daughter communication about sex. J Adolesc Health. 2006;39:128–131
  60. Lefkowitz ES, Romo LF, Corona R, Au TK, Sigman M. How Latino American and European American adolescents discuss conflicts, sexuality, and AIDS with their mothers. Dev Psychol. 2000;36:315–325
  61. Parker RM, Williams MV, Baker DW, Nurss JR. Literacy and contraception: exploring the link. Obstet Gynecol. 1996;88:72–77S
  62. El-Ibiary SY, Youmans SL. Health literacy and contraception: a readability evaluation of contraceptive instructions for condoms, spermicides and emergency contraception in the USA. Eur J Contracept Reprod Health Care. 2007;12:58–62
  63. Williams-Deane M, Potter LS. Current oral contraceptive use instructions: an analysis of patient package inserts. Fam Plann Perspect. 1992;24:111–115
  64. Schwarz EB, Lohr PA, Gold MA, Gerbert B. Prevalence and correlates of ambivalence towards pregnancy among nonpregnant women. Contraception. 2007;75:305–310
  65. Crosby RA, Diclemente RJ, Wingood GM, Davies SL, Harrington K. Adolescents' ambivalence about becoming pregnant predicts infrequent contraceptive use: a prospective analysis of nonpregnant African American females. Am J Obstet Gynecol. 2002;186:251–252
  66. Zabin LS, Astone NM, Emerson MR. Do adolescents want babies? (The relationship between attitudes and behavior). J Res Adolesc. 1993;3:67–86
  67. Schunmann C, Glasier A. Measuring pregnancy intention and its relationship with contraceptive use among women undergoing therapeutic abortion. Contraception. 2006;73:520–524
  68. Davies SL, DiClemente RJ, Wingood GM, et al. Predictors of inconsistent contraceptive use among adolescent girls: findings from a prospective study. J Adolesc Health. 2006;39:43–49
  69. Jaccard J, Dodge T, Dittus P. Do adolescents want to avoid pregnancy? (Attitudes toward pregnancy as predictors of pregnancy). J Adolesc Health. 2003;33:79–83
  70. Jewell D, Tacchi J, Donovan J. Teenage pregnancy: whose problem is it?. Fam Pract. 2000;17:522–528
  71. Afable-Munsuz A, Speizer I, Magnus JH, Kendall C. A positive orientation toward early motherhood is associated with unintended pregnancy among New Orleans youth. Matern Child Health J. 2006;10:265–276
  72. Gold R. Next steps for America's family planning program: leveraging the potential of Medicaid and Title X in the evolving health care system. New York, NY: Guttmacher Institute; 2009;
  73. Guttmacher Institute. Contracpetive needs and services, 2006. http://www.guttmacher.org/pubs/win/allstates2006.pdfAccessed March 17, 2009
  74. Ebrahim SH, Anderson JE, Correa-de-Araujo R, Posner SF, Atrash HK. Overcoming social and health inequalities among US women of reproductive age–challenges to the nation's health in the 21st century. Health Policy. 2008;2,3:196–205
  75. Culwell KR, Feinglass J. The association of health insurance with use of prescription contraceptives. Perspect Sex Reprod Health. 2007;39:226–230
  76. Boonstra H, Sonfield A. Revisiting public funding of abortion for poor women: issues brief. In: New York, NY: Alan Guttmacher Institute; 2000;p. 1–4
  77. Finer LB, Frohwirth LF, Dauphinee LA, Singh S, Moore AM. Timing of steps and reasons for delays in obtaining abortions in the United States. Contraception. 2006;74:334–344
  78. Henshaw SK. Factors hindering access to abortion services. Fam Plann Perspect. 1995;27:54–5987
  79. Foster DG, Jackson RA, Cosby K, Weitz TA, Darney PD, Drey EA. Predictors of delay in each step leading to an abortion. Contraception. 2008;77:289–293
  80. Cook PJ, Parnell AM, Moore MJ, Pagnini D. The effects of short-term variation in abortion funding on pregnancy outcomes. J Health Econ. 1999;18:241–257
  81. Jones RK, Zolna MR, Henshaw SK, Finer LB. Abortion in the United States: incidence and access to services, 2005. Perspect Sex Reprod Health. 2008;40:6–16
  82. Rodriguez MI, Edelman A, Wallace N, Jensen JT. Denying postpartum sterilization to women with Emergency Medicaid does not reduce hospital charges. Contraception. 2008;78:232–236
  83. DuBard CA, Massing MW. Trends in emergency Medicaid expenditures for recent and undocumented immigrants. JAMA. 2007;297:1085–1092
  84. Johnson RL, Roter D, Powe NR, Cooper LA. Patient race/ethnicity and quality of patient-physician communication during medical visits. Am J Public Health. 2004;94:2084–2090
  85. van Ryn M, Fu SS. Paved with good intentions: do public health and human service providers contribute to racial/ethnic disparities in health?. Am J Public Health. 2003;93:248–255
  86. Smedley B, Stith A, Nelson A. Unequal treatment: confronting racial and ethnic disparities in healthcare. Washington, DC: The National Academies Press; 2003;
  87. Sabin JA, Rivara FP, Greenwald AG. Physician implicit attitudes and stereotypes about race and quality of medical care. Med Care. 2008;46:678–685
  88. McKinlay J, Link C, Marceau L, et al. How do doctors in different countries manage the same patient? (Results of a factorial experiment). Health Serv Res. 2006;41:2182–2200
  89. McKinlay JB, Potter DA, Feldman HA. Non-medical influences on medical decision-making. Soc Sci Med. 1996;42:769–776
  90. Schulman KA, Berlin JA, Harless W, et al. The effect of race and sex on physicians' recommendations for cardiac catheterization. N Engl J Med. 1999;340:618–626
  91. van Ryn M, Burgess D, Malat J, Griffin J. Physicians' perceptions of patients' social and behavioral characteristics and race disparities in treatment recommendations for men with coronary artery disease. Am J Public Health. 2006;96:351–357
  92. Burgess DJ, Crowley-Matoka M, Phelan S, et al. Patient race and physicians' decisions to prescribe opioids for chronic low back pain. Soc Sci Med. 2008;67:1852–1860
  93. Hannan EL, van Ryn M, Burke J, et al. Access to coronary artery bypass surgery by race/ethnicity and gender among patients who are appropriate for surgery. Med Care. 1999;37:68–77
  94. Bao Y, Fox SA, Escarce JJ. Socioeconomic and racial/ethnic differences in the discussion of cancer screening: “between-” versus “within-” physician differences. Health Serv Res. 2007;42:950–970
  95. McKinlay JB, Burns RB, Durante R, et al. Patient, physician and presentational influences on clinical decision making for breast cancer: results from a factorial experiment. J Eval Clin Pract. 1997;3:23–57
  96. Griggs JJ, Culakova E, Sorbero ME, et al. Social and racial differences in selection of breast cancer adjuvant chemotherapy regimens. J Clin Oncol. 2007;25:2522–2527
  97. van Ryn M, Burke J. The effect of patient race and socio-economic status on physicians' perceptions of patients. Soc Sci Med. 2000;50:813–828
  98. Woo JK, Ghorayeb SH, Lee CK, Sangha H, Richter S. Effect of patient socioeconomic status on perceptions of first- and second-year medical students. CMAJ. 2004;170:1915–1919
  99. Becker D, Tsui AO. Reproductive health service preferences and perceptions of quality among low-income women: racial, ethnic and language group differences. Perspect Sex Reprod Health. 2008;40:202–211
  100. Forrest JD, Frost JJ. The family planning attitudes and experiences of low-income women. Fam Plann Perspect. 1996;28:246–25577
  101. Harrison DD, Cooke CW. An elucidation of factors influencing physicians' willingness to perform elective female sterilization. Obstet Gynecol. 1988;72:565–570
  102. Downing RA, LaVeist TA, Bullock HE. Intersections of ethnicity and social class in provider advice regarding reproductive health. Am J Public Health. 2007;97:1803–1807
  103. Thorburn S, Bogart LM. African American women and family planning services: perceptions of discrimination. Women Health. 2005;42:23–39
  104. Borrero S, Schwarz EB, Creinin M, Ibrahim S. The impact of race and ethnicity on receipt of family planning services in the United States. J Womens Health (Larchmt). 2009;18:91–96
  105. RamaRao S, Lacuesta M, Costello M, Pangolibay B, Jones H. The link between quality of care and contraceptive use. Int Fam Plan Perspect. 2003;29:76–83
  106. Foster DG, Klaisle CM, Blum M, Bradsberry ME, Brindis CD, Stewart FH. Expanded state-funded family planning services: estimating pregnancies averted by the family PACT program in California, 1997-1998. Am J Public Health. 2004;94:1341–1346
  107. Amaral G, Foster DG, Biggs MA, Jasik CB, Judd S, Brindis CD. Public savings from the prevention of unintended pregnancy: a cost analysis of family planning services in California. Health Serv Res. 2007;42:1960–1980
  108. Frost J, Sonfield A, Gold R. Estimating the impact of expanding Medicaid eligibility for family planning services, occasional report. New York, NY: Guttmacher Institute; 2006;
  109. Evans WD, McCormack L. Applying social marketing in health care: communicating evidence to change consumer behavior. Med Decis Making. 2008;28:781–792
  110. Evans WD, Blitstein J, Hersey JC, Renaud J, Yaroch AL. Systematic review of public health branding. J Health Commun. 2008;13:721–741
  111. Bala M, Strzeszynski L, Cahill K. Mass media interventions for smoking cessation in adults. Cochrane Database Syst Rev. 2008;1:CD004704

 Supported by National Institutes of Health (NIH)/NCRR/OD UCSF-CTSI Grant no. KL2 RR024130. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the NIH.

PII: S0002-9378(09)00947-8

doi: 10.1016/j.ajog.2009.08.022

American Journal of Obstetrics & Gynecology
Volume 202, Issue 3 , Pages 214-220 , March 2010