Contraceptive Continuation in Hispanic Women.

American Journal of Obstetrics and Gynecology

PubMedID: 25218956

Werth SR, Secura GM, Broughton HO, Jones ME, Dickey V, Peipert JF. Contraceptive Continuation in Hispanic Women. Am J Obstet Gynecol. 2015;212(3):312.e1-8.
To examine the effect of Hispanic ethnicity on continuation and satisfaction of reversible contraceptive methods.

We analyzed 12-month data collected from 7,913 participants in the Contraceptive CHOICE Project. Kaplan-Meier survival curves were used to estimate continuation and Cox proportional hazard models the risk of discontinuation.

Hispanic women were more likely to choose a long-acting reversible contraceptive (LARC) method compared to non-Hispanic black and non-Hispanic white women (80%, 73%, and 75% respectively, p<0.05). The 12-month continuation rates were higher for LARC methods than combined hormonal methods for all race/ethnicity (Hispanic: 87% vs. 40%, non-Hispanic black: 85% vs. 46%, non-Hispanic white: 87% vs. 56%). There was no statistical difference in discontinuation of LARC methods at 12 months. Eighty percent of LARC users reported high satisfaction levels at 12-months regardless of race/ethnicity.

Hispanic women in the CHOICE Project experienced high continuation and satisfaction for LARC methods, similar to women of other ethnicities.