Differences in Contraceptive Discontinuation Among Black and White Women: Evidence from the Contraceptive CHOICE Project

Allsworth, Jenifer E.; Secura, Gina M.; Ajibade, Olufemi O; Peipert, Jeffrey F.

doi:10.1089/jwh.2017.6730

Cited by 5 publications

(1 citation statement)

References 42 publications

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“…Here, respondents engaged in sexual activity at rates roughly on-par with their age-peers in the general US population [24,25]. In diverse populations both with and without chronic conditions, "anticipatory guidance" in the form of individualized counseling addressing pregnancy intention and life goals improves the uptake of highly reliable contraception [19,26]. Given the high burden of preconception counseling needs and the increased risks of maternal and fetal maternal mobidity in pregnancy, this care especially pertinent for young adults with SCD [9,10].…”

Section: Discussionmentioning

confidence: 99%

Family planning needs of young adults with sickle cell disease

Linton

Williams

Early

et al. 2023

eJHaem

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Sexual and reproductive healthcare standards for adolescents and young adults with sickle cell disease (SCD) are not established. A total of 50 young adults entering adult SCD care completed a Family Planning Survey assessing sexual and reproductive health needs from March 2019 to July 2020. Clinical data were abstracted from respondents’ electronic medical records. Linear and logistic regression was applied to explore associations between clinical characteristics and survey results. Few respondents (8%) wished to be pregnant in the coming year, and 46% answered yes to at least one of four needs assessment questions. Those who were not employed full time were more likely to endorse needing help with getting sickle cell trait testing for a partner (ORadj = 9.59, p‐value = 0.05). Contraceptive use was associated with having an obstetrician–gynecologist (OR = 6.8, p‐value = 0.01). Young adults with SCD entering adult care have diverse reproductive health needs, highlighting opportunities to provide multidisciplinary, SCD‐specific reproductive healthcare.

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