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Hormonal Contraceptive Use and Discontinuation Because of Dissatisfaction: Differences by Race and Education

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  • Krystale Littlejohn

Abstract

The unintended pregnancy rate in the United States remains high, and there are large race and education differences in unintended pregnancy and fertility. These differences make it important to study race and education differences in contraceptive behavior. Using nationally representative data from the 2002 National Survey of Family Growth, this study examines the effects of race and education on the likelihood that women have ever used particular types of hormonal contraception and have ever discontinued hormonal contraception because of dissatisfaction. The results show that blacks and Latinas were more likely to have used injectable contraceptives (“the shot”) and less likely to have used oral contraceptives (“the pill”) than were white women. Women with less education were more likely than college-educated women to have used the shot but there were no significant education differences in use of the pill. Among women who had ever used hormonal birth control, those with less than a college degree were more likely than college-educated women to discontinue the birth control because of dissatisfaction. However, net of education, this study found no significant racial/ethnic differences in discontinuation. The most commonly stated reason for discontinuation because of dissatisfaction was side effects. Copyright Population Association of America 2012

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  • Krystale Littlejohn, 2012. "Hormonal Contraceptive Use and Discontinuation Because of Dissatisfaction: Differences by Race and Education," Demography, Springer;Population Association of America (PAA), vol. 49(4), pages 1433-1452, November.
    • Handle: RePEc:spr:demogr:v:49:y:2012:i:4:p:1433-1452
    DOI: 10.1007/s13524-012-0127-7
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    Cited by:

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    3. Le Guen, Mireille & Schantz, Clémence & Régnier-Loilier, Arnaud & de La Rochebrochard, Elise, 2021. "Reasons for rejecting hormonal contraception in Western countries: A systematic review," Social Science & Medicine, Elsevier, vol. 284(C).
    4. Stevens, Lindsay M., 2018. "“We have to be mythbusters”: Clinician attitudes about the legitimacy of patient concerns and dissatisfaction with contraception," Social Science & Medicine, Elsevier, vol. 212(C), pages 145-152.
    5. Megan Sweeney & Mieke Eeckhaut & Jessica D. Gipson, 2020. "Reconsidering (in)equality in the use of IUDs in the United States: A closer look across the reproductive life course," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 43(35), pages 1049-1066.
    6. Yasamin Kusunoki & Jennifer S. Barber, 2020. "The Dynamics of Intimate Relationships and Contraceptive Use During Early Emerging Adulthood," Demography, Springer;Population Association of America (PAA), vol. 57(6), pages 2003-2034, December.
    7. Bertotti, Andrea M. & Mann, Emily S. & Miner, Skye A., 2021. "Efficacy as safety: Dominant cultural assumptions and the assessment of contraceptive risk," Social Science & Medicine, Elsevier, vol. 270(C).
    8. Kimport, Katrina, 2018. "Talking about male body-based contraceptives: The counseling visit and the feminization of contraception," Social Science & Medicine, Elsevier, vol. 201(C), pages 44-50.
    9. Bridget Brew & Abigail Weitzman & Kelly Musick & Yasamin Kusunoki, 2020. "Young women's joint relationship, sex, and contraceptive trajectories: Evidence from the United States," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 42(34), pages 933-984.
    10. Rozina Thobani & Saleem Jessani & Iqbal Azam & Sayyeda Reza & Neelofar Sami & Shafquat Rozi & Farina Abrejo & Sarah Saleem, 2019. "Factors associated with the discontinuation of modern methods of contraception in the low income areas of Sukh Initiative Karachi: A community-based case control study," PLOS ONE, Public Library of Science, vol. 14(7), pages 1-12, July.
    11. Jennifer Manlove & Quentin Karpilow & Kate Welti & Adam Thomas, 2015. "Linking Changes in Contraceptive Use to Declines in Teen Pregnancy Rates," Societies, MDPI, vol. 6(1), pages 1-14, December.

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