Contraceptive Method Use by Rural-Urban Residence among Women and Men in the United States, 2006 to 2017.

Autor: Janis JA; Maine Rural Health Research Center, University of Southern Maine, Muskie School of Public Service, Portland, Maine; Center for Outcomes Research and Evaluation, Maine Medical Center, Portland, Maine. Electronic address: jjanis60@maine.edu., Ahrens KA; Maine Rural Health Research Center, University of Southern Maine, Muskie School of Public Service, Portland, Maine., Kozhimannil KB; University of Minnesota Rural Health Research Center, Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, Minnesota., Ziller EC; Maine Rural Health Research Center, University of Southern Maine, Muskie School of Public Service, Portland, Maine.
Jazyk: angličtina
Zdroj: Women's health issues : official publication of the Jacobs Institute of Women's Health [Womens Health Issues] 2021 May-Jun; Vol. 31 (3), pp. 277-285. Date of Electronic Publication: 2021 Jan 30.
DOI: 10.1016/j.whi.2020.12.009
Abstrakt: Purpose: Policy and reproductive health practice changes in the past decade have affected use of different contraceptive methods, but no study has assessed contraceptive method use over this time by rural-urban residence in the United States.
Methods: We used female and male respondent data (2006-2017) from the National Survey of Family Growth (n = 29,133 women and n = 24,364 men) to estimate contraceptive method use by rural-urban residence over time and contraceptive method use by age, marital status, and parity/number of children.
Results: From 2006-2010 to 2013-2017, among urban women, we found increased use of two or more methods (11% to 14%); increased use of intrauterine devices (5% to 11%), implants (0 to 2%), and withdrawal (5 to 8%); and decreased use of sterilization (28% to 22%) and pills (26% to 22%). Among rural women, we found increased use of intrauterine devices (5% to 9%) and implants (1% to 5%). We found increased withdrawal use for urban men, but otherwise no differences among men across time. In data pooled across all survey periods (2006-2017), contraceptive method use varied by rural-urban residence across age, marital status, and parity/number of children.
Conclusions: In a nationally representative sample of reproductive age women and men, we found rural-urban differences in contraceptive method use from 2006-2010 to 2013-2017. Describing contraceptive use differences by rural-urban residence is necessary for tailoring reproductive health services to populations appropriately.
(Copyright © 2020 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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