The purpose of this study was to identify the reproductive health characteristics of women who use either oral or long-acting injectable contraceptive methods.
Data was obtained from a retrospective chart review of 331 women who obtained services from an urban, public family planning clinic in Southeastern, VA. Analysis focused on demographic, prior gynecological health, health service use, and substance abuse.
African-American women were significantly more likely to chose Depo-Provera than were Caucasian women. Women without current health insurance were significantly more likely to use oral contraceptives. There were no other significant socio-economic differences.
Compared to the general population, women who attend the clinic had a high rate of STDs (41.4%) and a substantial prior abortion rate (23.9%). Women on oral contraceptives were statistically more likely to have had a problem pap smear. Depo-Provera users were statistically more likely to have had a prior pregnancy. While women who use oral contraceptives were found to be more likely to use alcohol than those on Depo-Provera, neither of the groups were found to differ on the use of other substances.
These data suggest that few differences exist between users of oral and long-acting contraceptive methods and that both groups can be considered at risk for STDs and unwanted pregnancies. Therefore, both groups should be targeted for education on safe sex practices. Future research should examine the factors that lead women to choose either oral or long-acting injectable contraceptive methods.
Learning Objectives: N/A
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.