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Socioeconomic differences persist in use of permanent vs long-acting reversible contraception: An analysis of the national survey for family growth, 2006-2010 vs 2015-2017

Contraception Jan 07, 2021

Beshar I, So J, Chelvakumar M, et al. - Among non-White women with lower education and income, higher prevalence of permanent contraception has historically been known. As the popularity of long-acting reversible contraception (LARC) is increasing, researchers here examine changing sociodemographic patterns of permanent contraception and LARC. A descriptive analysis of the National Survey of Family Growth (NSFG) from 2006-2017 was performed, with multivariable analyses of the 2006-2010 and 2015-2017 cohorts. Two distinct but analogous regression analyses were performed including 8,161 respondents: 1) the most recent survey cohort, 2015-2017, and 2) the cohort a decade prior, 2006-2010. Comparison of 2006-2010 with 2015-2017, they identified a decrease in reliance on female permanent contraception while an increase was noted in LARC use, making prevalence more similar. However, there appeared a persistence of significant socioeconomic differences in who chooses permanent contraception, with urban, educated, higher-income women more frequently using LARC. Ongoing efforts are required to understand and decrease economic barriers to LARC.

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