Little is known about contraceptive care within the Veterans Affairs (VA) health care system. This study was conducted to assess the prevalence of documented contraception by race/ethnicity within the VA and to examine the association between receiving primary care in women's health clinics (WHCs) and having a documented contraceptive method.
We examined national VA administrative and pharmacy data for 103,950 female veterans aged 18���45 years who made at least one primary care clinic visit in 2008. Multivariable regression models were used to examine the associations between race/ethnicity and receipt of care in a WHC with having a method of contraception while controlling for confounders.
Only 22% of women veterans had a documented method of contraception during 2008. After adjusting for potential confounders, Hispanic and African���American women were significantly less likely to have a method compared to whites [odds ratio (OR): 0.82; 95% confidence interval (CI): 0.76���0.88 and OR: 0.85; 95% CI: 0.81���0.89, respectively]. Women who went to WHCs were significantly more likely to have a method of contraception compared to women who went to traditional primary care clinics (OR: 2.05; 95% CI: 1.97���2.14).
Overall contraceptive prevalence in the VA is low, but receiving care in a WHC is associated with a significantly higher likelihood of having a contraceptive method.
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- Department of Veterans Affairs, Washington, DC2008 Report of the Under Secretary for Health Workgroup: provision of primary care to women veterans.
- Toward a VA Women's Health Research Agenda: setting evidence-based priorities to improve the health and health care of women veterans.J Gen Intern Med. 2006; 21: S93-101
- Changing the face of health care for women veterans.Federal Practitioner. 2009; 26: 8-10
- VetPop 2007.(Available from:)accessed August 20, 2008)
- The organization and delivery of women's health care in Department of Veterans Affairs Medical Center.Women's Health Issues. 2003; 13: 55-61
- Availability of gynecologic services in the Department of Veterans Affairs.Women's Health Issues. 2008; 18: 167-173
- Patient satisfaction in women's clinics versus traditional primary care clinics in the Veterans Administration.J Gen Intern Med. 2003; 18: 175-181
- Federally funded comprehensive women's health centers: leading innovation in women's healthcare delivery.J Women's Health (Larchmt). 2007; 16: 1281-1290
- Diffusion of innovation in women's health care delivery: the Department of Veterans Affairs' adoption of women's health clinics.Women's Health Issues. 2006; 16: 226-235
- Determinants of contraceptive availability at medical facilities in the Department of Veterans Affairs.J Gen Intern Med. 2006; 21: S33-S39
- The evidence is in. Why are IUDs still out? Family physicians' perceptions of risk and indications.Canadian Family Physician. 2008; 54: 560-566
- Barriers to prescribing the copper T 380A intrauterine device by physicians.West J Med. 1990; 153: 279-282
- Obstetrician���gynecologists and the intrauterine device: a survey of attitudes and practice.Obstet Gynecol. 2002; 99: 275-280
- Training and attitudes about contraceptive management across primary care specialties: a survey of graduating residents.Contraception. 2006; 73: 618-622
- Racial variation in tubal sterilization rates: role of patient-level factors.Fertil Steril. 2010; 95: 17-22
- Disparities in contraceptive knowledge, attitude and use between Hispanic and non-Hispanic whites.Contraception. 2006; 74: 125-132
- Contraceptive knowledge and use among low-income Hispanic immigrant women and non-Hispanic women.Contraception. 2008; 77: 270-275
- Communicating contraceptive effectiveness: a randomized controlled trial to inform a World Health Organization family planning handbook.Am J Obstet Gynecol. 2006; 195: 85-91
- Use of contraception in the United States: 1982���2008. National Center for Health Statistics.Vital Health Statistics. 2010; 23
- Women veterans reproductive health preferences and experiences: a focus group analysis.Women's Health Issues. 2011; 21: 124-129
Published online: December 16, 2011
Accepted: October 19, 2011
Received in revised form: October 17, 2011
Received: July 26, 2011
���Conflict of interest: No conflict of interest, financial or other, exists for any of the authors.
Published by Elsevier Inc.