O19Experiences of racial/ethnic discrimination and contraceptive use: A longitudinal study

      This paper is only available as a PDF. To read, Please Download here.


      Racism is associated with undesired pregnancy, but no studies examine how experiencing discrimination might shape pregnancy preferences or contraceptive use.


      We recruited n=1,790 non-pregnant individuals, with the capacity for pregnancy, aged 15–34 from 20 health facilities in West Texas, Nevada, Arizona, New Mexico, and Southern California and followed them for a year (2019–2022). At baseline, participants completed the everyday discrimination measure (poor daily treatment based on race/ethnicity, sometimes/often vs. rarely/never). At baseline and at quarterly intervals, they completed the Desire to Avoid Pregnancy (DAP) scale (range: 0–4, higher score=greater desire to avoid pregnancy) and reported contraceptive method use. Using adjusted multivariable mixed-effects models, we examined associations between discrimination, pregnancy preferences, contraceptive method, and method satisfaction over one year.


      Of the sample (55% Latinx, 22% White, 14% multiracial/other, 8% Black), 25% reported sometimes or often experiencing discrimination. Discrimination was more common among Black (50%), multiracial/other (30%) and Latinx (25%) participants (vs. 11% White; adjusted ORs (aORs), 8.5, 3.5 and 3.1, respectively). Those who reported discrimination had higher preference to avoid pregnancy, on average, adjusting for race/ethnicity and covariables (marginal mean, 2.51 vs. 2.30; adjusted Coefficient=0.20 [0.10, 0.32]). Contrary to hypotheses, among those preferring to avoid pregnancy, discrimination was positively associated with condom (aOR, 1.83 [1.31, 2.57]) and prescription method use (aOR, 1.66 [1.26, 2.20]) vs. no method, but marginally negatively associated with method satisfaction (aOR, 0.74 [0.52, 1.04]).


      Experiencing discrimination may influence feelings about becoming pregnant and method satisfaction. Women's pregnancy preferences and contraceptive choices are not immune from the impact of racism or xenophobia.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Contraception
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect