Social factors predicting postpartum choice of Norplant among African-American and non-hispanic white adolescents.
This study was designed to determine the factors associated with Norplant choice for postpartum teens.
A total of 151 teenagers, ages 12-20 years, who delivered at the Medical Center of Delaware from July to December 1992, were offered insertion of Norplant within 48 h postpartum.
A structured interview was conducted in the postpartum period after nondirective counseling sessions including a physical demonstration using anatomical models of various contraceptive methods.
Student's t-tests, chi-square, and multivariate analyses were used.
Eighty-six teenagers were African-American (mean age=17.3 ± 1.9 years) and 65 non-Hispanic white (NHW) (mean age=18.3 ± 1.5 years).
The NHW teenagers were older (p<0.001) ; the African-American teenagers were more likely to have Medicaid (49% vs. 14% ; p<0.001) and to have one or more friends who use Norplant (62% vs. 34% ; p<0.001).
In multivariate analyses, NHW teenagers were more likely to choose Norplant if they had discussed their choice with a parent or guardian [adjusted odds ratio (AOR)=14.6,95% confidence interval (CI), 2.12-100.57] ; had Medicaid funding (AOR=12.1 ; 95% (CI), 10.6-91.34) ; and had any friends who used Norplant (AOR=6.3 ; 95% (CI), 1.38-28.40).
However, for African-American teenagers, the strongest predictor for choice of Norplant was number of prior children delivered.
After two deliveries, there was a better than fourfold likelihood (AOR=4.8 ; 95% (CI), 1.47-15. (...)
Mots-clés Pascal : Postpartum, Prédiction, Choix, Lévonorgestrel, Contraceptif, Progestatif, Ethnie, Noir américain, Négroïde, Etude comparative, Caucasoïde, Influence sociale, Interaction sociale, Relation parent enfant, Statut socioéconomique, Adolescent, Homme, Femelle
Mots-clés Pascal anglais : Puerperium, Prediction, Choice, Levonorgestrel, Contraceptive, Progestagen, Ethnic group, Black American, Negroid, Comparative study, Caucasoid, Social influence, Social interaction, Parent child relation, Socioeconomic status, Adolescent, Human, Female
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0482220
Code Inist : 002B30A03B. Création : 03/02/1998.