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Chronic Diseases and Use of Contraception

J Womens Health (Larchmt); ePub 2016 Jun 13; Phillips-Bell, et al

Among women at risk of unintended pregnancy, including those with chronic diseases, reported use of effective or highly effective contraception was higher than nonuse or use of less effective methods; however, contraceptive use could be improved, especially among women with chronic diseases. This according to a study of 4,473 women aged 18 to 44 years in the 2008-2010 Florida Behavioral Risk Factor Surveillance System at risk of unintended pregnancy. Researchers found:

• 87% of women were using any method of contraception (22.5% less effective methods and 64.5% effective/higher effective methods).

• Women with cardiovascular disease (CVD) were more likely than those without CVD to use any contraception (adjusted prevalence ratio=1.09), less effective (aPR=1.39), and effective/highly effective (aPR=1.10) contraception.

• Women with diabetes were more likely to use less effective methods vs women without diabetes (aPR=1.34).

• No significant associations were observed for asthma, regardless of contraceptive effectiveness.

Citation: Phillips-Bell GS, Sappenfield W, Robbins CL, Hernandez L. Chronic diseases and use of contraception among women at risk of unintended pregnancies. [Published online ahead of print June 13, 2016]. J Womens Health (Larchmt). doi:10.1089/jwh.2015.5576.