Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Racial/Ethnic Differences in Contraceptive Preferences

Am J Obstet Gynecol; ePub 2017 Jan 4; Callegari, et al

Contraceptive preferences, beliefs, and self-efficacy varied significantly by race and ethnicity among women veterans, which may help explain observed racial/ethnic disparities in contraceptive use and unintended pregnancy, a recent study found. Data were analyzed from the Examining Contraceptive Use and Unmet Need (ECUUN) study, which included a survey of women veterans aged 18 to 44 years. The 2,302 participants rated the importance of various contraceptive characteristics. Researchers found:

  • 52% of participants were non-Hispanic white, 29% non-Hispanic black, and 12% Hispanic.
  • In adjusted analysis, blacks had lower odds of considering contraceptive effectiveness extremely important compared to whites, and higher odds of considering “doesn’t contain any hormones” and “prevents sexually transmitted infections” extremely important.
  • Compared to whites, blacks and Hispanics had higher odds of expressing fatalistic beliefs about pregnancy, higher odds of viewing contraception as primarily a women’s responsibility, and lower odds of being very sure that they could use a contraceptive method as indicated over the course of a year.


Callegari LS, Zhao X, Schwarz EB, Rosenfield E, Mor MK, Borrero S. Racial/ethnic differences in contraceptive preferences, beliefs, and self-efficacy among women veterans. [Published online ahead of print January 4, 2017]. Am J Obstet Gynecol. doi:10.1016/j.ajog.2016.12.178.