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Objectives <p>To examine factors associated with a contraceptive preference-use match, defined as alignment between an individual’s stated contraceptive preference and actual use, in the USA, with a focus on disparities across demographic and socioeconomic groups.</p> Methods <p>The population-based study used the 2022 Behavioral Risk Factor Surveillance System (BRFSS). The key outcome was a match between contraceptive preference and actual use. Independent variables included demographic, socioeconomic, and health-related characteristics. Multivariable logistic regression was performed to investigate significant factors associated with contraceptive matches.</p> Results <p>Of a total of 12,154 participants, the most preferred contraceptive method was short-acting reversible contraception (SAC) (29.5%), followed by long-acting reversible contraception (LARC) (25.0%), permanent (19.1%), and other/barrier methods (17.4%). Approximately 81.0% of participants were contraceptive users, and the overall contraceptive preference-use match was 45.8%. LARC showed the highest match rate (49.0%), followed by other/barriers (46.7%), SAC (38.3%), and permanent methods (33.7%). While Black individuals had a higher match rate with permanent methods (OR 1.83), they had a lower match rate with LARC (OR 0.65) and SAC (OR 0.42). In contrast, participants aged 40–44&#xa0;years had 1.61 times greater odds of LARC matches. Individuals with higher education levels also showed a greater match than those with less than a high school diploma.</p> Conclusions <p>Findings highlight that racial/ethnic minorities and individuals with low socioeconomic status (SES) experience a lower preference-use match of LARC and SAC, while individuals with low SES show greater matches for other/barrier methods. Addressing these disparities may enhance reproductive autonomy and equitable access to contraceptives.</p>

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Racial/Ethnic and Socioeconomic Disparities of Contraceptive Preference-Use Match in the United States

  • 期刊论文

  • 发表日期：

    2025年10月3日

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  • Jusung Lee,
  • Krista J. Howard,
  • Amanda M. Ryan,
  • Ria Jain,
  • Hafsa B. Imran,
  • Jeffrey T. Howard

摘要

Objectives

To examine factors associated with a contraceptive preference-use match, defined as alignment between an individual’s stated contraceptive preference and actual use, in the USA, with a focus on disparities across demographic and socioeconomic groups.

Methods

The population-based study used the 2022 Behavioral Risk Factor Surveillance System (BRFSS). The key outcome was a match between contraceptive preference and actual use. Independent variables included demographic, socioeconomic, and health-related characteristics. Multivariable logistic regression was performed to investigate significant factors associated with contraceptive matches.

Results

Of a total of 12,154 participants, the most preferred contraceptive method was short-acting reversible contraception (SAC) (29.5%), followed by long-acting reversible contraception (LARC) (25.0%), permanent (19.1%), and other/barrier methods (17.4%). Approximately 81.0% of participants were contraceptive users, and the overall contraceptive preference-use match was 45.8%. LARC showed the highest match rate (49.0%), followed by other/barriers (46.7%), SAC (38.3%), and permanent methods (33.7%). While Black individuals had a higher match rate with permanent methods (OR 1.83), they had a lower match rate with LARC (OR 0.65) and SAC (OR 0.42). In contrast, participants aged 40–44 years had 1.61 times greater odds of LARC matches. Individuals with higher education levels also showed a greater match than those with less than a high school diploma.

Conclusions

Findings highlight that racial/ethnic minorities and individuals with low socioeconomic status (SES) experience a lower preference-use match of LARC and SAC, while individuals with low SES show greater matches for other/barrier methods. Addressing these disparities may enhance reproductive autonomy and equitable access to contraceptives.