Contraception Family Planning Use and Attitudes

Family Planning, Natural Family Planning, and Abortion Use among U.S. Hispanic Women: Analysis of Data from Cycle 7 of the National Survey of Family Growth

Rodriguez D, Fehring RJ

Published May 2012 The Linacre Quarterly, 79(2), 192-207
DOI 10.1179/002436312803571429 PMID 30082968 PMC PMC6026973

RRM Academy Synopsis

Catholic Hispanic women report less recent abortion and more NFP use

Sexually active Catholic Hispanic women reported less recent abortion and more natural family planning use than non-Catholic Hispanic women, in a U.S. survey of 1,613 Hispanic and 5,743 non-Hispanic women. About 2 out of 3 of the Catholic Hispanic women had still ever used the Pill.

Ever used natural family planning: Catholic Hispanic women, 4.6 in 100; Non-Catholic Hispanic women, 1.9 in 100
Ever used natural family planning: Catholic Hispanic women, 4.6 in 100; Non-Catholic Hispanic women, 1.9 in 100. Source: Rodriguez D et al., 2012, PMID 30082968.
Study at a glance: Catholic Hispanic women reported less recent abortion and more NFP use
Study at a glance: Catholic Hispanic women reported less recent abortion and more NFP use. Source: Rodriguez D et al., 2012, PMID 30082968.

Key Findings

  • Among sexually active Catholic Hispanic women, 0.4% reported an abortion in the past 12 months, against 2.8% of non-Catholic Hispanic women (odds ratio 0.172, 95% CI 0.058–.515).
  • Ever use of natural family planning (NFP) was 4.6% among Catholic Hispanic women and 1.9% among non-Catholic Hispanic women (odds ratio 2.37, 95% CI 1.23–4.59).
  • Hispanic and non-Hispanic women reported similar abortion in the past 12 months: 1.5% and 1.3% (odds ratio 1.19, 95% CI 0.723–1.96).
  • Hispanic women had lower odds of ever using the Pill (60.6% against 73.3%; odds ratio 0.561, 95% CI 0.500–0.630) and higher odds of ever using the IUD (6.3% against 3.5%).
  • Among sexually active Catholic Hispanic women, ever use was 20.9% for surgical sterilization, 80.4% for the male condom, 66.0% for the Pill and 29.8% for Depo-Provera.

Interpretation

This study examined survey answers from a national survey of U.S. women, comparing groups at one point in time. The authors note that women may not report abortion accurately on this kind of survey. They found that Catholic faith is linked with family planning and abortion choices. The findings support larger studies of these patterns in other religious and cultural groups.

RRM Context

Restorative reproductive medicine reads a charted cycle as a clinical record of ovulation. That record matters beyond family planning. The authors cite a separate survey. In it, most nurse-midwives said they felt unprepared to teach fertility awareness methods. The authors argue that medical and midwifery training should cover these methods better.

Abstract

Hispanics are the largest minority group in the U.S. and they contribute to over 50 percent of Catholics under the age of 25. The purpose of this study was to determine the patterns of contraceptive use (current and ever), natural family planning (NFP), and abortion among U.S. Hispanic women between the ages of 15 and 44 years and to compare their patterns of use to non-Hispanic women of the same age range. A particular interest was to determine the influence of faith on the choice of family-planning methods among the sexually active U.S. Catholic Hispanic women. Data for this study came from the National Survey of Family Growth 2006-2008, which included 1,613 Hispanic and 5,743 non-Hispanic women between the ages of 15 and 44. Approximately 57 percent of the Hispanic women are Catholic. In general, U.S. Hispanic women had significantly less frequent use of the hormonal pill, male condom, withdrawal, and vasectomy (of male partner) but more frequent use of the IUD and Depo-Provera compared to non-Hispanic women. There was little use of NFP and no difference in the frequency of reported abortion. Catholic Hispanic women had significantly less frequent use of the male condom, the Pill, vasectomy, and abortion and more use of NFP compared to non-Catholic Hispanic women. Although there is some positive influence of faith among the sexually active Hispanic women of reproductive age, overall, the amount of ever use of sterilization (21 percent), condom use (80 percent), Pill use (66 percent), and Depo-Provera (30 percent) is remarkable. The more frequent use of Depo-Provera and the IUD might reflect the economic level of the participants and the use of federally funded family-planning services.

Topics

By this author

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Contraception › Family Planning Use and Attitudes › Method Use and Prevalence · Ethics and Policy › Reproductive Ethics › Conscience Protections
Dana Rodriguez, Richard J Fehring
D Rodriguez, Rick Fehring, Dick Fehring, Rich Fehring, R Fehring
PMID 30082968 30082968 DOI 10.1179/002436312803571429 10.1179/002436312803571429 Rodriguez et al. 2012, Rodriguez 2012