Correlates of Unmet Need for Modern Contraception Among Reproductive-Aged Women Involved in New York City Criminal Legal Systems
Introduction: The population of women involved in criminal legal systems (WICL), a majority of whom are reproductive-aged, has risen steadily in the United States. They contend with numerous barriers to sexual and reproductive health services resulting in high rates of unmet need for contraception a...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Mary Ann Liebert
2024-02-01
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| Series: | Women's Health Reports |
| Subjects: | |
| Online Access: | https://www.liebertpub.com/doi/full/10.1089/WHR.2023.0177 |
| _version_ | 1797304837964038144 |
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| author | Melissa N. Slavin Brooke S. West Deanna Schreiber-Gregory Frances R. Levin Gina Wingood Steve Martino Golfo Tzilos Wernette Chermaine Black Nabila El-Bassel |
| author_facet | Melissa N. Slavin Brooke S. West Deanna Schreiber-Gregory Frances R. Levin Gina Wingood Steve Martino Golfo Tzilos Wernette Chermaine Black Nabila El-Bassel |
| author_sort | Melissa N. Slavin |
| collection | DOAJ |
| description | Introduction: The population of women involved in criminal legal systems (WICL), a majority of whom are reproductive-aged, has risen steadily in the United States. They contend with numerous barriers to sexual and reproductive health services resulting in high rates of unmet need for contraception and unintended pregnancy.
Materials and Methods: This study included 132 non-pregnancy seeking reproductive-aged WICL enrolled in the baseline assessment of the HIV prevention intervention, ?Women on the Road to Health? (WORTH). A multivariate generalized linear logistic regression model with robust estimation examined effects of past 6-month intimate partner violence (IPV; sexual and physical/injurious), past 3-month substance use (binge drinking, cannabis, other illegal drug use), and lifetime mental health diagnoses (anxiety, depression, bipolar disorder) on women's unmet need for modern contraception, adjusting for significant demographic and socioeconomic factors.
Results: Women who were younger in age (odds ratio [OR]: 0.74; 95% confidence interval [CI]: 0.63?0.88) and reporting lifetime diagnoses of anxiety disorders (OR: 13.64; 95% CI: 2.71?68.34) were significantly more likely to meet the criteria for unmet need for modern contraception. Women with a regular gynecologist (OR: 0.11; 95% CI: 0.01?0.86) reporting lifetime diagnoses of bipolar disorder and past 6-month sexual IPV histories (OR: 0.04; 95% CI: 0.002?0.86) were significantly less likely to meet the criteria for unmet need for modern contraception.
Conclusions: Distinct mental health diagnoses and experiences of IPV may uniquely impact unmet need for modern contraception among WICL. These findings emphasize the need for a more nuanced comprehension of these relationships to deliver comprehensive and holistic health services that address the intersecting needs of this population.
Trial registration: ClinicalTrials.gov NCT01784809. Registered 6 February 2013. |
| first_indexed | 2024-03-08T00:16:10Z |
| format | Article |
| id | doaj.art-78fdd51dc7b04e7a8a8d5d34b9826bce |
| institution | Directory Open Access Journal |
| issn | 2688-4844 |
| language | English |
| last_indexed | 2024-03-08T00:16:10Z |
| publishDate | 2024-02-01 |
| publisher | Mary Ann Liebert |
| record_format | Article |
| series | Women's Health Reports |
| spelling | doaj.art-78fdd51dc7b04e7a8a8d5d34b9826bce2024-02-17T04:00:42ZengMary Ann LiebertWomen's Health Reports2688-48442024-02-015113214210.1089/WHR.2023.0177Correlates of Unmet Need for Modern Contraception Among Reproductive-Aged Women Involved in New York City Criminal Legal SystemsMelissa N. SlavinBrooke S. WestDeanna Schreiber-GregoryFrances R. LevinGina WingoodSteve MartinoGolfo Tzilos WernetteChermaine BlackNabila El-BasselIntroduction: The population of women involved in criminal legal systems (WICL), a majority of whom are reproductive-aged, has risen steadily in the United States. They contend with numerous barriers to sexual and reproductive health services resulting in high rates of unmet need for contraception and unintended pregnancy. Materials and Methods: This study included 132 non-pregnancy seeking reproductive-aged WICL enrolled in the baseline assessment of the HIV prevention intervention, ?Women on the Road to Health? (WORTH). A multivariate generalized linear logistic regression model with robust estimation examined effects of past 6-month intimate partner violence (IPV; sexual and physical/injurious), past 3-month substance use (binge drinking, cannabis, other illegal drug use), and lifetime mental health diagnoses (anxiety, depression, bipolar disorder) on women's unmet need for modern contraception, adjusting for significant demographic and socioeconomic factors. Results: Women who were younger in age (odds ratio [OR]: 0.74; 95% confidence interval [CI]: 0.63?0.88) and reporting lifetime diagnoses of anxiety disorders (OR: 13.64; 95% CI: 2.71?68.34) were significantly more likely to meet the criteria for unmet need for modern contraception. Women with a regular gynecologist (OR: 0.11; 95% CI: 0.01?0.86) reporting lifetime diagnoses of bipolar disorder and past 6-month sexual IPV histories (OR: 0.04; 95% CI: 0.002?0.86) were significantly less likely to meet the criteria for unmet need for modern contraception. Conclusions: Distinct mental health diagnoses and experiences of IPV may uniquely impact unmet need for modern contraception among WICL. These findings emphasize the need for a more nuanced comprehension of these relationships to deliver comprehensive and holistic health services that address the intersecting needs of this population. Trial registration: ClinicalTrials.gov NCT01784809. Registered 6 February 2013.https://www.liebertpub.com/doi/full/10.1089/WHR.2023.0177unmet needcontraceptionintimate partner violencesubstance usecriminal justicemental disorders |
| spellingShingle | Melissa N. Slavin Brooke S. West Deanna Schreiber-Gregory Frances R. Levin Gina Wingood Steve Martino Golfo Tzilos Wernette Chermaine Black Nabila El-Bassel Correlates of Unmet Need for Modern Contraception Among Reproductive-Aged Women Involved in New York City Criminal Legal Systems Women's Health Reports unmet need contraception intimate partner violence substance use criminal justice mental disorders |
| title | Correlates of Unmet Need for Modern Contraception Among Reproductive-Aged Women Involved in New York City Criminal Legal Systems |
| title_full | Correlates of Unmet Need for Modern Contraception Among Reproductive-Aged Women Involved in New York City Criminal Legal Systems |
| title_fullStr | Correlates of Unmet Need for Modern Contraception Among Reproductive-Aged Women Involved in New York City Criminal Legal Systems |
| title_full_unstemmed | Correlates of Unmet Need for Modern Contraception Among Reproductive-Aged Women Involved in New York City Criminal Legal Systems |
| title_short | Correlates of Unmet Need for Modern Contraception Among Reproductive-Aged Women Involved in New York City Criminal Legal Systems |
| title_sort | correlates of unmet need for modern contraception among reproductive aged women involved in new york city criminal legal systems |
| topic | unmet need contraception intimate partner violence substance use criminal justice mental disorders |
| url | https://www.liebertpub.com/doi/full/10.1089/WHR.2023.0177 |
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