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• W4387470151 abstract "Objectives Acculturation, the adaptation of beliefs or behaviors to a new culture, may influence immigrants’ engagement in family planning. Using California population data, we examined the association between acculturation level and contraceptive decision making. Methods We used California Health Interview Survey (2015–2020) weighted population data to explore the relationship between acculturation and contraceptive use. We defined acculturation using a published tool combining birthplace, US residency, and home language to designate respondents’ acculturation level: low (0–3) vs. high (4–5). Bivariate analyses examined associations between acculturation level and (1) healthcare engagement, (2) overall contraceptive use, and (3) contraceptive choice (p<0.05). Results Of pregnancy-capable people aged 18-45 (n=42,231,662), 31.0% had low and 69.0% high acculturation levels. Less acculturated people identified as 63.0% Latinx, 28.3% Asian, 1.0% Black, 6.8% White, and 0.45% multiracial; highly acculturated proportions were 38.4%, 11.0%, 7.0%, 38.3%, and 4.08%, respectively (p<0.01). Lower acculturation levels were associated with lower likelihood of an annual doctor’s visit (76.8% vs. 83.7%, p<0.01) and greater difficulty understanding their doctor due to language barriers (77.9% vs. 50.1%, p<0.01). While less acculturated people used contraception less overall (55.5% vs. 63.2%, p<0.01), they more commonly used female sterilization (17.9% vs. 9.2%, p<0.01) and condoms (34.4% vs. 28.4%, p<0.01). More acculturated people utilized hormonal methods: implant, OCPs, patch, and injection (40.4% vs. 30.7%, p<0.01). Conclusions Less acculturated Californians primarily choose non-hormonal contraception at opposite ends of the efficacy and invasiveness spectra, while more acculturated people use hormonal methods. Further analyses will determine if these observations are mediated by differential healthcare access vs. true preferences. Acculturation, the adaptation of beliefs or behaviors to a new culture, may influence immigrants’ engagement in family planning. Using California population data, we examined the association between acculturation level and contraceptive decision making. We used California Health Interview Survey (2015–2020) weighted population data to explore the relationship between acculturation and contraceptive use. We defined acculturation using a published tool combining birthplace, US residency, and home language to designate respondents’ acculturation level: low (0–3) vs. high (4–5). Bivariate analyses examined associations between acculturation level and (1) healthcare engagement, (2) overall contraceptive use, and (3) contraceptive choice (p<0.05). Of pregnancy-capable people aged 18-45 (n=42,231,662), 31.0% had low and 69.0% high acculturation levels. Less acculturated people identified as 63.0% Latinx, 28.3% Asian, 1.0% Black, 6.8% White, and 0.45% multiracial; highly acculturated proportions were 38.4%, 11.0%, 7.0%, 38.3%, and 4.08%, respectively (p<0.01). Lower acculturation levels were associated with lower likelihood of an annual doctor’s visit (76.8% vs. 83.7%, p<0.01) and greater difficulty understanding their doctor due to language barriers (77.9% vs. 50.1%, p<0.01). While less acculturated people used contraception less overall (55.5% vs. 63.2%, p<0.01), they more commonly used female sterilization (17.9% vs. 9.2%, p<0.01) and condoms (34.4% vs. 28.4%, p<0.01). More acculturated people utilized hormonal methods: implant, OCPs, patch, and injection (40.4% vs. 30.7%, p<0.01). Less acculturated Californians primarily choose non-hormonal contraception at opposite ends of the efficacy and invasiveness spectra, while more acculturated people use hormonal methods. Further analyses will determine if these observations are mediated by differential healthcare access vs. true preferences." @default.
• W4387470151 created "2023-10-10" @default.
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• W4387470151 date "2023-11-01" @default.
• W4387470151 modified "2023-10-11" @default.
• W4387470151 title "POPULATION-LEVEL VARIATIONS IN HORMONAL AND NON-HORMONAL CONTRACEPTIVE METHOD ADOPTION ASSOCIATED WITH ACCULTURATION" @default.
• W4387470151 doi "https://doi.org/10.1016/j.contraception.2023.110247" @default.
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