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Ethnic variations in sexual activity and contraceptive use: national cross-sectional survey

Saxena, S; Copas, AJ; Mercer, C; Johnson, AM; Fenton, K; Eren, B; Nanchahal, K; ... Wellings, K; + view all (2006) Ethnic variations in sexual activity and contraceptive use: national cross-sectional survey. CONTRACEPTION , 74 (3) 224 - 233. 10.1016/j.contraception.2006.03.025.

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Abstract

Objectives: Our objective was to compare data on contraceptive use in relation to reported sexual activity in women from different minority ethnic groups.Design: We analyzed the National Survey of Sexual Attitudes and Lifestyles 2000.Subjects: Women aged 16-44 years, numbering 6932 and residing in Britain, participated in this study.Main Outcome Measures: Our main outcome measures are as follows: percentage of women reporting sexual activity, use of contraception and type of contraception (hormonal, barrier or permanent methods).Results: Overall, fewer women from the LTK's four main ethnic minority groups reported recent sexual activity, compared with white women. Among sexually active women, contraceptive use was significantly lower in all ethnic minority groups than in white women, but this pattern differed according to marital status. In ever-married or cohabiting women, lower contraceptive use was reported by Indian (78%) and Pakistani women (74%) than by other groups. Among single women, black Caribbean (88%) and black African (82%) women reported using less contraception compared with white (95%) and Indian (100%) women. Women from all ethnic minority groups were less likely than white women to report using hormonal contraception and permanent methods and were more likely to use barrier methods. The differences between ethnic groups remained significant after adjusting for educational achievement and parity. Deprivation and acculturation did not account for the use of contraception or the type of contraceptive method used.Conclusion: Sexually active married Pakistani and Indian women reported the lowest overall use of contraception. Among sexually active single women, black African and black Caribbean women reported levels of contraceptive use that were lower than those reported by white women. Sexually active women from all four minority ethnic groups were less likely than white women to use reliable methods of contraception. (c) 2006 Elsevier Inc. All rights reserved.

Type: Article
Title: Ethnic variations in sexual activity and contraceptive use: national cross-sectional survey
DOI: 10.1016/j.contraception.2006.03.025
Keywords: ethnic groups, sexual behavior, contraception, Indian, Pakistani, black African, black Caribbean, GENERAL PRACTICES, LIFE-STYLE, BEHAVIORS, BRITAIN, LONDON, RISK
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute for Global Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute for Global Health > Infection and Population Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health > Primary Care and Population Health
URI: http://discovery.ucl.ac.uk/id/eprint/178523
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