Online Program

Perceived discrimination, medical mistrust and use of contraception among young Latino men and women

Monday, November 2, 2015

Meredith Manze, PhD, MPH, Community Health and Social Sciences, City University of New York Graduate School of Public Health and Health Policy, New York, NY
S. Marie Harvey, DrPH, MPH, College of Public Health and Human Sciences, Oregon State University, Corvallis, OR
Daniel López-Cevallos, PhD, MPH, Center for Latino/a Studies and Engagement, Oregon State University, Corvallis, OR
Background: Preliminary research suggests that perceived discrimination among African American women is associated with lower use of prescribed contraceptive methods.  Little is known, however, about how perceived discrimination among Latinos may influence use of contraception.

Objectives: We aim to assess the association between perceived discrimination and medical mistrust with use of different contraceptive methods among young, rural Latinos.

Methods:   Cross-sectional survey-based interviews were conducted with 220 Latino men and women, aged 18-25 living in rural Oregon.  The Andersen model of health care utilization served as the theoretical framework for this study.  Bivariable tests and multinomial ordered logistic regression models were used to explore the relationship between general perceived discrimination, medical mistrust, and type of contraceptive method used (prescribed vs. non-prescribed or none). Multivariate models accounted for sociodemographic characteristics, acculturation, health beliefs, insurance and relationship dynamics related to contraception.

Results: Preliminary analyses suggest that perceived discrimination and medical mistrust were not significantly associated with type of birth control method. In turn, type of payment method (paying on one’s own) for birth control and related services was significantly associated with lower odds of using a prescribed method, whereas increased partner power in the relationship was significantly associated with higher odds of using prescribed methods.

Conclusions: Preliminary findings suggest that perceived discrimination and medical mistrust were not associated with type of contraceptive method used among young, rural Latino men and women.

Learning Areas:

Public health or related research
Social and behavioral sciences

Learning Objectives:
Describe the association between perceived discrimination among young Latino men and women with type of contraceptive use.

Keyword(s): Contraception, Minority Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I hold a PhD in Public Health and am an Assistant Professor at the School of Urban Public Health at Hunter College in the CUNY School of Public Health. Furthermore, I have several years of experience conducting both qualitative and quantitative research on racial/ethnic disparities, sexual health and family planning.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 3217.0: Contraception