Assessment of Contraceptive Use in Puerto Rico during the 2016 Zika Virus Outbreak

Details

• Alternative Title:
  Contraception
• Personal Author:
  Ellington, Sascha R ; Rodriguez, Ruby Serrano ; Goldberg, Howard ; Bertolli, Jeanne ; Simeone, Regina ; Mercado, Amilcar Soto ; Pazol, Karen ; Jamieson, Denise J. ; Honein, Margaret A. ; Swartzendruber, Andrea ; Miles, Toni ; Cordero, Jose ; Shapiro-Mendoza, Carrie
• Description:
  Objectives
  
  The objectives of this analysis were to 1) estimate prevalence of contraceptive use among women at risk for unintended pregnancy and 2) identify correlates of contraceptive use among women with ongoing or potential need for contraceptive services in Puerto Rico during the 2016 Zika virus (ZIKV) outbreak.
  
  Study Design
  
  We conducted a cell-phone survey July–November, 2016. Women aged 18–49 years living in Puerto Rico were eligible. We completed 3,059 interviews; the overall response rate was 69.2%. After weighting, the data provide population-based estimates. For this analysis, we included women at risk for unintended pregnancy, and assessed ongoing or potential need for contraceptive services in this group, excluding women using permanent contraceptive methods.
  
  Results
  
  Most women reported using contraception (82.8%), and use increased with age. Female sterilization and male condoms were most frequently reported (40.8% and 17.1%, respectively). Among women with ongoing or potential need for contraceptive services, 24.7% talked to a healthcare provider about ZIKV, and 31.2% reported a change in childbearing intentions due to ZIKV. Most women were at least a little worried about getting infected with ZIKV (74.3%) or having a baby with a birth defect (80.9%). Being very worried about getting infected with ZIKV and already having Zika were significantly associated with use of any contraception (adjusted prevalence ratio: 1.19, 95% CI: 1.03–1.38 and 1.32, 95% CI: 1.01–1.72, respectively).
  
  Conclusions
  
  These findings underscore the need for regular contraceptive prevalence studies to inform programs about contraceptive needs, especially during public health emergencies.
  
  Implications:
  
  When the 2016 Zika virus outbreak began in Puerto Rico there were no recent population-based data available on contraceptive prevalence. To fill this information gap, we conducted a population-based survey. Our findings provided baseline contraceptive prevalence estimates to support response planning and allocation of health resources.
  
  
• Subjects:
  Adolescent Adult Article Congenital Abnormalities Contraception Disease Outbreaks Family Planning Services Female Health Services Accessibility Humans Infant, Newborn Male Middle Aged Pregnancy Pregnancy, Unplanned Puerto Rico Young Adult Zika Virus Infection

  More +
• Source:
  Contraception. 101(6):405-411
• Pubmed ID:
  32194040
• Pubmed Central ID:
  PMC8530539
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Volume:
  101
• Issue:
  6
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:04abaf73f00a69d06f0a0e2ec2ae3a8a3dc488da7ef39254c8142bdad6385053544b0c64da92ec372de786597edf8347f5d8ee4455857a17803f6ac9f2c41dc5
• Download URL:
  https://stacks.cdc.gov/view/cdc/110943/cdc_110943_DS1.pdf
• File Type:
  [PDF - 140.30 KB ]