Table 6. Adjusted odds of less effective or no contraceptive use, instead of more effective contraceptive use, by glycemic control of women with diabetes ages 24–32 in Add Health, Wave IV (N=381).
Less effective contraceptiona,b | No contraceptiona | Pc | |
---|---|---|---|
aOR (95% CI) | aOR (95% CI) | ||
Glycemic Control | .03 | ||
A1C < 6.5% | Ref | Ref | |
A1C ≥ 6.5% | 2.04 (0.79−5.29) | 0.62 (0.25−1.54) | |
Race/ethnicity | < .001 | ||
Non-Hispanic white | Ref | Ref | |
Non-Hispanic black | 1.76 (0.68−4.53) | 0.83 (0.35−1.93) | |
Hispanic | 2.85 (1.09− 7.49) | 0.22 (0.06−0.81) | |
Native American | d | d | |
Asian | d | d | |
Education | .58 | ||
College graduate or more | Ref | Ref | |
Some college or vocational school | 0.64 (0.26−1.62) | 1.57 (0.55−4.50) | |
High school graduate | 0.63 (0.19−2.11) | 1.75 (0.57−5.42) | |
Less than high school | 1.24 (0.26−5.79) | 1.09 (0.17−7.02) | |
Insurance | .13 | ||
Private insurance | Ref | Ref | |
Medicaid | 2.22 (0.84− 5.88) | 1.08 (0.28− 4.17) | |
No insurance | 2.39 (0.87−6.54) | 2.41 (0.98−5.95) | |
Access to Care | .56 | ||
Had access | Ref | Ref | |
Lacked access | 1.23 (0.57−2.62) | 0.8 (0.3−1.7) | |
BMI | .27 | ||
Normal/underweight | Ref | Ref | |
Overweight | 1.79 (0.58−5.53) | 2.69 (0.63−11.58) | |
Obese | 1.48 (0.49−4.51) | 3.80 (1.05−13.77) |
Abbreviations: aOR, adjusted odds ratio; CI, confidence interval.
The base outcome is more effective contraception use. More effective contraceptive methods are tubal ligation/sterilization; vasectomy; IUD (intrauterine device), coil, loop; emergency IUD insertion; Norplant; birth control pills; Patch (Ortho Evra); ring (NuvaRing); and shot (Depo-Provera). Outcome modeled with multinomial logit regression.
Less effective methods are condoms (rubbers); female condom; diaphragm, cap or shield; natural family planning (safe periods by temperature, cervical mucus test); rhythm or safe period by calendar; emergency contraception or “morning after” pill; withdrawal (pulling out); vaginal sponge; contraceptive film; and spermicide foam, jelly, creme, suppositories.
Adjusted Wald Test conducted.
Cell counts too small to report per Add Health guidelines.