P086Documentation status and contraceptive use among women in california

Abstract

<h3>Objectives</h3> Studies indicate that contraceptive use is low among immigrant women. Few studies examine the intersection of race and documentation status. This study assesses if contraceptive use and contraceptive type is linked to documentation status. <h3>Methods</h3> We analyzed data from a racially diverse sample of reproductive-aged women (n=6,417) from the 2017–2020 waves of the California Health Interview Survey, which is the largest state-level health survey. Bivariate and multivariate analyses were conducted to assess the relationships between documentation status, current contraceptive use, and type of method used (highly to moderately effective method use vs. less-effective method use). <h3>Results</h3> Contraceptive use was highest among US-born citizens (74%) and lowest among legal permanent residents (LPRs) (59%). Adjusted regression models indicated that LPRs had lower odds of contraceptive use compared to non-citizens without a green card (p<0.05). US-born and naturalized citizens also had greater odds of using a highly to moderately effective method of contraception over a less effective method compared to non-citizens without a green card (p<0.01). Documentation status and race had significant interaction effects on type of contraceptive method use, evidenced in lower odds of highly to moderately effective method use for Latina and non-Latina White US-born and naturalized citizens compared with Asian non-citizens without a green card. <h3>Conclusions</h3> Documentation status is associated with contraceptive care, but patterns differ for Latina, and non-Latina Asian and White women. Further research should examine mechanisms that underlie links between documentation status and contraceptive use.