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Differences in Contraceptive Method Discontinuation and Contraceptive Method Preferences by Disability Status.

Zoe H Pleasure1, Laura D Lindberg2

  • 1Department of Health Systems & Population Health, School of Public Health, University of Washington, Seattle, Washington.

Women'S Health Issues : Official Publication of the Jacobs Institute of Women'S Health
|August 8, 2025
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Summary

People with disabilities experience greater contraceptive dissatisfaction and unmet needs compared to those without disabilities. Tailored care is essential to address these reproductive health inequities.

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Area of Science:

  • Reproductive Health
  • Disability Studies
  • Public Health

Background:

  • Historical context of U.S. reproductive stratification and eugenics impacts contraceptive care for people with disabilities.
  • Documented sexual and reproductive health inequities exist between disabled and non-disabled individuals regarding family planning and contraceptive use.
  • Limited research exists on contraceptive discontinuation and dissatisfaction among people with disabilities.

Purpose of the Study:

  • To assess differences in contraceptive desires and experiences between disabled and non-disabled individuals.
  • To investigate disparities in contraceptive method choice and discontinuation due to dissatisfaction.

Main Methods:

  • Utilized data from the 2011-2019 National Survey of Family Growth, focusing on self-identified female respondents.
  • Examined demographic and sexual/reproductive health differences based on self-reported disability status.
  • Employed logistic regression models to analyze discontinuation due to dissatisfaction and cost-related method choice.

Main Results:

  • Disability status correlated with differences in reported fecundity and recent contraceptive method use.
  • Significantly higher rates of method discontinuation due to dissatisfaction were reported by disabled individuals.
  • Disabled individuals were more likely to desire a different contraceptive method if cost were not a barrier.

Conclusions:

  • Self-reported disabilities are linked to increased contraceptive method dissatisfaction and unmet preferences.
  • There is a critical need for person-centered clinical care that addresses the reproductive wants and needs of people with disabilities.
  • Addressing these inequities requires tailored approaches in contraceptive counseling and access.