IDEAS home Printed from https://ideas.repec.org/a/dem/demres/v43y2020i35.html
   My bibliography  Save this article

Reconsidering (in)equality in the use of IUDs in the United States: A closer look across the reproductive life course

Author

Listed:
  • Megan Sweeney

    (University of California, Los Angeles)

  • Mieke Eeckhaut

    (University of Delaware)

  • Jessica D. Gipson

    (University of California, Los Angeles)

Abstract

Background: Long-acting reversible contraceptives (LARCs), such as the intrauterine device (IUD), have received increased attention for their contraceptive effectiveness and reversibility. Although demographers have long acknowledged the importance of parity and childbearing intentions for contraceptive choice, we know little about how contraceptive use varies across the reproductive life course. Objective: Guided by the expectation that contraceptive method characteristics (e.g., reversibility, effectiveness) contribute to method choice ‒ and that the salience of method characteristics vary by reproductive life stage and education ‒ we investigate variability in IUD use patterns. Methods: We use 2008–2010 and 2011–2013 National Survey of Family Growth data to compare women’s IUD-use patterns across educational groups and at three reproductive life stages: before a first birth occurs (“starters”), between births (“spacers”), and after planned childbearing ends altogether (“limiters”). Results: IUD use is more common among spacers than among starters or limiters. Moreover, IUD use is associated with educational advantage among starters and limiters, but not among spacers. Educational differences in IUD use among starters and limiters persist when demographic background characteristics are controlled. Conclusions: Our understanding of variability in IUD use changes considerably when viewing educational gradients through the lens of the reproductive life course. Contribution: We shed new light on variability in IUD use across the reproductive life course. To best support women’s contraceptive preferences, it is important to consider the ways in which structural determinants (e.g., education, reproductive health policies and programs) shape women’s contraceptive choices at various stages of the reproductive life course.

Suggested Citation

  • Megan Sweeney & Mieke Eeckhaut & Jessica D. Gipson, 2020. "Reconsidering (in)equality in the use of IUDs in the United States: A closer look across the reproductive life course," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 43(35), pages 1049-1066.
    • Handle: RePEc:dem:demres:v:43:y:2020:i:35
    DOI: 10.4054/DemRes.2020.43.35
    as

    Download full text from publisher

    File URL: https://www.demographic-research.org/volumes/vol43/35/43-35.pdf
    Download Restriction: no
    File URL: https://libkey.io/10.4054/DemRes.2020.43.35?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Ronald Rindfuss & S. Morgan & Kate Offutt, 1996. "Education and the changing age pattern of American fertility: 1963–1989," Demography, Springer;Population Association of America (PAA), vol. 33(3), pages 277-290, August.
    2. Adeline Delavande, 2008. "Pill, Patch, Or Shot? Subjective Expectations And Birth Control Choice," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 49(3), pages 999-1042, August.
    3. Krystale Littlejohn, 2012. "Hormonal Contraceptive Use and Discontinuation Because of Dissatisfaction: Differences by Race and Education," Demography, Springer;Population Association of America (PAA), vol. 49(4), pages 1433-1452, November.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Mieke C. W. Eeckhaut, 2022. "Can LARC Fulfill Its Potential to Reduce U.S. Women’s Unintended Pregnancy Risk? Examining Women’s Contraception and Childbearing in the Year Before Initiating LARC," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 41(3), pages 789-799, June.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Stevens, Lindsay M., 2018. "“We have to be mythbusters”: Clinician attitudes about the legitimacy of patient concerns and dissatisfaction with contraception," Social Science & Medicine, Elsevier, vol. 212(C), pages 145-152.
    2. Marco Costanigro & Yuko Onozaka, 2020. "A Belief‐Preference Model of Choice for Experience and Credence Goods," Journal of Agricultural Economics, Wiley Blackwell, vol. 71(1), pages 70-95, February.
    3. Yasamin Kusunoki & Jennifer S. Barber, 2020. "The Dynamics of Intimate Relationships and Contraceptive Use During Early Emerging Adulthood," Demography, Springer;Population Association of America (PAA), vol. 57(6), pages 2003-2034, December.
    4. Basit Zafar, 2011. "How Do College Students Form Expectations?," Journal of Labor Economics, University of Chicago Press, vol. 29(2), pages 301-348.
    5. Brienna Perelli-Harris, 2008. "Ukraine: On the border between old and new in uncertain times," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 19(29), pages 1145-1178.
    6. Boneva, Teodora & Golin, Marta & Rauh, Christopher, 2022. "Can perceived returns explain enrollment gaps in postgraduate education?," Labour Economics, Elsevier, vol. 77(C).
    7. Sunde, Uwe & Cervellati, Matteo, 2007. "Human Capital, Mortality and Fertility: A Unified Theory of the Economic and Demographic Transition," CEPR Discussion Papers 6384, C.E.P.R. Discussion Papers.
    8. Nicoletta Balbo & Francesco C. Billari & Melinda Mills, 2013. "Fertility in Advanced Societies: A Review of Research," European Journal of Population, Springer;European Association for Population Studies, vol. 29(1), pages 1-38, February.
    9. Conti, G.; & Giustinelli, P.;, 2022. "For Better or Worse? Subjective Expectations and Cost-Benefit Trade-Offs in Health Behavior: An Application to Lockdown Compliance in the United Kingdom," Health, Econometrics and Data Group (HEDG) Working Papers 22/14, HEDG, c/o Department of Economics, University of York.
    10. Xi Song & Robert D. Mare, 2019. "Shared Lifetimes, Multigenerational Exposure, and Educational Mobility," Demography, Springer;Population Association of America (PAA), vol. 56(3), pages 891-916, June.
    11. Adam Isen & Betsey Stevenson, 2010. "Women's Education and Family Behavior: Trends in Marriage, Divorce and Fertility," NBER Chapters, in: Demography and the Economy, pages 107-140, National Bureau of Economic Research, Inc.
    12. Liat Raz-Yurovich, 2012. "Normative and allocation role strain: role incompatibility, outsourcing, and the transition to a second birth in Eastern and Western Germany," MPIDR Working Papers WP-2012-024, Max Planck Institute for Demographic Research, Rostock, Germany.
    13. Alexandra Tragaki & Christos Bagavos, 2014. "Male fertility in Greece," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 31(6), pages 137-160.
    14. Michaela Kreyenfeld, 2004. "Fertility Decisions in the FRG and GDR: An Analysis with Data from the German Fertility and Family Survey," Demographic Research Special Collections, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 3(11), pages 275-318.
    15. Almudena Sevilla & Jose Gimenez-Nadal & Jonathan Gershuny, 2012. "Leisure Inequality in the United States: 1965–2003," Demography, Springer;Population Association of America (PAA), vol. 49(3), pages 939-964, August.
    16. Arcidiacono, Peter & Hotz, V. Joseph & Kang, Songman, 2012. "Modeling college major choices using elicited measures of expectations and counterfactuals," Journal of Econometrics, Elsevier, vol. 166(1), pages 3-16.
    17. Seongsoo Choi, 2018. "Fewer mothers with more colleges? The impacts of expansion in higher education on first marriage and first childbirth," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 39(20), pages 593-634.
    18. de Bresser, Jochem, 2021. "Evaluating the Accuracy of Counterfactuals The Role of Heterogeneous Expectations in Life Cycle Models," Other publications TiSEM a7e2b4d8-fed0-4e86-926f-d, Tilburg University, School of Economics and Management.
    19. Pamela Giustinelli, 2016. "Group Decision Making With Uncertain Outcomes: Unpacking Child–Parent Choice Of The High School Track," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 57(2), pages 573-602, May.
    20. Asher A. Blass & Saul Lach & Charles F. Manski, 2010. "Using Elicited Choice Probabilities To Estimate Random Utility Models: Preferences For Electricity Reliability," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 51(2), pages 421-440, May.

    More about this item

    Keywords

    contraceptive intention; inequality; pregnancy intentions; pregnancy; United States of America;
    All these keywords.

    JEL classification:

    • J1 - Labor and Demographic Economics - - Demographic Economics
    • Z0 - Other Special Topics - - General

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:dem:demres:v:43:y:2020:i:35. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Editorial Office (email available below). General contact details of provider: https://www.demogr.mpg.de/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.