Latina contraceptive decision-making and use: The importance of provider communication and shared decision-making for patient-centered care.
Diana N Carvajal, Elena Klyushnenkova, Beth Barnet
PMID 33722428WHAT IT FOUND
Contraceptive counseling mattered differently by age: older Latinas who used methods consistently reported better provider communication, while younger Latinas associated consistent use with preference discussion and avoiding race/ethnicity-based judgement.
Key findings
01Among participants aged 21 or older, consistent contraceptive users had a median communication score of 76 on a 100-point scale, while inconsistent users and non-users had a median score of 62 (p = 0.042).
02For participants younger than 21, communication score was not significantly associated with consistent use (p = 0.474), but provider avoidance of race/ethnicity-based judgement was significantly associated with consistent use (p = 0.028).
03For participants younger than 21, valuing discussion of contraceptive preferences showed a trend toward consistent use (p = 0.052), and these preference and judgement items were not significant for participants aged 21 or older.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This survey reports associations only, so it cannot show that provider communication or shared decision-making caused consistent contraceptive use. The sample was 103 Latinas recruited from two Baltimore health centers, including participants from Mexico and Central America, so results may not apply to other Latinx populations. Participants self-selected, and non-users who did not want to avoid pregnancy were excluded. The shared decision-making questions measured importance of ideas, not whether shared decision-making actually occurred during counseling. The study did not specifically include transgender, gender non-binary, or gender non-conforming folks.
The easy way to misread this
Do not conclude that better communication or shared decision-making caused consistent contraceptive use. This was a survey of associations, and the shared decision-making items measured what participants valued, not what providers actually did.