Contraceptive use and sterilization among Puerto Rican women.

ABSTRACT

PIP: Researchers compared data from 1985 on 1998 15-49 year old Puerto Rican women living in the greater New York City area with data from 1982 on 3174 15-49 year old women living in Puerto Rico and with data from 1982 on 7969 15-44 year old women living in the US to examine their contraceptive practices. Women who were born in Puerto Rico and later lived in New York City had almost the same sterilization rate as those women still living in Puerto Rico (44.7% vs. 40.5%). On the other hand, about the same proportion of Puerto Rican women born and raised in New York City used reversible methods (42.1%), especially oral contraceptives (18.5%) and the IUD (11%). Only 18.5% of the US-born Puerto Rican women had undergone female sterilization which basically equalled that for all US women (18.7%). A higher proportion of Puerto Ricans in New York City used reversible methods than did those in Puerto Rico (21.7% vs. 15.7%), but not as high a proportion as all US women (36.8%). US-born Puerto Ricans did not accept reversible methods as early in the reproductive years as did all US women (42.2% vs. 58.4% for 15-24 year olds). Puerto Rican women, regardless of residence or place of birth, reported fewer male sterilizations and less condom use by their partners than all US women (0% male sterilizations for all Puerto Rican women in New York City, 4.6% for those in Puerto Rico vs. 10.8% and 2.8% of partners using condoms for island-born Puerto Ricans, 5.1% for US-born Puerto Ricans, and 4.4% for those in Puerto Rico vs. 9.8%). These findings on partner responsibility for contraception may reflect the cultural definition of women as rearers of children. The researchers hoped that the results of this descriptive study would motivate others to conduct further research to determine socioeconomic correlates of contraceptive practice and cultural and religious variables.