Abstract：
OBJECTIVES:As obesity may affect the efficacy of some contraceptives, we examined weight, body mass index (BMI) and prevalence of obesity among female contraceptive clients at 231 U.S. health centers. A secondary aim was to analyze differences in contraceptive method use by obesity status. STUDY DESIGN:Cross-sectional study using de-identified electronic health record data from family planning centers. We analyzed contraceptive visits made by 147,336 females aged 15-44 years in 2013. RESULTS:A total of 46.1% of clients had BMI ≥25. Mean body weight was 154.4 lb (S.D.=41.9); mean BMI was 26.1 (S.D.=6.6). A total of 40% had BMI ≥26, when levonorgestrel emergency contraception may become less effective. Obese clients had higher odds of using a tier 1 or tier 3 contraceptive method and had lower odds of using a tier 2 or hormonal method than non-obese clients. CONCLUSIONS:About half of contraceptive clients would be categorized as overweight or obese. Contraceptive method choices differed by obesity status. IMPLICATIONS:About half of contraceptive clients in this study population were overweight or obese. Contraceptive method choices differed by obesity status. All women - regardless of body size - should receive unbiased, evidence-based counseling on the full range of contraceptive options so that they can make informed choices.
journal_name
Contraceptionjournal_title
Contraceptionauthors
Kohn JE,Lopez PM,Simons HRdoi
10.1016/j.contraception.2015.02.006subject
Has Abstractpub_date
2015-06-01 00:00:00pages
470-3issue
6eissn
0010-7824issn
1879-0518pii
S0010-7824(15)00073-6journal_volume
91pub_type
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