Lupus & antiphospholipid syndrome
Disparities and Reproductive Health in Rheumatic Diseases: Deficits in Counseling and Contraception Use in an Urban Female Hispanic Population in Los Angeles
Main finding · Contraception counseling receivedResult — go to the resultOdds ratio 3.36 95% CI 1.52–7.40Authors' conclusion
Reproductive health counseling was inadequate for Spanish-speaking and older patients. However, reproductive health counseling was positively associated with effective contraception use among patients on teratogenic medications.
Study context
- Population
- Female patients of childbearing age with systemic lupus erythematosus (SLE), rheumatoid arthritis (RA) or juvenile idiopathic arthritis (JIA) in a predominantly Hispanic population, urban Los Angeles
- Participants
- 304 patients
- Exposure
- Reproductive health counseling and contraceptive use by demographics and teratogenic medication use
- Outcome
- Receipt of contraception counseling
Methodological detailsanonymous survey, multivariable logistic regression
- Anonymous survey
- Multivariable logistic regression
Main finding
Contraception counseling received
Odds ratio
3.36
95% CI 1.52–7.40
P < 0.01
English speakersvs Spanish speakers
OR 3.36 (95% CI 1.52–7.40); P < 0.01
As reported in the abstract
- Older age associated with lower odds of receiving counseling
- 0.95 (OR 0.95; 95% CI 0.91-0.98; P = 0.01)
Observational data: associations, not effects.
Further findings
| Outcome | OR (95% CI) | P value | |
|---|---|---|---|
| Long-acting reversible contraception use withvs without counseling, among those on teratogenic medications not desiring pregnancy | 5.12 (1.26–20.71) | P = 0.02 | |
| 0.050.21520Odds ratio (log scale) |
Perceiving physician as knowledgeable about reproductive health
- Higher odds in younger patients, those with SLE (vs RA or JIA), and English speakers
- all P < 0.05
Original publication
Disparities and Reproductive Health in Rheumatic Diseases: Deficits in Counseling and Contraception Use in an Urban Female Hispanic Population in Los Angeles. Arthritis Care Res (Hoboken). Published 1 January 2026. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →