Peri-abortion contraceptive use in the French islands of Guadeloupe and la Réunion: Variation in the management of post-abortion care

Caroline Moreau, James Trussell, Julie Desfreres, Nathalie Bajos

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives The abortion rate varies greatly within the French overseas territories including the Caribbean island of Guadeloupe and La Réunion in the Indian Ocean. We compare women's contraceptive paths surrounding an abortion in both territories. Methods The data for this study are part of a nationally representative survey of women undergoing abortion in France in 2007. The analysis included 1211women from Guadeloupe and 1531 from La Réunion. Results Results show differences in women's use of contraception before the abortion by study location. Women in Guadeloupe were more likely not to have used contraception in the month they conceived (40% vs. 32%, p<0.0001). Among those using no contraception or less effective contraception before the abortion, 74% in Guadeloupe and 86% in La Réunion received a prescription for a very effective method such as a hormonal method or intrauterine device after the procedure. In both settings, women with no health insurance or a government health plan were 70% less likely to have received a prescription for a very effective method. Conclusions While this study shows a significant increase in the prescription of very effective methods, it also indicates the ineffectiveness of the health care system in closing the gap in the pre-abortion contraceptive disparities observed between Guadeloupe and La Réunion.

Original languageEnglish (US)
Pages (from-to)186-196
Number of pages11
JournalEuropean Journal of Contraception and Reproductive Health Care
Volume15
Issue number3
DOIs
StatePublished - Jun 2010
Externally publishedYes

Keywords

  • Contraception
  • Contraceptive failure
  • France
  • Guadeloupe
  • La Réunion
  • Nationally representative survey
  • Post abortion care

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology
  • Pharmacology (medical)

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