Faculty Collaboration Database

Mortality among young black women using contraceptives. JAMA 1984 Feb 24;251(8):1044-8

Date

02/24/1984

Pubmed ID

6229648

Scopus ID

2-s2.0-84944372482 (requires institutional sign-in at Scopus site)   4 Citations

Abstract

Data on the risk of death associated with various contraceptive methods are incomplete. Therefore, we analyzed the mortality rates for young, black inner-city women who used one of four methods of contraception--oral contraceptives, depomedroxyprogesterone acetate, intrauterine (contraceptive) devices, and barrier methods. The subjects were 30,580 15- to 44-year-old women who enrolled at a family planning clinic between 1967 and 1972 and who were observed by monitoring death certificates through the end of 1977. Forty percent of the 218 deaths observed were from accidents and violence. Use of this family planning clinic greatly reduced the risk of death from childbearing; only two deaths were associated with pregnancy and childbirth, compared with the 24 deaths expected. Overall, users of the four methods died at similar, low rates. Given that this study involves considerable loss to follow-up, possible acute effects of contraceptives (eg, infections or thrombosis) are more accurately estimated than possible long-term effects (eg, cancer).

Author List

Ory HW, Rubin GL, Jones V, Wingo P, DeStefano F, Peterson H, Guidotti R, Layde PM, Levenson AG, Michelson M

MESH terms used to index this publication - Major topics in bold

Adolescent
Adult
Contraception
Contraceptives, Oral
Family Planning Services
Female
Georgia
Humans
Intrauterine Devices
Medroxyprogesterone
Medroxyprogesterone Acetate
Mortality
Neoplasms
Parity
Risk
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