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Contraception Use among Women of Childbearing Age in Southern Israel: A Comparison Between Two Ethnic Populations

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Journal of Racial and Ethnic Health Disparities Aims and scope Submit manuscript

Abstract

Purpose

Two populations with different socio-demographic characteristics reside in southern Israel: the traditional Muslim Bedouin population and the Jewish population that leads a western lifestyle. The aim of the study was to assess the rate, pattern, and dynamics of the use of contraception in these two ethnic populations from 2006 to 2016 and to identify factors associated with the practice of effective and safe contraception.

Methods

A retrospective study based on a computerized medical database. We recorded actual purchases of different forms of contraception by women of childbearing age (15–49 years) from the two populations in the southern Negev region of Israel.

Results

Contraceptives were purchased by 7588 Bedouin women and 30,482 Jewish women. The rate of purchase ranged from 5.2 to 9.7% in the Bedouin sector and from 12.9 to 28.2% in the Jewish sector. Oral contraceptives were the most common type. In the Jewish sector, their use remained relatively stable over the years. In the Bedouin sector, in contrast, the rate increased. The only factor that was associated with the use of intrauterine devices was age (OR = 1.063, P < 0.001). Among women who used combined hormonal contraception, Jewish ethnicity (OR = 5.835, P < 0.001), age (OR = 0.926, P < 0.001), and comorbidity (OR = 0.87, P = 0.001) were associated with the use of newer, low-dose estrogen drugs.

Conclusions

Our findings, such as the lower rate of contraception practice in the Bedouin sector in general and the use of the new and safer hormonal contraceptives in particular, can help focus the efforts of medical teams in programs for women’s health promotion.

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Data Statement

The data set is available as an Excel worksheet at the Siaal Research Center for Family Practice and Primary Care, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

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Authors and Affiliations

  1. Department of Family Medicine and Siaal Research Center for Family Practice and Primary Care, Faculty of Health Sciences, Ben-Gurion University of the Negev, POB 653, 84105, Beer-Sheva, Israel

    Yulia Treister-Goltzman, Tamar Freud & Roni Peleg

  2. Clalit Health Services, Beer-Sheva, Southern District, Israel

    Yulia Treister-Goltzman & Roni Peleg

Authors
  1. Yulia Treister-Goltzman
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  2. Tamar Freud
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  3. Roni Peleg
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Contributions

Yulia Treister-Goltzman and Roni Peleg developed the protocol/project. Yulia Treister-Goltzman and Tamar Freud contributed to the data management. All authors analyzed the data. Yulia Treister-Goltzman and Roni Peleg wrote the manuscript’s draft. All authors edited the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Yulia Treister-Goltzman.

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Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee Meir Medical Center for community-based studies at Clalit Health Services (# 0053-17-COM-1) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

The study was exempted by the ethics committee from signing informed consent forms.

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Treister-Goltzman, Y., Freud, T. & Peleg, R. Contraception Use among Women of Childbearing Age in Southern Israel: A Comparison Between Two Ethnic Populations. J. Racial and Ethnic Health Disparities 8, 630–637 (2021). https://doi.org/10.1007/s40615-020-00822-7

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  • DOI: https://doi.org/10.1007/s40615-020-00822-7

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