Abstract: PO2592
Contraceptive Use Among Women with Kidney Transplants in the United States
Session Information
- Women's Health and Kidney Diseases
October 22, 2020 | Location: On-Demand
Abstract Time: 10:00 AM - 12:00 PM
Category: Women’s Health and Kidney Diseases
- 2000 Women’s Health and Kidney Diseases
Authors
- Shah, Silvi, University of Cincinnati, Cincinnati, Ohio, United States
- Harrison, Kathleen, University of Cincinnati, Cincinnati, Ohio, United States
- Christianson, Annette, University of Cincinnati, Cincinnati, Ohio, United States
Background
Kidney transplant improves reproductive function in women with end-stage kidney disease (ESKD). Little is known about contraceptive use in women with history of kidney transplants.
Methods
Using the United States Renal Data System (2005-2014), we evaluated for each calendar year women with kidney transplantation who were aged 15-44 years with Medicare as the primary payer and linked data from the United Network for Organ Sharing, for up to three entire years after the date of transplantation. We determined rates of contraceptive use and used multivariable logistic regression to identify factors associated with contraceptive use.
Results
The study cohort included 13,150 women and represented 26,624 person-years (PY). The rate of contraceptive use in women with kidney transplant was 9.5% of person-years. Figure 1 shows the rates of types of contraceptive use from 2005-2013. Compared to women aged 15–24 years, contraceptive use was lower in women aged 30–34 years (OR, 0.67; CI, 0.58-0.78), 35-39 years (OR, 0.36; CI, 0.31-0.43), and 40-44 years (OR, 0.23; CI, 0.19-0.28). Compared to white women, contraceptive use was higher in black women (OR, 1.26; CI, 1.10-1.43) and Native American women (OR, 1.52; CI, 1.02-2.26). Women had lower rates of contraceptive use in the second-year post-transplant (OR, 0.87; CI 0.79-0.94) and third-year post-transplant (OR, 0.69; CI 0.62-0.76) than in the first-year post-transplant. Women with a history of diabetes had a lower likelihood of contraceptive use (OR, 0.80; CI, 0.65-0.99).
Conclusion
Among women with kidney transplants, contraceptive use remains low at 9.5%. Factors associated with a higher likelihood of contraceptive use include younger age and black and Native American race/ethnicity; second- and third-year post-transplant and history of diabetes are associated with a lower likelihood of contraceptive use. The study highlights the importance of counseling for contraceptive use in women with kidney transplants.
Funding
- Private Foundation Support