Risk factors associated with contraception non-use between 1995 and 2002 an analysis of the national survey of family growth, cycle 5 and cycle 6 datasets

This study examined changes in contraception non‑use among sexually active women aged 15–44 who did not desire pregnancy, using nationally representative data from the 1995 and 2002 National Survey of Family Growth. Contraception non‑use increased from 5.2% to 7.4% during this period. Multivariate analysis identified several significant risk factors for non‑use, including age 15–19, non‑Hispanic Black ethnicity, high‑school education, unemployment, lack of insurance, and Catholic affiliation. Cohabitation with a male partner, maternal age 20–24 at first birth, and living in rural areas were protective. After adjusting for predictors, women in 2002 remained 47% more likely to be non‑users than in 1995. Findings confirm persistent high‑risk groups and highlight growing disparities, particularly related to insurance status.