We examined contraceptive decision-making among African American, Latina, a
nd European American women ages 18-50 years. Logistic regressions examined
relationships between demographic and religious factors, unintended pregnan
cies, sexually transmitted diseases (STDs), reasons for sex, and contracept
ive decision-making Women who were older, single, African American, used pr
egnancy prevention, and had histories of STDs and unintended pregnancies ma
de contraceptive decisions alone. Older and African American women were mor
e likely to choose no contraception Among contraceptive risers, African Ame
ricans used effective methods of pregnancy, but not disease, prevention. Wo
men with STD histories, and younger, more educated women were more likely t
o use methods that prevent against both pregnancy and disease. Theoretical
implications about contraceptive choices among ethnically diverse women are
discussed.