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Increased use of sterilization among women with a high school diploma was only weakly related to changes in birth timing and marital status. Conclusions Among women with a high school diploma, elements other than childbearing and marital status-such as contraceptive preferences and access-appeared to influence their contraceptive behavior. Sterilization differentials between high school and college graduates may reflect or exacerbate other socioeconomic disparities that affect women's health and well-being.Although most plants produce