Changes to Contraceptive Method Use at Title X Clinics Following Delaware Contraceptive Access Now, 2008–2017

Autor:	Dylan H. Roby, Yoon Sun Choi, Michel Boudreaux, Liyang Xie, Michael S. Rendall
Rok vydání:	2020
Předmět:	Adult medicine.medical_specialty Adolescent AJPH Open-Themed Research Public-Private Sector Partnerships Health Services Accessibility 03 medical and health sciences 0302 clinical medicine Humans Medicine 030212 general & internal medicine Contraception Behavior Poverty Long-Acting Reversible Contraception 030219 obstetrics & reproductive medicine Adult female Extramural business.industry Title X Public Health Environmental and Occupational Health Delaware United States Contraception Family planning Family Planning Services Family medicine Female business
Zdroj:	Am J Public Health
ISSN:	1541-0048 0090-0036
Popis:	Objectives. To measure changes in the contraceptive methods used by Title X clients after implementation of Delaware Contraceptive Access Now, a public–private initiative that aims to increase access to contraceptives, particularly long-acting reversible contraceptives (LARCs). Methods. Using administrative data from the 2008–2017 Family Planning Annual Reports and a difference-in-differences design, we compared changes in contraceptive method use among adult female Title X family planning clients in Delaware with changes in a set of comparison states. We considered permanent methods, LARCs, moderately effective methods, less effective methods, and no method use. Results. Results suggest a 3.2-percentage-point increase in LARC use relative to changes in other states (a 40% increase from baseline). We were unable to make definitive conclusions about other contraceptive method types. Conclusions. Delaware Contraceptive Access Now increased LARC use among Title X clients. Our results have implications for states considering comprehensive family planning initiatives.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1241fbd5df0d5d74dd1383d2123272c6 https://doi.org/10.2105/ajph.2020.305666 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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