Impact of perceived contraceptive policy changes on long acting reversible contraception dispensing trends
| Autor: | William Troung, Aparna Sridhar, Sam Elias, Myung Shin Sim, Sarah R. Friedman |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Presidential election Long-acting reversible contraception Health Services Accessibility Insurance Coverage 03 medical and health sciences 0302 clinical medicine Pregnancy Contraceptive Agents Female medicine Humans Pharmacology (medical) 030212 general & internal medicine Retrospective Studies Long-Acting Reversible Contraception 030219 obstetrics & reproductive medicine business.industry Politics Pregnancy Unplanned Obstetrics and Gynecology Contraception Policy Reproductive Medicine Family medicine Female business |
| Zdroj: | The European Journal of Contraception & Reproductive Health Care. 26:58-61 |
| ISSN: | 1473-0782 1362-5187 |
| DOI: | 10.1080/13625187.2020.1837767 |
| Popis: | We observed the long-term trend of Long Acting Reversible Contraception (LARC) usage before and after the 2016 presidential election.We observed the rate of LARC dispensed at a university student health centre in the 18 months preceding and 27 months following the 2016 U.S. presidential election which posed threat to contraception access. We applied a segmented regression model using two linear regression line segments to evaluate whether there is a time point where the trend of LARC dispensing changed. We fit the regression models with a breakpoint at month 0 (election month) and 3 months with a Locally Estimated Scatterplot Smoothing (LOESS) estimate with parameters obtained by estimating simple linear regression models separately below and above the breakpoint '0'.There were a total of 2067 LARC methods dispensed from May 2015 to February 2019. The average number of LARC methods dispensed before November 2016 was 38/month and increased to 51/month post-presidential election. The LARC dispense rate significantly increased each month (0.38, 1.74; 95% confidence level,Our study is the first to report long-term trends (27 months post-election) in LARC uptake amidst the public discourse that suggested the end of a policy that provided LARC insurance coverage. Although this observational study cannot suggest causality, the findings could reflect actions taken to prevent unintended pregnancy in response to the event of uncertain national policy. |
| Databáze: | OpenAIRE |
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