Changes to Contraceptive Method Use at Title X Clinics Following Delaware Contraceptive Access Now, 2008–2017
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 admini...
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| Veröffentlicht in: | American journal of public health (1971) 2020-08, Vol.110 (8), p.1214-1220 |
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| container_title | American journal of public health (1971) |
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| creator | Boudreaux, Michel Xie, Liyang Choi, Yoon Sun Roby, Dylan Habeeb Rendall, Michael S. |
| description | 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. |
| doi_str_mv | 10.2105/AJPH.2020.305666 |
| format | Article |
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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.</description><identifier>ISSN: 0090-0036</identifier><identifier>EISSN: 1541-0048</identifier><identifier>DOI: 10.2105/AJPH.2020.305666</identifier><identifier>PMID: 32552027</identifier><language>eng</language><publisher>Washington: American Public Health Association</publisher><subject>Age groups ; AJPH Open-Themed Research ; Annual reports ; Birth Control ; Clients ; Clinics ; Contraceptives ; Family planning ; Health facilities ; Health Policy ; Initiatives ; Medicaid ; Methods ; Population ; Pregnancy ; Public health ; Public sector private sector relations ; Womens health</subject><ispartof>American journal of public health (1971), 2020-08, Vol.110 (8), p.1214-1220</ispartof><rights>Copyright American Public Health Association Aug 2020</rights><rights>American Public Health Association 2020 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c471t-f7ba92c1450a20afac3d974dfabde5ea1c086fa8e89c3882eb772d121b54f88b3</citedby><cites>FETCH-LOGICAL-c471t-f7ba92c1450a20afac3d974dfabde5ea1c086fa8e89c3882eb772d121b54f88b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7349443/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7349443/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27864,27922,27923,53789,53791</link.rule.ids></links><search><creatorcontrib>Boudreaux, Michel</creatorcontrib><creatorcontrib>Xie, Liyang</creatorcontrib><creatorcontrib>Choi, Yoon Sun</creatorcontrib><creatorcontrib>Roby, Dylan Habeeb</creatorcontrib><creatorcontrib>Rendall, Michael S.</creatorcontrib><title>Changes to Contraceptive Method Use at Title X Clinics Following Delaware Contraceptive Access Now, 2008–2017</title><title>American journal of public health (1971)</title><description>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.</description><subject>Age groups</subject><subject>AJPH Open-Themed Research</subject><subject>Annual reports</subject><subject>Birth Control</subject><subject>Clients</subject><subject>Clinics</subject><subject>Contraceptives</subject><subject>Family planning</subject><subject>Health facilities</subject><subject>Health Policy</subject><subject>Initiatives</subject><subject>Medicaid</subject><subject>Methods</subject><subject>Population</subject><subject>Pregnancy</subject><subject>Public health</subject><subject>Public sector private sector relations</subject><subject>Womens 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Editorial</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of public health (1971)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Boudreaux, Michel</au><au>Xie, Liyang</au><au>Choi, Yoon Sun</au><au>Roby, Dylan Habeeb</au><au>Rendall, Michael S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Changes to Contraceptive Method Use at Title X Clinics Following Delaware Contraceptive Access Now, 2008–2017</atitle><jtitle>American journal of public health (1971)</jtitle><date>2020-08-01</date><risdate>2020</risdate><volume>110</volume><issue>8</issue><spage>1214</spage><epage>1220</epage><pages>1214-1220</pages><issn>0090-0036</issn><eissn>1541-0048</eissn><abstract>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.</abstract><cop>Washington</cop><pub>American Public Health Association</pub><pmid>32552027</pmid><doi>10.2105/AJPH.2020.305666</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | American journal of public health (1971), 2020-08, Vol.110 (8), p.1214-1220 |
| issn | 0090-0036 1541-0048 |
| language | eng |
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| source | PAIS Index; EBSCOhost Business Source Complete; EBSCOhost Education Source; PubMed Central; Alma/SFX Local Collection |
| subjects | Age groups AJPH Open-Themed Research Annual reports Birth Control Clients Clinics Contraceptives Family planning Health facilities Health Policy Initiatives Medicaid Methods Population Pregnancy Public health Public sector private sector relations Womens health |
| title | Changes to Contraceptive Method Use at Title X Clinics Following Delaware Contraceptive Access Now, 2008–2017 |
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