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Long-acting reversible contraception method use among Title X providers and non-Title X providers in California.

Park HY, et al. Contraception. 2012.

Abstract

BACKGROUND: Publicly funded family planning services play an important role in reducing unintended pregnancy by providing access to effective contraception. We assessed whether California family planning providers receiving federal Title X funds are more likely to offer on-site long-acting reversible contraception (LARC) methods than those who do not receive these funds.

STUDY DESIGN: Using 2009 administrative data, we examined on-site utilization of LARC by clinic type (Title X public, non-Title X public, or private) and constructed beta-binomial logistic regression models.

RESULTS: The odds of on-site LARC services in non-Title X public and private providers were decreased by 35% [Odds Ratio (OR)=0.65, 95% confidence interval (CI) 0.54-0.79] and 61% [OR=0.39, 95% CI 0.32-0.47], respectively, compared to those of Title X providers after controlling for clinic size, urban/rural location, and proportion of teen, African-American, and Latina clients.

CONCLUSIONS: On-site utilization of LARC is a potential quality indicator for family planning programs. Title X resources are associated with increased use of LARC.

Published by Elsevier Inc.

PMID

22633245 [PubMed - indexed for MEDLINE]

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