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.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 557-561 |
| Number of pages | 5 |
| Journal | Contraception |
| Volume | 86 |
| Issue number | 5 |
| DOIs | |
| State | Published - Nov 2012 |
| Externally published | Yes |
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Keywords
- Contraception
- Long-acting reversible contraception (LARC)
- Quality indicators
- Title X
ASJC Scopus subject areas
- Reproductive Medicine
- Obstetrics and Gynecology
Cite this
Long-acting reversible contraception method use among Title X providers and non-Title X providers in California. / Park, Hye Youn; Rodriguez, Maria; Hulett, Denis; Darney, Philip D.; Thiel De Bocanegra, Heike.
In: Contraception, Vol. 86, No. 5, 11.2012, p. 557-561.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Long-acting reversible contraception method use among Title X providers and non-Title X providers in California
AU - Park, Hye Youn
AU - Rodriguez, Maria
AU - Hulett, Denis
AU - Darney, Philip D.
AU - Thiel De Bocanegra, Heike
PY - 2012/11
Y1 - 2012/11
N2 - 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.
AB - 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.
KW - Contraception
KW - Long-acting reversible contraception (LARC)
KW - Quality indicators
KW - Title X
UR - http://www.scopus.com/inward/record.url?scp=84867093480&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84867093480&partnerID=8YFLogxK
U2 - 10.1016/j.contraception.2012.04.006
DO - 10.1016/j.contraception.2012.04.006
M3 - Article
VL - 86
SP - 557
EP - 561
JO - Contraception
JF - Contraception
SN - 0010-7824
IS - 5
ER -