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) |
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Pages (from-to) | 557-561 |
Number of pages | 5 |
Journal | Contraception |
Volume | 86 |
Issue number | 5 |
DOIs | |
State | Published - Nov 2012 |
Externally published | Yes |
Keywords
- Contraception
- Long-acting reversible contraception (LARC)
- Quality indicators
- Title X
ASJC Scopus subject areas
- Reproductive Medicine
- Obstetrics and Gynecology