Michel Boudreaux, Liyang Xie, Yoon Sun Choi, and Dylan Habeeb Roby are with the Department of Health Policy and Management, University of Maryland, College Park. Michael S. Rendall is with the Department of Sociology and is the director of the Maryland Population Research Center, University of Maryland, College Park.
Am J Public Health. 2020 Aug;110(8):1214-1220. doi: 10.2105/AJPH.2020.305666. Epub 2020 Jun 18.
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). 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 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. Delaware Contraceptive Access Now increased LARC use among Title X clients. Our results have implications for states considering comprehensive family planning initiatives.
为了衡量特拉华州《避孕获取权法案》（Delaware Contraceptive Access Now）实施后，接受计划生育服务的 Title X 客户所使用的避孕方法的变化，该法案是公私合作的一项倡议，旨在增加避孕措施的可及性，特别是长效可逆避孕措施（LARCs）。我们使用了 2008-2017 年计划生育年度报告的管理数据，并采用差异中的差异设计，比较了特拉华州成年女性 Title X 计划生育客户的避孕方法使用变化与一组对照州的变化。我们考虑了永久性方法、LARCs、中度有效方法、低有效方法和无方法使用。结果表明，LARC 的使用相对其他州增加了 3.2 个百分点（基线增加了 40%）。对于其他避孕方法类型，我们无法得出明确的结论。特拉华州《避孕获取权法案》增加了 Title X 客户中 LARC 的使用。我们的研究结果对考虑全面计划生育计划的州具有重要意义。
