1. Postabortion Contraceptive Use and Continuation When Long-Acting Reversible Contraception is Free
- Author
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Amna I. Dermish, Caitlin Canfield, Abigail R.A. Aiken, Joseph E. Potter, and Vinita Goyal
- Subjects
Adult ,medicine.medical_specialty ,Pregnancy Rate ,Long-acting reversible contraception ,Eligibility Determination ,Abortion ,Rate ratio ,Article ,03 medical and health sciences ,0302 clinical medicine ,Pregnancy ,Outcome Assessment, Health Care ,medicine ,Humans ,030212 general & internal medicine ,Prospective Studies ,Prospective cohort study ,Contraception Behavior ,health care economics and organizations ,Gynecology ,030219 obstetrics & reproductive medicine ,business.industry ,Incidence (epidemiology) ,Hazard ratio ,Obstetrics and Gynecology ,Abortion, Induced ,medicine.disease ,Texas ,Confidence interval ,Government Programs ,Contraception ,Socioeconomic Factors ,Delayed-Action Preparations ,Female ,business ,Demography - Abstract
To compare preference for long-acting contraception (LARC) and subsequent use, year-long continuation, and pregnancy among women after induced abortion who were and were not eligible to participate in a specialized funding program that provided LARC at no cost. Between October 2014 and March 2016, we conducted a prospective study of abortion patients at Planned Parenthood in Austin, Texas (located in Travis County). We compared our primary outcome of interest, postabortion LARC use, among women who were eligible for the specialized funding program (low-income, uninsured, Travis County residents) and two groups who were ineligible (low-income, uninsured, non–Travis County residents, and higher income or insured women). Secondary outcomes of interest included preabortion preference for LARC and 1-year continuation and pregnancy rates among the three groups. Among 518 women, preabortion preference for LARC was high among all three groups (low-income eligible: 64% [91/143]; low-income ineligible: 44% [49/112]; and higher income 55% [146/263]). However, low-income eligible participants were more likely to receive LARC (65% [93/143] compared with 5% [6/112] and 24% [62/263], respectively, P
- Published
- 2017