1. Use of contraception before and after a diabetes diagnosis: An observational matched cohort study
- Author
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Murray Horwitz, Mara E, Pace, Lydia E, Schwarz, Eleanor Bimla, and Ross-Degnan, Dennis
- Subjects
Reproductive Medicine ,Biomedical and Clinical Sciences ,Diabetes ,Clinical Research ,Prevention ,Contraception/Reproduction ,Health Services ,Metabolic and endocrine ,Good Health and Well Being ,Cohort Studies ,Contraception ,Counseling ,Diabetes Mellitus ,Female ,Humans ,Pregnancy ,Retrospective Studies ,Family planning ,Clinical Sciences ,Endocrinology & Metabolism ,Clinical sciences ,Nutrition and dietetics ,Health services and systems - Abstract
AimsTo determine how a diabetes diagnosis affects contraception use.MethodsThis retrospective cohort study used private insurance data from non-pregnant women aged 15-49 years, 2000-2014. We identified women with a new diabetes diagnosis and a control group without diabetes, matched on important potential confounders. We compared rates of prescription or procedural contraception use in the two groups before and after an index date (diabetes diagnosis and outpatient visit, respectively), yielding difference-in-differences estimates of the effect of a diabetes diagnosis on contraception use.ResultsWe identified 75,355 women with a new diabetes diagnosis and 7.5 million women without a diabetes diagnosis. Overall rates of contraception use did not increase in the year after diagnosis (absolute difference-in-difference: 0.4% [99.9% CI, -2.1% to 2.9%]; p
- Published
- 2021