Use of preferred contraceptive method among young adults in Texas and California: A comparison by state and insurance coverage.
Use of preferred contraceptive method among young adults in Texas and California: A comparison by state and insurance coverage.
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DOI：
10.1371/journal.pone.0290726
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发表时间：
2023
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
--
作者：
年轻人使用自己喜欢的避孕方法的能力是生育自主权和获得保健服务的一个指标。国家政策可能阻碍或便利人们获得首选避孕方法。这项研究比较了德克萨斯州和加州州首选避孕方法的使用情况，这两个州的健康政策背景不同，影响健康保险覆盖范围和获得补贴的计划生育服务。我们使用的基线调查数据来自一项正在进行的群集随机对照试验，研究对象为德克萨斯州和加州的29所社区大学的18-25岁出生时被指定为女性的性活跃学生（N = 1，974）。我们描述了避孕的偏好和使用，以及不使用首选方法的原因。我们对聚类数据进行了多变量调整的混合效应logistic回归分析，然后根据保险状况计算了德克萨斯州和加州使用首选避孕方法的预测概率。德克萨斯州的参与者比加利福尼亚州的参与者更多（30%对8%，p<0.001）。36%的德克萨斯州参与者使用他们首选的避孕方法，而加利福尼亚州的比例为51%。在多变量调整后，德克萨斯州的参与者使用他们首选方法的几率较低（调整后的比值比= 0.62，95%置信区间= 0.48-0.81），而加州的参与者。与加州参与者相比，德克萨斯州所有保险类别的参与者使用首选方法的预测概率较低。在得克萨斯州，我们发现未投保者（27.5%）和投保者（39.6%）之间首选方法使用的预测概率相差12.1个百分点（p<0.001）。得克萨斯州人报告使用他们首选方法的财务障碍比加利福尼亚州人更频繁（36.7%对19.2%，p<0.001），无保险者与有保险者相比（50.9%对18.7%，p<0.001）。这些研究结果提供了新的证据，证明居住国在年轻人实现其避孕偏好的能力方面发挥着重要作用。与加州相比，德克萨斯州的年轻人保险覆盖率较低，获得避孕护理安全网计划的机会也更有限，因此他们使用首选避孕方法的比例较低。在禁止堕胎的州，支持年轻人获得他们喜欢的方法已经变得紧迫。
Young people’s ability to use their preferred contraceptive method is an indicator of reproductive autonomy and healthcare access. State policies can hinder or facilitate access to a preferred contraceptive method. This study compared use of preferred contraceptive method in Texas and California, states with contrasting health policy contexts that impact health insurance coverage and access to subsidized family planning services. We used baseline survey data from an ongoing cluster randomized controlled trial of sexually active students, assigned female at birth, ages 18–25, at 29 community colleges in Texas and California (N = 1,974). We described contraceptive preferences and use, as well as reasons for nonuse of a preferred method. We conducted multivariable-adjusted mixed-effects logistic regression analyses for clustered data, and then calculated the predicted probability of using a preferred contraceptive method in Texas and California by insurance status. More Texas participants were uninsured than Californians (30% vs. 8%, p<0.001). Thirty-six percent of Texas participants were using their preferred contraceptive method compared to 51% of Californians. After multivariable adjustments, Texas participants had lower odds of using their preferred method (adjusted odds ratio = 0.62, 95% confidence interval = 0.48–0.81) compared to those in California. Texas participants in all insurance categories had a lower predicted probability of preferred method use compared to California participants. In Texas, we found a 12.1 percentage-point difference in the predicted probability of preferred method use between the uninsured (27.5%) and insured (39.6%) (p<0.001). Texans reported financial barriers to using their preferred method more often than Californians (36.7% vs. 19.2%, p<0.001) as did the uninsured compared to the insured (50.9% vs. 18.7%, p<0.001). These findings present new evidence that state of residence plays an important role in young people’s ability to realize their contraceptive preference. Young people in Texas, with lower insurance coverage and more limited access to safety net programs for contraceptive care than in California, have lower use of preferred contraception. It has become urgent in states with abortion bans to support young people’s access to their preferred methods.
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影响因子：
2.9
作者：
Chakraborty, Payal;Gallo, Maria F.;Nawaz, Saira;Smith, Mikaela H.;Hood, Robert B.;Chettri, Shibani;Bessett, Danielle;Norris, Alison H.;Casterline, John;Turner, Abigail Norris
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Turner, Abigail Norris
影响因子：
2.8
作者：
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Hall, Kelli Stidham
影响因子：
2.9
作者：
Potter, Joseph E.;Hopkins, Kristine;Aiken, Abigail R. A.;Hubert, Celia;Stevenson, Amanda J.;White, Kari;Grossman, Daniel
通讯作者：
Grossman, Daniel
影响因子：
2.9
作者：
Tapales A;Douglas-Hall A;Whitehead H
通讯作者：
Whitehead H
影响因子：
3.5
作者：
He, Katherine;Dalton, Vanessa K.;Hall, Kelli Stidham
通讯作者：
Hall, Kelli Stidham