TY - JOUR
T1 - Contraception Use by Title X Clients and Clients of Other Providers, 2015–2019
AU - Wells, Rebecca
AU - Smith, Nicole K.
AU - Rodriguez, Maria I.
N1 - Publisher Copyright:
© 2023 Jacobs Institute of Women's Health, George Washington University
PY - 2024/1/1
Y1 - 2024/1/1
N2 - Introduction: Title X clinics provide access to a wide range of contraceptive options for individuals of all income levels and documentation statuses. As Title X continues to face political uncertainties, it is important to provide up-to-date information about its clients’ use of contraception. This study used recent nationally representative data to compare contraception received by Title X clients with that received by clients of other providers. Methods: This article draws on 2015–2017 and 2017–2019 waves of the National Survey of Family Growth. The sample was restricted to 15- to 44-year-old women needing contraception. Logistic regressions estimated associations between receiving services at Title X clinics versus at other providers (including private) and use of a range of contraceptive options, as well as number of months’ supply for those using oral contraceptives. Results: In 2015–2017, Title X was associated with using any contraception (adjusted odds ratio [AOR], 4.11; p = .004). In both waves, Title X clients were more likely to use long-acting reversible contraceptives (AOR, 1.78 in 2015–2017 [p = .023] and AOR, 2.59 in 2017–2019 [p = .003]) and hormonal methods other than oral contraceptives (AOR, 2.31 in 2015–2017 [p = .007] and AOR, 3.04 in 2017–2019 [p = .001]). In both waves, Title X clients using oral contraceptives were also more likely than non-Title X clients to receive more than a 3-month supply (AOR, 3.54 in 2015–2017 [p = .008] and AOR, 2.61 in 2017–2019 [p = .043]). Title X was not associated in either wave with use of barrier or time-based methods, such as periodic abstinence or withdrawal. Conclusions: Patterns of contraceptive use by Title X clients compared with those of clients of other providers indicate that the Title X program has allowed access to a wide range of contraceptive methods. Ongoing research is necessary to see whether these patterns change over time.
AB - Introduction: Title X clinics provide access to a wide range of contraceptive options for individuals of all income levels and documentation statuses. As Title X continues to face political uncertainties, it is important to provide up-to-date information about its clients’ use of contraception. This study used recent nationally representative data to compare contraception received by Title X clients with that received by clients of other providers. Methods: This article draws on 2015–2017 and 2017–2019 waves of the National Survey of Family Growth. The sample was restricted to 15- to 44-year-old women needing contraception. Logistic regressions estimated associations between receiving services at Title X clinics versus at other providers (including private) and use of a range of contraceptive options, as well as number of months’ supply for those using oral contraceptives. Results: In 2015–2017, Title X was associated with using any contraception (adjusted odds ratio [AOR], 4.11; p = .004). In both waves, Title X clients were more likely to use long-acting reversible contraceptives (AOR, 1.78 in 2015–2017 [p = .023] and AOR, 2.59 in 2017–2019 [p = .003]) and hormonal methods other than oral contraceptives (AOR, 2.31 in 2015–2017 [p = .007] and AOR, 3.04 in 2017–2019 [p = .001]). In both waves, Title X clients using oral contraceptives were also more likely than non-Title X clients to receive more than a 3-month supply (AOR, 3.54 in 2015–2017 [p = .008] and AOR, 2.61 in 2017–2019 [p = .043]). Title X was not associated in either wave with use of barrier or time-based methods, such as periodic abstinence or withdrawal. Conclusions: Patterns of contraceptive use by Title X clients compared with those of clients of other providers indicate that the Title X program has allowed access to a wide range of contraceptive methods. Ongoing research is necessary to see whether these patterns change over time.
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U2 - 10.1016/j.whi.2023.10.001
DO - 10.1016/j.whi.2023.10.001
M3 - Article
C2 - 37951782
AN - SCOPUS:85180269502
SN - 1049-3867
VL - 34
SP - 59
EP - 65
JO - Women's Health Issues
JF - Women's Health Issues
IS - 1
ER -