Medicaid expansion and provision of prescription contraception to Medicaid beneficiaries.

Access to care Contraception Health policy Medicaid expansion Prevention Women's health

Journal

Contraception
ISSN: 1879-0518
Titre abrégé: Contraception
Pays: United States
ID NLM: 0234361

Informations de publication

Date de publication:
03 2021
Historique:
received: 22 05 2020
revised: 06 11 2020
accepted: 10 11 2020
pubmed: 20 11 2020
medline: 16 10 2021
entrez: 19 11 2020
Statut: ppublish

Résumé

Medicaid expansion increased access to care, but longitudinal patterns of contraception use after the Medicaid expansion have not been described. We evaluated the effects of Medicaid expansion on the amount and type of contraceptive prescriptions using the Medicaid State Utilization Dataset. Overall long-acting reversible contraception (LARC) use increased in both expansion and non-expansion states. In a difference-in-differences analysis, states that expanded Medicaid had no appreciable increase in per-capita prescription rates of LARC (p = 0.26) or short-acting hormonal contraception (p = 0.09) when compared to nonexpansion states. The Medicaid expansion was not associated with a change in per-capita LARC or short-acting hormonal contraception use.

Identifiants

pubmed: 33212032
pii: S0010-7824(20)30415-7
doi: 10.1016/j.contraception.2020.11.005
pmc: PMC8011849
mid: NIHMS1679389
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

199-202

Subventions

Organisme : NICHD NIH HHS
ID : K23 HD097291
Pays : United States

Informations de copyright

Copyright © 2020. Published by Elsevier Inc.

Références

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pubmed: 26598303
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pubmed: 16202000
Obstet Gynecol. 2012 Dec;120(6):1291-7
pubmed: 23168752
JAMA Intern Med. 2016 Oct 1;176(10):1501-1509
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pubmed: 28284588
JAMA Netw Open. 2020 Jun 1;3(6):e206874
pubmed: 32496568
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pubmed: 17963860

Auteurs

Andrew Sumarsono (A)

Department of Medicine, UT Southwestern Medical Center, Dallas TX, USA; Division of Hospital Medicine, Parkland Memorial Hospital, Dallas TX, USA. Electronic address: andrew.sumarsono@utsouthwestern.edu.

Matthew W Segar (MW)

Department of Medicine, UT Southwestern Medical Center, Dallas TX, USA.

Luyu Xie (L)

University of Texas School of Public Health, Health Science Center at Houston, Dallas TX, USA; Center for Pediatric Population Health, Children's Health System of Texas and University of Texas Health Science Center, Dallas TX, USA.

Folefac Atem (F)

University of Texas School of Public Health, Health Science Center at Houston, Dallas TX, USA; Center for Pediatric Population Health, Children's Health System of Texas and University of Texas Health Science Center, Dallas TX, USA.

Sarah E Messiah (SE)

University of Texas School of Public Health, Health Science Center at Houston, Dallas TX, USA; Center for Pediatric Population Health, Children's Health System of Texas and University of Texas Health Science Center, Dallas TX, USA.

Jenny Kr Francis (JK)

Department of Pediatrics, UT Southwestern Medical Center, Dallas TX, USA; Children's Health, Dallas, TX, USA.

Neil Keshvani (N)

Department of Medicine, UT Southwestern Medical Center, Dallas TX, USA.

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Classifications MeSH