Effects of the COVID-19 pandemic on publicly supported clinics providing contraceptive services in four US states.

Objectives: The COVID-19 pandemic has disrupted contraceptive service provision in the United States (US). We aimed to explore the impact of COVID-19 on the publicly supported family planning network at the provider level. This study adds to the literature documenting the challenges of the pandemic as well as how telehealth provision compares across timepoints.

Patterns in Receipt and Source of STI Testing Among Young People in the United States, 2013-2019.

Purpose: Rates of sexually transmitted infections (STIs) among adolescents and young adults (15-24) continue to increase. Limited national information exists about the frequency and source of STI testing among this population.

Methods: We performed a cross-sectional analysis of National Survey of Family Growth data from 2013-2019 to describe patterns in STI testing and assess associations with individual characteristics.

Trends in Receipt of Contraceptive Services: Young Women in the U.S., 2002-2015.

Introduction: In order to understand adolescent girls' and young women's use of contraceptive services, this paper examines trends in receipt of contraceptive services, focusing on provider type and payment source.

Methods: The analysis uses nationally representative data from females aged 15-25 years in the 2002, 2006-2010, and 2011-2015 National Surveys of Family Growth. In 2018, summary measures for receipt of any contraceptive service, the type of provider visited and payment used were created and compared across survey years and age groups (15-17 and 18-25 years).

The incidence of abortion and unintended pregnancy in India, 2015.

Background: Reliable information on the incidence of induced abortion in India is lacking. Official statistics and national surveys provide incomplete coverage. Since the early 2000s, medication abortion has become increasingly available, improving the way women obtain abortions.

Return on investment: a fuller assessment of the benefits and cost savings of the US publicly funded family planning program.

Unlabelled: Policy Points: The US publicly supported family planning effort serves millions of women and men each year, and this analysis provides new estimates of its positive impact on a wide range of health outcomes and its net savings to the government. The public investment in family planning programs and providers not only helps women and couples avoid unintended pregnancy and abortion, but also helps many thousands avoid cervical cancer, HIV and other sexually transmitted infections, infertility, and preterm and low birth weight births. This investment resulted in net government savings of $13.

Specialized family planning clinics in the United States: why women choose them and their role in meeting women's health care needs.

Background: Publicly funded family planning clinics provide contraceptive care to millions of poor and low-income women every year. To inform the design of services that will best meet the contraceptive and reproductive health needs of women, we conducted a targeted survey of family planning clinic clients, asking women about services received in the past year and about their reasons for visiting a specialized family planning clinic.

Methods: We surveyed 2,094 women receiving services from 22 family planning clinics in 13 states; all sites included in the survey were clinics that specialize in contraceptive and reproductive health services and were located in communities with comprehensive primary care providers.

Reasons for using contraception: perspectives of US women seeking care at specialized family planning clinics.

Background: The availability and use of contraception to prevent unintended pregnancy has had profound and positive impacts on the lives of American women. This study looks beyond the aggregate benefits of contraceptive use to examine the individual-level benefits and reasons for using contraception reported by women themselves.

Study Design: We surveyed 2,094 women receiving services from 22 family planning clinics located throughout the United States.

Young adults' contraceptive knowledge, norms and attitudes: associations with risk of unintended pregnancy.

Context: Women aged 18-29 have higher rates of unintended pregnancy than any other age-group. Information is needed to understand what characteristics are associated with risky contraceptive use practices among this population and to develop new strategies for reducing these women's risk of unintended pregnancy.

Methods: Data related to unintended pregnancy risk were collected from a nationally representative sample of 1,800 unmarried women and men aged 18-29 surveyed by telephone in 2009.

The state of hormonal contraception today: overview of unintended pregnancy.

Each year in the United States about 1 in 20 women experiences an unintended pregnancy. Understanding the impact of consistent, appropriate, and effective contraception on this major health care concern is key to overcoming this societal and economic burden. In addition to available family-planning services, women need ongoing support in choosing and using methods based on her overall life situation, as well as strategies to address the logistic and cost barriers to effective birth control.

Trends in US women's use of sexual and reproductive health care services, 1995-2002.

I examined the 1995 and 2002 National Survey of Family Growth for patterns and trends in the use of sexual and reproductive health care services by US women according to type of provider. The percentage of women reporting receipt of contraceptive services rose between 1995 and 2002 (from 36% to 41%), and the level and mix of services received varied considerably according to type of provider. Women visiting publicly funded providers received a broader mix of services than did clients of private providers.

The impact of publicly funded family planning clinic services on unintended pregnancies and government cost savings.

Publicly funded family planning clinics serve millions of low-income women each year, providing a range of critical preventive services and enabling women to avoid unintended pregnancies. It is important to quantify the impact and cost-effectiveness of such services, in addition to these health benefits. Using a methodology similar to prior cost-benefit analyses, we estimated the numbers of unintended pregnancies prevented by all U.

Factors associated with contraceptive choice and inconsistent method use, United States, 2004.

Context: Pregnancies among contraceptive users account for nearly half of all unintended pregnancies and are almost entirely due to inconsistent or incorrect contraceptive use. Understanding what factors contribute to inconsistent contraceptive behavior can help efforts to reduce unintended pregnancy.

Methods: In 2004, a nationally representative sample of women aged 18-44 using reversible contraceptive methods were surveyed to examine factors associated with contraceptive choice and with inconsistent use of the pill and condoms.

Improving contraceptive use in the United States.

The average American woman--who wants two children--spends about three decades trying to avoid pregnancy and only a few years trying to become or being pregnant. Sexually active women who are not seeking pregnancy may nonetheless practice contraception poorly or may not use a method at all. A wide range of reasons explain this seeming contradiction, including personal feelings and beliefs; experiences with methods; fears about side effects; partner influences; cultural values and norms; and problems in the contraceptive care system.

Public and private providers' involvement in improving their patients' contraceptive use.

Background: This study measured differences in the provision of care between public and private providers of contraceptive services, what problems using contraception these providers perceived their patients to have and providers' views on how to improve their patients' method use.

Study Design: A nationally representative mixed-mode survey (mail, Internet and fax) of private family practice and obstetrician/gynecologist physicians who provided contraceptive care in 2005 was conducted. A parallel survey was administered to public contraceptive care providers in community health centers, hospitals, Planned Parenthood clinics and other sites during the same period.

Factors associated with contraceptive use and nonuse, United States, 2004.

Context: Each year, nearly one in four U.S. women at risk of unintended pregnancy experience one or more months of contraceptive nonuse.

U.S. women's one-year contraceptive use patterns, 2004.

Context: Unintended pregnancies occur far too often in the United States, and half occur when couples fail to practice contraception. Improved measures of the continuity of women's contraceptive use, nonuse and switching patterns can help identify ways to reduce unintended pregnancy.

Methods: A nationally representative sample of 1,978 adult women at risk of unintended pregnancy was surveyed by telephone in 2004.

Provision of contraceptive and related services by publicly funded family planning clinics, 2003.

Context: In addition to contraceptive services, publicly funded family planning clinics provide low-income women with a range of reproductive diagnostic, treatment and educational services. Nationally representative information about the scope of services available from clinics is needed to formulate policy and programmatic recommendations.

Methods: In 2003, more than 1,000 U.

The provision and funding of contraceptive services at publicly funded family planning agencies: 1995-2003.

Context: Publicly funded family planning agencies face significant challenges in delivering quality services to low-income women because of the higher costs of newer contraceptive methods, changes in health care financing and a growing uninsured population.

Methods: In 2003, 627 of a nationally representative sample of 956 U.S.

The availability and use of publicly funded family planning clinics: U.S. trends, 1994-2001.

Context: It is important to monitor trends among publicly funded family planning clinics to determine where clinics are successfully meeting the contraceptive service needs of low-income women and where more effort is needed.

Methods: Service data for all U.S.

U.S. insurance coverage of contraceptives and the impact of contraceptive coverage mandates, 2002.

Context: In 1993, coverage of reversible contraception by U.S. health insurance plans was extremely low.

Services for men at publicly funded family planning agencies, 1998-1999.

Context: Men's reproductive health needs are receiving increased attention, but most family planning clinic clients are female, and clinics have reported barriers to serving men.

Methods: A 1999 survey of publicly funded agencies that administer family planning clinics asked several questions about current policies and services and the number of men served in 1998. Data on 17 services were collected, as well as the proportion of clients who were male and agencies' barriers to serving men.

U.S. agencies providing publicly funded contraceptive services in 1999.

Context: Nearly one-quarter of women who obtain medical contraceptive services receive care from clinics operated by publicly funded agencies. In light of changes in government policy and funding and in the structure of health care financing, an assessment of agency policies and programs is essential for monitoring women's access to contraceptive care and services.

Methods: In 1999, 637 of a nationally representative sample of 1,016 U.