ArticleJournal of pediatric and adolescent gynecology2023
Racial Inequities in Adolescent Contraceptive Care Delivery: A Reproductive Justice Issue.
Article in Journal of pediatric and adolescent gynecology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
3 citing papers in PubMed.
- An exploratory study of patients' experiences with and reasons for using one virtual-only telecontraceptive platform in the United States in 2020-2021.Reproductive health · 2025Article
- "It Means Being Safe, Having Power over One's Body": Black Female Adolescent Experiences with Reproductive Health Counseling in Primary Care.Journal of pediatric and adolescent gynecology · 2024Article
- Geospatial Disparities in Youth Sexually Transmitted Infections During COVID-19.American journal of preventive medicine · 2024Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
STUDY
objectiveThe objective of this study was to examine racial/ethnic disparities in contraceptive delivery for adolescent patients within an adolescent medicine subspecialty clinical system before and during the COVID-19 pandemic. Secondarily, we aimed to assess the relationship between race and contraceptive delivery by telehealth.
designRetrospective cohort study using electronic health record data
settingThree adolescent medicine subspecialty clinics in a large academic hospital system, including an urban location and 2 suburban locations
participantsPatients assigned female sex at birth prescribed hormonal contraception between January 1st, 2018, and May 31st, 2021.
main outcome measuresMethod and type of contraceptive prescribed (short-acting, medium-acting, long-acting reversible contraception [LARC])
resultsThere were 2453 patients in the study; 47.5% were White, 36.0% were Black, and 8.1% identified as Hispanic. After controlling for insurance and age, Black patients, compared with non-Black patients, had twofold higher odds of receiving LARC compared with a short-acting method across the study period (aOR = 2.0; 95% CI, 1.52-2.62). We identified effect modification with significant interaction between Black race and the pandemic period, with evidence of a higher marginal probability of Black patients receiving LARCs during the pandemic. Additionally, during the pandemic, patients receiving new contraceptive prescriptions via telehealth were less likely to be Black (aOR = 0.63; 95% CI, 0.41-0.94) or publicly insured (aOR = 0.56; 95% CI, 0.38-0.81).
conclusionOur data show significantly higher prescribing of LARCs to Black adolescents by clinicians, which could suggest differences in physician contraceptive counseling with a bias toward preferentially counseling Black patients toward LARCs. Our data also show that Black and publicly insured patients had decreased utilization of contraceptive care by telehealth during the pandemic.
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