Evidence map›Paper›PMID 38521456›Full record

ArticleContraception2024

Changes in contraceptive method mix following the Colorado Family Planning Initiative.

Abigail Humphreys, Amanda Jean Stevenson, Sara Yeatman

Open access · greenAbstract read
In one paragraph

Article in Contraception, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.1field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Abigail HumphreysDepartment of Economics, University of Colorado Denver, Denver, CO, United States; University of Colorado Population Center, Institute of Behavioral Science (IBS), University of Colorado Boulder, Boulder, CO, United States. Electronic address: abigail.humphreys@ucdenver.edu.
Amanda Jean StevensonUniversity of Colorado Population Center, Institute of Behavioral Science (IBS), University of Colorado Boulder, Boulder, CO, United States; Department of Sociology, University of Colorado Boulder, Boulder, CO, United States. Electronic address: Amanda.stevenson@colorado.edu.
Sara YeatmanUniversity of Colorado Population Center, Institute of Behavioral Science (IBS), University of Colorado Boulder, Boulder, CO, United States; Department of Health and Behavioral Sciences, College of Liberal Arts and Sciences, University of Colorado Denver, Denver, CO, United States. Electronic address: sara.yeatman@ucdenver.edu.
University of Colorado Boulder · US

Funding

University of Colorado Population CenterP2CHD066613 · NICHD · UNIVERSITY OF COLORADO · PI JANE A MENKEN · 2015 to 2026
$3.7M
Increased access to highly effective contraception: an opportunity dividend?R01HD101480 · NICHD · UNIVERSITY OF COLORADO · PI STEVENSON, AMANDA JEAN · 2020 to 2024
$2.5M
NICHD NIH HHS P2C HD066613NICHD NIH HHS R01 HD101480
6 · The paper itself

Abstract

objectivesTo describe the changes in contraceptive method use and mix among Colorado Title X clients following the 2009 Colorado Family Planning Initiative (CFPI), which allowed Colorado Title X providers to offer all contraceptive methods without medically unnecessary barriers. STUDY

designUsing data on all visits to Colorado Title X clinics between 2007 and 2016 for women aged 10-49 years, we described trends in contraceptive method use by age group and race/ethnicity prior to and following the implementation of CFPI.

resultsThe implementation of CFPI saw an abrupt increase in Title X visits. Visits subsequently declined steeply for non-Hispanic White clients while visits by Hispanic clients remained at elevated levels. During CFPI, the use of long-acting reversible contraceptives increased while the use of oral contraceptive pills decreased. Nonetheless, oral contraceptive pills remained the most common method used by Title X clients throughout the study period. Changes in the method mix varied by age and race/ethnicity. Method switching was relatively uncommon among established Title X clinic users.

conclusionsCFPI, which removed financial barriers to the most expensive methods, was associated with increases in the use of long-acting reversible contraceptives and changes in method mix that varied by age group and race/ethnicity. IMPLICATIONS: CFPI removed barriers to previously inaccessible methods that contributed to changes in the method mix at Title X clinics. That these changes were not uniform across ages and race/ethnicities emphasize that subgroup variation in family planning policy impact stems from heterogeneity in barriers to care and method-specific unmet demand.

Indexed as

ContraceptionFamily Planning ServicesAdolescentAdultChildColoradoContraception BehaviorFemaleHumansLong-Acting Reversible ContraceptionMiddle AgedYoung AdultContraceptionMethod mixPolicyTitle X

Identifiers

PMID38521456
PMCPMC11192435
OpenAlexW4393097995

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.