ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2026
Contraceptive Method Provision Patterns Among Rural and Urban Kentucky Medicaid Enrollees.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Contraceptive Method Provision Patterns Among Rural and Urban Kentucky Medicaid Enrollees.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
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5 authors.
Funding
Abstract
purposeTo characterize contraceptive provision among the Kentucky Medicaid population and assess for rural-urban disparities.
methodsKentucky Medicaid claims from the calendar year 2019 were used to identify females at risk for unintended pregnancy (via a modified version of the criteria defined by the US Department of Health and Human Services Office of Population Affairs). Multinomial logistic regression was used to assess the impact of rural-urban residence on contraceptive outcomes, while adjusting for relevant covariates. Outcomes for the multinomial regression model were provision of a: (1) less effective method (i.e., condoms) or no contraceptive; (2) moderately effective method (oral, transdermal, injectable, or vaginal); (3) or long-acting reversible contraceptive (LARC) method.
findingsA total of 239,160 enrollees at risk for unintended pregnancy were included for analyses. Adjusted odds of provision of a moderately effective method (vs. a less effective method or no method) were higher among both those residing in rural-adjacent to urban (aOR 1.17; 95% CI, 1.13-1.20) and rural-nonadjacent to urban (aOR 1.15; 95% CI, 1.12-1.18) locations compared to urban. Notably, adjusted odds of provision of an LARC method (vs. a less effective method or no method) were significantly lower among those residing in rural-nonadjacent to urban locations (aOR 0.81; 95% CI 0.77-0.85) compared to those in urban locations.
conclusionsDespite high moderately effective contraceptive provision among Kentucky Medicaid enrollees in rural-nonadjacent to urban counties, adjusted odds of LARC provision are significantly lower, signaling significant barriers to access among this population.
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