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The Affordable Care Act contraception mandate & unintended pregnancy in women of reproductive age: An analysis of the National Survey of Family Growth, 2008-2010 v. 2013-2015.


ABSTRACT:

Objective(s)

The Affordable Care Act contraception mandate could reduce unintended pregnancies by increasing access and affordability of contraceptive resources, e.g., long-acting reversible contraceptives (LARCs). We assessed: (1) whether unintended pregnancies decreased post-mandate, and (2) whether this decrease differed by demographic characteristics.

Study design

We used data from the National Survey of Family Growth (unweighted n?=?7409) in logistic regression analyses to compare odds of unintended pregnancy pre-mandate (2008-2010) vs post-mandate (2013-2015), overall and stratified by demographic characteristics.

Results

Paralleling an increase in long-acting reversible contraceptive use (p?ConclusionsUnintended pregnancy decreased following the contraception mandate, although possibly due to chance. The short study period relative to the mandate could under-estimate the mandate's effect.

SUBMITTER: MacCallum-Bridges CL 

PROVIDER: S-EPMC7017385 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature

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The Affordable Care Act contraception mandate & unintended pregnancy in women of reproductive age: An analysis of the National Survey of Family Growth, 2008-2010 v. 2013-2015.

MacCallum-Bridges Colleen L CL   Margerison Claire E CE  

Contraception 20191023 1


<h4>Objective(s)</h4>The Affordable Care Act contraception mandate could reduce unintended pregnancies by increasing access and affordability of contraceptive resources, e.g., long-acting reversible contraceptives (LARCs). We assessed: (1) whether unintended pregnancies decreased post-mandate, and (2) whether this decrease differed by demographic characteristics.<h4>Study design</h4>We used data from the National Survey of Family Growth (unweighted n = 7409) in logistic regression analyses to co  ...[more]

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