Mary D Carmody, Danielle G Tsevat, Lindsey Yates, Gretchen Stuart, Kavita S Arora
{"title":"The association between socio-economic deprivation and receipt of long-acting reversible contraception at a single clinic visit.","authors":"Mary D Carmody, Danielle G Tsevat, Lindsey Yates, Gretchen Stuart, Kavita S Arora","doi":"10.1016/j.contraception.2024.110705","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To determine the relationship between area deprivation index (ADI) and obtaining single-visit long-acting reversible contraception (LARC).</p><p><strong>Study design: </strong>We utilized Poisson regression to determine the association between area deprivation and single-visit LARC insertion within a state-wide healthcare system between 2019-2021.</p><p><strong>Results: </strong>Among our cohort (N = 4417), 68.60% of patients desiring LARC obtained single-visit LARC. Participants living in high deprivation areas were less likely to receive single-visit LARC (aRR 0.72, 95% CI 0.65-0.80).</p><p><strong>Conclusions: </strong>Living in areas of high deprivation is independently negatively associated with obtaining a single-visit LARC.</p><p><strong>Implications: </strong>While access to single-visit LARC should be universally improved, reducing barriers for patientswith a higher ADI may help limit inequities in reproductive healthcare.</p>","PeriodicalId":93955,"journal":{"name":"Contraception","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Contraception","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/j.contraception.2024.110705","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives: To determine the relationship between area deprivation index (ADI) and obtaining single-visit long-acting reversible contraception (LARC).
Study design: We utilized Poisson regression to determine the association between area deprivation and single-visit LARC insertion within a state-wide healthcare system between 2019-2021.
Results: Among our cohort (N = 4417), 68.60% of patients desiring LARC obtained single-visit LARC. Participants living in high deprivation areas were less likely to receive single-visit LARC (aRR 0.72, 95% CI 0.65-0.80).
Conclusions: Living in areas of high deprivation is independently negatively associated with obtaining a single-visit LARC.
Implications: While access to single-visit LARC should be universally improved, reducing barriers for patientswith a higher ADI may help limit inequities in reproductive healthcare.