Affordable but Inaccessible? Contraception Deserts in the US States.

IF 4.3 3区材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC

ACS Applied Electronic Materials Pub Date : 2021-04-01 DOI:10.1215/03616878-8802186

Rebecca J Kreitzer, Candis Watts Smith, Kellen A Kane, Tracee M Saunders

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引用次数: 21

Abstract

Context: This article focuses on whether, and the extent to which, the resources made available by Title X-the only federal policy aimed specifically at reproductive health care-are equitably accessible. Here, equitable means that barriers to accessing services are lowest for those people who need them most.

Methods: The authors use geographic information systems (GIS) and statistical/spatial analysis (specifically the integrated two-step floating catchment area [I2SFCA] method) to study the spatial and nonspatial accessibility of Title X clinics in 2018.

Findings: The authors find that contraception deserts vary across the states, with between 17% and 53% of the state population living in a desert. Furthermore, they find that low-income people and people of color are more likely to live in certain types of contraception deserts.

Conclusions: The analyses reveal not only a wide range of sizes and shapes of contraception deserts across the US states but also a range of severity of inequity.

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负担得起却难以接近?美国的避孕沙漠。

背景:这篇文章关注的是标题x——唯一专门针对生殖健康保健的联邦政策——提供的资源是否以及在多大程度上是公平可及的。在这里，公平意味着最需要服务的人获得服务的障碍最低。方法:利用地理信息系统(GIS)和统计/空间分析方法(具体采用两步综合浮动集水区[I2SFCA]方法)对2018年《Title X》诊所的空间可达性和非空间可达性进行研究。研究结果:作者发现，避孕沙漠在各州各不相同，17%到53%的州人口生活在沙漠中。此外，他们发现低收入人群和有色人种更有可能生活在某些类型的避孕沙漠中。结论:分析不仅揭示了美国各州避孕沙漠的大小和形状的广泛范围，而且还揭示了不平等的严重程度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ACS Applied Electronic Materials Multiple-

CiteScore

7.20

自引率

4.30%

发文量

567