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Community Health Centers and Family Planning in an Era of Policy Uncertainty

Table A: Adjusted odds ratios for prescribing or dispensing contraceptive methods onsite
  Title X grantee Large site Urban Medicaid expansion state
Oral contraceptives (OCs) 5.17* 1.52 1.18 0.75
Hormonal IUDs 4.30* 1.67* 1.76* 1.05
Copper IUD 4.24* 1.98* 1.66* 1.18
Implant 6.31* 1.72* 1.28 1.00
Injectable 4.84* 1.64 0.68 1.07
Patch 3.04* 1.50 1.34 1.06
Ring 4.47* 1.32 1.15 0.95
Diaphragm, cervical cap 2.17* 1.35 1.00 0.96
Natural family planning instruction 2.91* 1.42 1.09 1.26
Plan B 4.09* 1.11 1.67* 2.40*
ella 2.97* 1.13 1.95* 1.75
NOTE: *p<0.05.

 

Table B: Adjusted odds ratios for major barriers to meeting the family planning and reproductive health needs of patients
  Title X grantee Large site Urban Medicaid expansion state
Lack of insurance coverage among patients 0.60 0.97 1.07 0.26*
High out of pocket costs for patients 0.53* 1.05 0.89 0.46*
High patient demand for other primary care services 0.72 1.49 0.56* 1.07
Lack of space to stock family planning supplies 0.78 0.89 0.27* 0.95
High cost to have contraceptives in stock 0.28* 1.33 0.69 1.23
Lack of staff trained in IUD/implant procedures 0.40* 0.54* 0.32* 1.08
Inadequate insurance reimbursement/payments 0.50* 2.32* 0.89 0.42*
NOTE: *p<0.05.

 

Implications

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