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Women and Health Care in the Early Years of the ACA: Key Findings from the 2013 Kaiser Women's Health Survey

    Reproductive and Sexual Health Services
    View Exhibits
    1. Exhibit 6.1: Most women have had a gynecologic or obstetric exam in the past year, except for women who are uninsured
    2. Exhibit 6.2: Most women obtain gynecologic exams at a doctor’s office, but many also rely on clinics
    3. Exhibit 6.3: Provider counseling on contraception is more common than other sexual health topics, but there is variation by insurance status
    4. Exhibit 6.4: Counseling rates for STIs and HIV are higher among Black and Hispanic women compared to White women
    5. Exhibit 6.5: Counseling on reproductive and sexual health is most frequently reported by women in their early twenties
    6. Exhibit 6.6: Approximately one-quarter of women have discussed domestic violence with their provider, but rates are higher among Hispanic women and those with Medicaid
    7. Exhibit 6.7: Many women incorrectly believe that STI testing is routine part of an examination
    8. Exhibit 6.8: One in five sexually active women are at risk for unintended pregnancy because they are not using contraception
    9. Exhibit 6.9: Many women use contraception to prevent pregnancy and manage medical conditions
    10. Exhibit 6.10: Women of color have higher reliance on clinics and health centers for contraceptive care
    11. Exhibit 6.11: One-third of uninsured women receive birth control from family planning clinics
    12. Exhibit 6.12: Most women receive a three months’ supply of birth control pills, but one in four receive a longer term supply
    13. Exhibit 6.13: Most women have heard of emergency contraceptive (EC) pills, but few have used or purchased them
    14. Exhibit 6.14: One in three women had full coverage for birth control, but one in five had no coverage for contraceptives
    15. Exhibit 6.15: Among women with private insurance, one in three report plan paid for full cost of contraceptives
    16. Exhibit 6.16: Many young women place a high value on confidentiality, but are unaware that private plans can send EOBs to parents
    x

    Exhibit 1.1

    Selected Demographic Characteristics of Women, Ages 18-64
    x

    Exhibit 1.2

    Selected Socio-Economic Characteristics of Women, Ages 18-64
    x

    Exhibit 1.3

    Selected Demographic Characteristics of Women, Ages 15-44
    x

    Exhibit 1.4

    Selected Socio-Economic Characteristics of Women, Ages 15-44
    x

    Exhibit 1.5

    Poorer women have higher rates of fair/poor health and conditions resulting in activity limitations
    x

    Exhibit 3.1

    Majority of women are covered by employer-sponsored insurance (ESI)
    x

    Exhibit 3.2

    Over four in ten young women are insured under a parent’s plan
    x

    Exhibit 3.3

    Women of color have lower rates of private coverage and higher rates of Medicaid or no insurance
    x

    Exhibit 3.4

    Many low-income women are uninsured
    x

    Exhibit 3.5

    A higher share of women than men forgo health care needs due to cost
    x

    Exhibit 3.6

    Health care costs are a barrier to care for uninsured women, but also for women with Medicaid and private coverage
    x

    Exhibit 3.7

    Logistical problems pose barriers to health care for women, particularly low-income women
    x

    Exhibit 3.8

    Medical bills affect many aspects of women’s financial stability
    x

    Exhibit 4.1

    Most women identify a place where they go for care
    x

    Exhibit 4.2

    Most women identify a place or clinician they usually go to for care, but lower among uninsured women
    x

    Exhibit 4.3

    Doctor’s offices are the most common setting where women receive care
    x

    Exhibit 4.4

    Clinicians are important sources of care for women with Medicaid or who are uninsured
    x

    Exhibit 4.5

    Over one-third of women have more than one provider they see for routine care, OB/GYN most likely to be identified as secondary provider
    x

    Exhibit 4.6

    Uninsured women have lower rates of recent provider visits
    x

    Exhibit 5.1

    Women’s knowledge about ACA coverage for preventive services
    x

    Exhibit 5.2

    Eight in ten women have had a recent general check up, but rates are lower among some groups
    x

    Exhibit 5.3

    Counseling on health behaviors is highest for diet, exercise and nutrition
    x

    Exhibit 5.4

    Higher rates of counseling on some topics among women who are younger or poorer health
    x

    Exhibit 5.5

    Four in ten women report speaking with their providers about mental health issues, rates higher among some groups
    x

    Exhibit 5.6

    Lower utilization of screening tests among uninsured women
    x

    Exhibit 5.7

    Rise in rate of cholesterol screenings between 2001 and 2013, rate of pap tests is falling
    x

    Exhibit 6.1

    Most women have had a gynecologic or obstetric exam in the past year, except for women who are uninsured
    x

    Exhibit 6.2

    Most women obtain gynecologic exams at a doctor’s office, but many also rely on clinics
    x

    Exhibit 6.3

    Provider counseling on contraception is more common than other sexual health topics, but there is variation by insurance status
    x

    Exhibit 6.4

    Counseling rates for STIs and HIV are higher among Black and Hispanic women compared to White women
    x

    Exhibit 6.5

    Counseling on reproductive and sexual health is most frequently reported by women in their early twenties
    x

    Exhibit 6.6

    Approximately one-quarter of women have discussed domestic violence with their provider, but rates are higher among Hispanic women and those with Medicaid
    x

    Exhibit 6.7

    Many women incorrectly believe that STI testing is routine part of an examination
    x

    Exhibit 6.8

    One in five sexually active women are at risk for unintended pregnancy because they are not using contraception
    x

    Exhibit 6.9

    Many women use contraception to prevent pregnancy and manage medical conditions
    x

    Exhibit 6.10

    Women of color have higher reliance on clinics and health centers for contraceptive care
    x

    Exhibit 6.11

    One-third of uninsured women receive birth control from family planning clinics
    x

    Exhibit 6.12

    Most women receive a three months’ supply of birth control pills, but one in four receive a longer term supply
    x

    Exhibit 6.13

    Most women have heard of emergency contraceptive (EC) pills, but few have used or purchased them
    x

    Exhibit 6.14

    One in three women had full coverage for birth control, but one in five had no coverage for contraceptives
    x

    Exhibit 6.15

    Among women with private insurance, one in three report plan paid for full cost of contraceptives
    x

    Exhibit 6.16

    Many young women place a high value on confidentiality, but are unaware that private plans can send EOBs to parents