Delaware Contraceptive Access Now and Contraceptive Initiation Among Medicaid Enrollees, 2015‒2020.

Boudreaux, Michel; Gifford, Katie; McDuffie, Mary Joan; McColl, Rebecca; Kim, Taehyun; Knight, Erin K · Am J Public Health · 2022

retrospective_cohort · Level III

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Abstract

Delaware Contraceptive Access Now was a statewide contraceptive access program implemented in Delaware between 2015 and 2020. We evaluated the association of the program with contraceptive initiation in Delaware's Medicaid program using a difference-in-differences design that compared changes in Delaware to changes in Maryland. Results suggest that program implementation was associated with increased initiation of long-acting reversible methods, particularly among adolescent patients aged 15 to 18 years. We found less-consistent evidence for changes to any contraceptive method. (<i>Am J Public Health</i>. 2022;112(S5):S537-S540. https://doi.org/10.2105/AJPH.2022.306938).

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