Abstract
ObjectiveTo assess the proportion of Washington state clinics that offer the copper IUD in rural vs urban settings. Study designWe employed a simulated patient model to survey clinics in the Human Health Resources and Services Administration 340B database to primarily assess the availability of the copper IUD. ResultsWe successfully surveyed 194/212 (92%) clinics. More urban than rural clinics reported copper IUD availability (76/97 [78%] vs 49/97 [51%]; p < 0.01). ConclusionsRural clinics are less likely than urban clinics to have the copper IUD available. ImplicationsThe frequency of unintended pregnancies is high in the United States. We should focus our attention on decreasing barriers to the copper IUD as a long-acting reversible contraceptive, particularly for women living in rural settings.
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