Long-acting reversible contraception method use among Title X providers and non-Title X providers in California

Abstract

BackgroundPublicly funded family planning services play an important role in reducing unintended pregnancy by providing access to effective contraception. We assessed whether California family planning providers receiving federal Title X funds are more likely to offer on-site long-acting reversible contraception (LARC) methods than those who do not receive these funds. Study DesignUsing 2009 administrative data, we examined on-site utilization of LARC by clinic type (Title X public, non-Title X public, or private) and constructed beta-binomial logistic regression models. ResultsThe odds of on-site LARC services in non-Title X public and private providers were decreased by 35% [Odds Ratio (OR)=0.65, 95% confidence interval (CI) 0.54–0.79] and 61% [OR=0.39, 95% CI 0.32–0.47], respectively, compared to those of Title X providers after controlling for clinic size, urban/rural location, and proportion of teen, African–American, and Latina clients. ConclusionsOn-site utilization of LARC is a potential quality indicator for family planning programs. Title X resources are associated with increased use of LARC.