State-Level Estimates of Contraceptive Use in the United States, 2017

Douglas-Hall, Ayana; Kost, Kathryn; Kavanaugh, Megan L.

doi:10.1363/2018.30267

Cited by 17 publications

(10 citation statements)

References 10 publications

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“…Birth control pills also remained the most popular query throughout the data looking at trends from 2014-2018. Though there have been significant increases in use of long-acting reversible contraception (LARC) in the last decade in the United States [ 29 ] and our study showed noticeable increases in searches conducted for LARC over time (2014-2018), actual LARC use in Louisiana and Mississippi is lower than most other states [ 28 ]. Louisiana had the lowest use of the IUD at 4.5% of women at risk of unintended pregnancy in the 2017 Guttmacher Institute report.…”

Section: Discussionmentioning

confidence: 93%

“…We found birth control pills were the most common search query related to birth control across all 3 geolocations. Though we cannot compare searches on birth control to actual use of methods, these findings are supported by a 2017 Guttmacher Institute report assessing state-level estimates of contraceptive use that found that the birth control pill was one of the most commonly used primary methods of contraception among women aged 18-49 years at risk of unintended pregnancy in the United States, ranging from 11% in Alaska to 27% in Massachusetts [ 28 ]. In Louisiana and Mississippi, 17.9% and 14.2%, respectively, of women at risk of unintended pregnancy were using birth control pills as their primary method of contraception.…”

Section: Discussionmentioning

confidence: 96%

See 1 more Smart Citation

Using Application Programming Interfaces (APIs) to Access Google Data and Gain Insights Into Searches on Birth Control in Louisiana and Mississippi, 2014-2018: Infoveillance Study

Prata¹,

Weidert²,

Zepecki³

et al. 2021

J Med Internet Res

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Background It is now common to search for health information online. A 2013 Pew Research Center survey found that 77% of online health seekers began their query at a search engine. The widespread use of online health information seeking also applies to women’s reproductive health. Despite online interest in birth control, not much is known about related interests and concerns reflected in the search terms in the United States. Objective In this study, we identify the top search terms on Google related to birth control in Louisiana and Mississippi and compare those results to the broader United States, examining how Google searches on birth control have evolved over time and identifying regional variation within states. Methods We accessed search data on birth control from 2014-2018 from 2 Google application programming interfaces (APIs), Google Trends and Google Health Trends. We selected Google as it is the most commonly used search engine. We focused our analysis on data from 2017 and compared with 2018 data as appropriate. To assess trends, we analyzed data from 2014 through 2018. To compare the relative search frequencies of the top queries across Louisiana, Mississippi, and the United States, we used the Google Health Trends API. Relative search volume by designated marketing area (DMA) gave us the rankings of search volume for each birth control method in each DMA as compared to one another. Results Results showed that when people searched for “birth control” in Louisiana and the broader United States, they were searching for information on a diverse spectrum of methods. This differs from Mississippi, where the data indicated people were mainly searching for information related to birth control pills. Across all locations, searches for birth control pills were significantly higher than any other queries related to birth control in the United States, Louisiana, and Mississippi, and this trend remained constant from 2014 to 2018. Regional level analysis showed variations in search traffic for birth control across each state. Conclusions The internet is a growing source of health information for many users, including information on birth control. Understanding popular Google search queries on birth control can inform in-person discussions initiated by family planning practitioners and broader birth control messaging campaigns. International Registered Report Identifier (IRRID) RR2-10.2196/16543

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 96%

Using Application Programming Interfaces (APIs) to Access Google Data and Gain Insights Into Searches on Birth Control in Louisiana and Mississippi, 2014-2018: Infoveillance Study

Prata¹,

Weidert²,

Zepecki³

et al. 2021

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…Our findings covering a year of the pandemic indicate that evidence of access barriers early in the pandemic was a harbinger of more sustained contraceptive access issues for patients, especially for those with the fewest resources to navigate these barriers. Particularly for users of long- and short-acting hormonal methods of contraception that commonly require a visit to a health care provider, which represent between 1/4 and 1/3 of all method use in these three states, 23 long-term access delays to obtaining and/or refilling one's method can seriously inhibit individuals' ability to prevent pregnancy over a year.…”

Section: Discussionmentioning

confidence: 99%

Financial Instability and Delays in Access to Sexual and Reproductive Health Care Due to COVID-19

Kavanaugh

Pleasure

Pliskin

et al. 2022

Journal of Women's Health

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Objective: To identify prevalence of, and patient and clinic characteristics associated with, delays in access to sexual and reproductive health (SRH) care due to the COVID-19 pandemic across three states with varying COVID-19 context and state government response. Methods: We weighted data collected between May 2020 and May 2021 from monthly and biannual follow-up surveys of patients seeking family planning care at a publicly supported health center in Arizona ( N = 538), Iowa ( N = 341), and Wisconsin ( N = 568), who reported on experiences 6–18 months before the survey. We conducted multivariable logistic regression analyses to identify characteristics associated with delays in accessing SRH care due to COVID-19, with specific attention to associations between patients' financial instability and experiencing delays. Results: Between May 2020 and May 2021, over half of respondents in Arizona (57%), 38% in Iowa, and 30% in Wisconsin indicated that they were either unable to access or delayed accessing SRH care or a contraceptive method due to the COVID-19 pandemic. In Arizona and Wisconsin, in multivariable models, respondents who had experienced financial instability due to being out of work, having fallen behind on key life payments, or because of a job reduction or loss due to COVID-19 had increased odds of experiencing COVID-19-related SRH care delays (Arizona adjusted odds ratio [aOR] = 2.6, p = 0.01 and Wisconsin aOR = 6.0, p < 0.001). Conclusions: Access to contraception was curtailed during the COVID-19 pandemic, especially for those who experienced employment and financial instability. Individuals' and clinics' ability to mitigate these effects were likely dependent on state context and response to the pandemic, among other factors.

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“…Data from the 2002 Behavioral Risk Factor Surveillance System suggest that vasectomy prevalence at the state level varies greatly, from a low of 4.7 per 1,000 men in New Jersey to a high of 19.9 per 1,000 men in Idaho, with southern states having consistently low prevalence rates (Pile & Barone, 2009). At the same time, rates of tubal ligation are higher in the southern states compared to those in the other parts of the country (Douglas-Hall et al, 2018). Improving our understanding of why vasectomy is underused in the south is a needed step toward addressing this inequitable balance of permanent contraception in the region.…”

mentioning

confidence: 99%

Men’s Vasectomy Knowledge, Attitudes, and Information-Seeking Behaviors in the Southern United States: Results From an Exploratory Survey

et al. 2020

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Vasectomy is one of the few options men have to manage their reproductive capacity and take on a more equitable role in pregnancy prevention. While the method is underused throughout the United States, the southern states have a lower prevalence rate compared to the rest of the country. Existing survey research does not assess what men know or think about the procedure as a means of understanding why this is the case. We created and conducted an exploratory survey to assess men’s knowledge, attitudes, and information-seeking behaviors about vasectomy in the Southern United States. We used targeted Facebook advertising to recruit men ages 25–70 years living in 7 southern states to complete an online survey ( n = 397). Using regression analyses, we identify that participants who had a vasectomy knew more about the procedure than participants who had not. Participants who had not had a vasectomy had less positive attitudes about the procedure across all six attitude subscales compared to participants with vasectomies. We highlight potential avenues for future research to understand why this may be the case. Finally, the majority of participants knew someone who had had a vasectomy. This suggests that men disclose having a vasectomy to others. The interpersonal dynamics around vasectomy decision-making and disclosure remain unknown and a viable area for future research. Findings from this exploratory survey may be used by public health officials interested in implementing campaigns to increase knowledge about vasectomy and reduce stigma, which may encourage more positive attitudes about the procedure.

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State-Level Estimates of Contraceptive Use in the United States, 2017

Cited by 17 publications

References 10 publications

Using Application Programming Interfaces (APIs) to Access Google Data and Gain Insights Into Searches on Birth Control in Louisiana and Mississippi, 2014-2018: Infoveillance Study

Using Application Programming Interfaces (APIs) to Access Google Data and Gain Insights Into Searches on Birth Control in Louisiana and Mississippi, 2014-2018: Infoveillance Study

Financial Instability and Delays in Access to Sexual and Reproductive Health Care Due to COVID-19

Men’s Vasectomy Knowledge, Attitudes, and Information-Seeking Behaviors in the Southern United States: Results From an Exploratory Survey

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