The Contraceptive CHOICE Project Round Up

McNicholas, Colleen; Madden, Tessa; Secura, Gina M.; Peipert, Jeffrey F.

doi:10.1097/grf.0000000000000070

Cited by 144 publications

(103 citation statements)

References 21 publications

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“…22,23 With the barriers of cost, knowledge, and access removed, 75 percent of participants chose a long-acting reversible contraception method. Participants who chose such methods had higher rates of continuing to use their device and of satisfaction at twelve and twenty-four months of follow-up.…”

Section: Policy Implicationsmentioning

confidence: 99%

Women Saw Large Decrease In Out-Of-Pocket Spending For Contraceptives After ACA Mandate Removed Cost Sharing

Becker

Polsky

2015

Health Affairs

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The Affordable Care Act mandates that private health insurance plans cover prescription contraceptives with no consumer cost sharing. The positive financial impact of this new provision on consumers who purchase contraceptives could be substantial, but it has not yet been estimated. Using a large administrative claims data set from a national insurer, we estimated out-of-pocket spending before and after the mandate. We found that mean and median per prescription out-of-pocket expenses have decreased for almost all reversible contraceptive methods on the market. The average percentages of out-of-pocket spending for oral contraceptive pill prescriptions and intrauterine device insertions by women using those methods both dropped by 20 percentage points after implementation of the ACA mandate. We estimated average out-of-pocket savings per contraceptive user to be $248 for the intrauterine device and $255 annually for the oral contraceptive pill. Our results suggest that the mandate has led to large reductions in total out-of-pocket spending on contraceptives and that these price changes are likely to be salient for women with private health insurance.

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Section: Policy Implicationsmentioning

confidence: 99%

Women Saw Large Decrease In Out-Of-Pocket Spending For Contraceptives After ACA Mandate Removed Cost Sharing

Becker

Polsky

2015

Health Affairs

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“…Santelli et al, [4] found that improvements in contraceptive use accounted for 86% of the reduction in teen pregnancy between 1995 and 2002 for teens aged [15][16][17][18][19]. The authors also found that improved contraceptive use accounted for 77% of the reduction in pregnancies among teens aged 15-17.…”

Section: Introductionmentioning

confidence: 78%

“…First, policies and programs should continue to target sexually active youth who do not use contraception. Second, teen pregnancy rates could decline further if policymakers can increase the effectiveness of method use among existing contraceptors-for example, by providing evidence-based contraceptive counseling, affordable services and same-day prescriptions/insertions [18][19][20].…”

Section: Discussionmentioning

confidence: 99%

Linking Changes in Contraceptive Use to Declines in Teen Pregnancy Rates

et al. 2015

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Using a unique microsimulation tool, Teen FamilyScape, the present study explores how changes in the mix of contraceptive methods used by teens contributed to the decline in the U.S. teen pregnancy rate between 2002 and 2010. Results indicate that changes in contraceptive use contributed to approximately half of the decline in the teen pregnancy rate during this time period (48%) and that a little more than half of this "contraceptive effect" was due to an increase in teen condom use (58%). The remaining share of the contraceptive effect can be attributed to an increase in the use of more effective hormonal (pill, patch, ring) and long-acting reversible contraceptive (LARC)/injectable methods (Intrauterine Devices (IUD), implant and injectable). Results from an additional counterfactual analysis suggest that the contraceptive effect was driven by the fact that the percentage of teens using no birth control fell during the study time period, rather than by the fact that some teens switched from less effective methods (condoms) to more effective hormonal and LARC/injectable methods. However, very high typical use failure rates for teen condom users suggest the need for a two-pronged approach for continuing reductions in teen pregnancy for sexually active teens: first, targeting the youth most at risk of not using contraception and helping them choose contraception, and second, increasing the effectiveness of method use among existing contraceptors.

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“…The continuation rates were 86 % in the LARC group versus 55 % who chose other temporary methods at the end of one year. Finally, women who used short-acting methods were 20 times more likely than women using an implant or IUD to have an unintended pregnancy at the end of one year which is most important in this age group [9]. It was found that pregnancy, birth, and abortion rates were low among teenage girls, and women enrolled in a project that removed financial and access barriers to contraception and informed them about the particular efficacy of LARC methods.…”

Section: Larc For Teensmentioning

confidence: 99%

“…Recent, large-scale research has shown how effective longacting contraception can be. Long-acting reversible contraceptive (LARC) methods have been shown to be acceptable to teens and young women, with higher continuation rates than shorter-acting methods [9]. In a study done in 10,000 adolescent girls, 75 % chose an implant or IUD when properly counselled.…”

Section: Larc For Teensmentioning

confidence: 99%

Permanent Sterilisation to Long-Acting Reversible Contraception: Is a Paradigm Shift Necessary?

Kumari¹

2016

J Obstet Gynecol India

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The concept of family planning originated as birth control in 1912 to control the size of the family and prevent unplanned pregnancies transformed to family welfare and later on expanded its horizons to reproductive and child health (RCH). A wide spectrum of choices both for male and female, temporary and permanent, have been developed and offered. Developed world having stabilised population faces problem with teenage and adolescent pregnancies. Developing nations are still struggling to stabilise population and traditionally depend on permanent female sterilisation as a major method of contraception. Lot of unmet need is seen in young recently married women, post-delivery, post-abortal states. Long-acting reversible contraception which includes intrauterine device, IUD, and implants has re-emerged strongly as a first choice of contraception for women of all ages including unmarried teenage pregnancies. They are highly efficient with failure rates equivalent or better than permanent methods, cost-effective, reversible, and have the potential to replace permanent sterilisation.

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The Contraceptive CHOICE Project Round Up

Cited by 144 publications

References 21 publications

Women Saw Large Decrease In Out-Of-Pocket Spending For Contraceptives After ACA Mandate Removed Cost Sharing

Women Saw Large Decrease In Out-Of-Pocket Spending For Contraceptives After ACA Mandate Removed Cost Sharing

Linking Changes in Contraceptive Use to Declines in Teen Pregnancy Rates

Permanent Sterilisation to Long-Acting Reversible Contraception: Is a Paradigm Shift Necessary?

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