Community Health Centers and Family Planning in an Era of Policy Uncertainty
Table A: Adjusted odds ratios for prescribing or dispensing contraceptive methods onsite | ||||
Title X grantee | Large site | Urban | Medicaid expansion state | |
Oral contraceptives (OCs) | 5.17* | 1.52 | 1.18 | 0.75 |
Hormonal IUDs | 4.30* | 1.67* | 1.76* | 1.05 |
Copper IUD | 4.24* | 1.98* | 1.66* | 1.18 |
Implant | 6.31* | 1.72* | 1.28 | 1.00 |
Injectable | 4.84* | 1.64 | 0.68 | 1.07 |
Patch | 3.04* | 1.50 | 1.34 | 1.06 |
Ring | 4.47* | 1.32 | 1.15 | 0.95 |
Diaphragm, cervical cap | 2.17* | 1.35 | 1.00 | 0.96 |
Natural family planning instruction | 2.91* | 1.42 | 1.09 | 1.26 |
Plan B | 4.09* | 1.11 | 1.67* | 2.40* |
ella | 2.97* | 1.13 | 1.95* | 1.75 |
NOTE: *p<0.05. |
Table B: Adjusted odds ratios for major barriers to meeting the family planning and reproductive health needs of patients | ||||
Title X grantee | Large site | Urban | Medicaid expansion state | |
Lack of insurance coverage among patients | 0.60 | 0.97 | 1.07 | 0.26* |
High out of pocket costs for patients | 0.53* | 1.05 | 0.89 | 0.46* |
High patient demand for other primary care services | 0.72 | 1.49 | 0.56* | 1.07 |
Lack of space to stock family planning supplies | 0.78 | 0.89 | 0.27* | 0.95 |
High cost to have contraceptives in stock | 0.28* | 1.33 | 0.69 | 1.23 |
Lack of staff trained in IUD/implant procedures | 0.40* | 0.54* | 0.32* | 1.08 |
Inadequate insurance reimbursement/payments | 0.50* | 2.32* | 0.89 | 0.42* |
NOTE: *p<0.05. |