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Comparing long-acting reversible contraception insertion rates in women with medicaid vs. private insurance in a clinic with a two-visit protocol

Contraception Sep 09, 2017

Higgins TA, et al. - The objective of this study is to analyse whether women with Medicaid are less likely to receive long-acting reversible contraception (LARC) in a clinic requiring two visits for insertion. According to the outcome obtained, women with Medicaid are less likely than women with private insurance to have a requested LARC device inserted when a clinic requires two visits for insertion.

Methods

  • For this study, they designed a retrospective chart review.
  • In this study, they reviewed a total of 447 women.
  • They compared LARC insertion and pregnancy rates among women with Medicaid vs. private insurance, along with other predictors.

Results

  • Univariately, fewer women with Medicaid vs. private insurance received LARC (66% vs. 79%, p < .001).
  • Significant multivariate predictors of not receiving LARC were being unmarried and postpartum, both of which were related to having Medicaid.

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