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. 2014 Feb;104 Suppl 1(Suppl 1):e1-6.
doi: 10.2105/AJPH.2013.301454. Epub 2013 Dec 19.

Association of access to publicly funded family planning services with adolescent birthrates in California counties

Marina J Chabot  1 , Sandy Navarro, Diane Swann, Philip Darney, Heike Thiel de Bocanegra
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Association of access to publicly funded family planning services with adolescent birthrates in California counties

Marina J Chabot et al. Am J Public Health. 2014 Feb.

Abstract

Objectives: We examined the association of adolescent birthrates (ABRs) with access to and receipt of publicly funded family planning services in California counties provided through 2 state programs: Medi-Cal, California's Medicaid program, and the Family Planning, Access, Care, and Treatment (Family PACT) program.

Methods: Our key data sources included the California Health Interview Survey and California Women's Health Survey, Medi-Cal and Family PACT claims data, and the Birth Statistical Master File. We constructed a linear regression analysis measuring the relationship of access to and receipt of family planning services with ABRs when controlling for counties' select covariates.

Results: The regression analysis indicated that a higher access rate to Family PACT in a county was associated with a lower ABR (B = -0.19; P < .01) when controlling for unemployment rate, percentage of foreign-born adolescents, and percentage of adult low-income births.

Conclusions: Efforts to reduce ABRs, specifically in counties that had persistently high rates are critical to achieving a healthy future for the state and the nation. Family PACT played a crucial role in helping adolescents avoid unintended and early childbearing.

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References

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