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Comparative Study
. 2018 Jan;97(1):76-78.
doi: 10.1016/j.contraception.2017.08.016. Epub 2017 Sep 5.

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

Tara M Higgins  1 , Anne K Dougherty  2 , Gary J Badger  3 , Sarah H Heil  4
Affiliations
Comparative Study

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

Tara M Higgins et al. Contraception. 2018 Jan.

Abstract

Objective: This study examined whether women with Medicaid are less likely to receive long-acting reversible contraception (LARC) in a clinic requiring two visits for insertion.

Study design: LARC insertion and pregnancy rates were compared among women with Medicaid vs. private insurance, along with other predictors, in a retrospective chart review (N=447).

Results: Univariately, fewer women with Medicaid vs. private insurance received LARC (66% vs. 79%, p<.01) and more become pregnant (18% vs. 6%, p<.001). Significant multivariate predictors of not receiving LARC were being unmarried and postpartum, both of which were associated with having Medicaid.

Conclusion: 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.

Keywords: Insertion rates; LARC; Long-acting reversible contraception; Medicaid; Socioeconomic disadvantage; Two visits.

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Conflict of interest statement

Conflicts of interest: none.

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