Drs. Nathan Hale, Amal Khoury, and Mike Smith, faculty in the ETSU College of Public Health, authored the article featured in Women’s Health Issues, which is a leading journal in women’s health care and policy.
The article, “Use of Highly Effective Reversible Contraception in Title X Clinics: Variation by Selected State Characteristics,” is based on their study of a federal Title X family planning program that allows providers to offer reproductive health services on a sliding-fee basis to clients with low incomes.
In the study, Hale, Khoury and Smith found that a growing share of such clients who were seeking contraception chose forms of long-acting reversible contraception (LARC).
“However, LARC use remains lower in states with the greatest need for publicly funded contraceptive services and supplies,” Hale noted. “Differences in the use of highly effective LARC methods could be reflective of limited availability/accessibility of those methods in certain states, or alternatively, of women’s preferences in contraception choice.”
Editors at Women’s Health Issues selected the article as its “editor’s choice” for the July/August 2018 issue.
“The Title X program has played a key role in the recent reductions in the U.S. rates of unintended pregnancies and abortions,” said Amita Vyas, editor-in-chief of Women's Health Issues and associate professor of Prevention and Community Health at George Washington University.
“However, this study’s findings suggest that women with low incomes still face uneven access to the most effective forms of contraception. I hope policymakers will consider findings like these and adopt evidence-based approaches to strengthening the Title X program, so that women can make the choices that are best for them regarding contraception, family size and birth timing, regardless of their incomes.”
To read the article in its entirety, visit https://www.whijournal.com/article/S1049-3867(17)30500-5/fulltext. Women’s Health Issues is the official journal of the Jacobs Institute of Women’s Health at George Washington University.