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Alicia L Nobles1, Mark Dredze2, John W Ayers1

  • 1Division of Infectious Disease and Global Public Health, UC San Diego, La Jolla, CA.

Contraception
|March 18, 2019
PubMed
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This summary is machine-generated.

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Public interest in intrauterine devices (IUDs) significantly increased after the 2016 election, possibly due to concerns about the Affordable Care Act (ACA) repeal. Searches for other contraceptives remained stable or declined.

Area of Science:

  • Reproductive Health
  • Public Health Policy
  • Digital Health Trends

Background:

  • The Affordable Care Act (ACA) significantly impacted access to reproductive healthcare in the United States.
  • Heightened political discourse surrounding a potential ACA repeal following the 2016 election raised public concern.
  • Understanding public interest in contraceptive methods is crucial for public health preparedness.

Purpose of the Study:

  • To assess public interest in reversible contraceptive methods in the U.S. following the 2016 presidential election and discussions of repealing the ACA.
  • To analyze search trends for oral contraceptives, intrauterine devices (IUDs), and condoms.

Main Methods:

  • Utilized Google search data from the United States between January 1, 2004, and October 31, 2017.
Keywords:
Health policybehavioral medicinecomputational epidemiologypopulation health

Related Experiment Videos

  • Monitored search query fractions for oral contraceptives, IUDs, and condoms.
  • Compared search volumes in the year following the 2016 election to baseline trends.

    • Main Results:

    • Intrauterine device (IUD) searches increased by 15% (95% CI: 10-20) in the year after the 2016 election, representing 10-21 million excess searches.
    • Increased IUD searches were observed across most U.S. states, irrespective of the 2016 election outcome.
    • Searches for oral contraceptives showed no significant change (0%; 95% CI: -2-1), while condom searches declined by 4% (95% CI: -5- -2).

    Conclusions:

    • The surge in IUD searches suggests a public desire for long-acting, potentially ACA-independent contraceptive methods.
    • Increased public engagement with IUD information may reflect a strategy to secure reproductive health coverage amidst policy uncertainty.
    • These findings highlight public concern regarding healthcare policy changes and their impact on contraceptive access.