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Affordable but Inaccessible? Contraception Deserts in the US States
Rebecca J Kreitzer1, Candis Watts Smith2, Kellen A Kane1
1University of North Carolina at Chapel Hill.
Context:
This article focuses on whether, and the extent to which, the resources made available by Title X-the only federal policy aimed specifically at reproductive health care-are equitably accessible. Here, equitable means that barriers to accessing services are lowest for those people who need them most.
Methods:
The authors use geographic information systems (GIS) and statistical/spatial analysis (specifically the integrated two-step floating catchment area [I2SFCA] method) to study the spatial and nonspatial accessibility of Title X clinics in 2018.
Findings:
The authors find that contraception deserts vary across the states, with between 17% and 53% of the state population living in a desert. Furthermore, they find that low-income people and people of color are more likely to live in certain types of contraception deserts.
Conclusions:
The analyses reveal not only a wide range of sizes and shapes of contraception deserts across the US states but also a range of severity of inequity.
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