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Delaware Contraceptive Access Now and Contraceptive Initiation Among Medicaid Enrollees, 2015‒2020
Michel Boudreaux1, Katie Gifford1, Mary Joan McDuffie1
1Michel Boudreaux and Taehyun Kim are with the Department of Health Policy and Management at the University of Maryland, College Park. Katie Gifford, Mary Joan McDuffie, and Rebecca McColl are with the Center for Community Research and Service at the Biden School of Public Policy and Administration, University of Delaware, Newark. Erin K. Knight is with the Department of Health at West Chester University, West Chester, PA.
Abstract:
Delaware Contraceptive Access Now was a statewide contraceptive access program implemented in Delaware between 2015 and 2020. We evaluated the association of the program with contraceptive initiation in Delaware's Medicaid program using a difference-in-differences design that compared changes in Delaware to changes in Maryland. Results suggest that program implementation was associated with increased initiation of long-acting reversible methods, particularly among adolescent patients aged 15 to 18 years. We found less-consistent evidence for changes to any contraceptive method. (Am J Public Health. 2022;112(S5):S537-S540. https://doi.org/10.2105/AJPH.2022.306938).
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