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Association of state-level abortion policy and contraceptive workforce on over the counter contraceptive pill sales
Megan Fuerst1, Maria I Rodriguez1
1Oregon Health & Science University, Portland, OR, United States.
Objective:
To describe over-the-counter (OTC) birth control pill sales relative to state policy environments.
Study Design:
We analyzed OTC pill sales data from March 2024 to September 2025. We analyzed sales as a ratio per population of women aged 15-44. States were categorized into quintiles based on previously published contraceptive workforce ratios and state abortion restrictions.
Results:
OTC pills differed significantly by contraceptive workforce and abortion restrictions with the highest ratio of sales occurring in states with the lowest quintile of contraceptive workers (2.84) and the greatest number of abortion restrictions (3.02).
Conclusion:
The OTC pill may bridge access in states with restrictive policy environments.
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