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Driving Time and Single-Visit Long-Acting Reversible Contraception Provision in North Carolina
Salma Ali1, Lindsey Yates2, Gretchen S Sauer3
1Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
North Carolina Medical Journal
|March 9, 2026
Summary
Longer driving times are linked to receiving single-visit long-acting reversible contraception (LARC). Addressing geographic barriers is key for accessible, person-centered reproductive healthcare.
Area of Science:
- Reproductive Health
- Contraceptive Access
- Healthcare Geography
Background:
- Examined the association between driving time and single-visit long-acting reversible contraception (LARC) receipt in North Carolina.
- Investigated geographic accessibility as a factor in contraceptive care delivery.
Purpose of the Study:
- To determine if driving time influences the likelihood of patients receiving single-visit LARC.
- To identify potential geographic barriers to accessing timely contraceptive services.
Main Methods:
- Analyzed a statewide cohort of 4319 patients who received LARC between March 2019 and March 2021.
- Characterized drive times to LARC appointments using ArcGIS Pro 3.0.
Main Results:
- 68% of patients received LARC in a single visit.
- Patients living 30 minutes away had 1.54 times higher odds of single-visit LARC placement compared to those 10 minutes away (95% CI, 1.26-1.90).
Conclusions:
- Increased driving time is associated with single-visit LARC placement.
- Geographic accessibility is a critical factor in enhancing access to person-centered contraceptive care.
- Addressing logistical barriers is essential for equitable reproductive healthcare.
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