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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.
Background:
We examined the association between driving time and receipt of single-visit long-acting reversible contraception (LARC) in North Carolina.
Methods:
We characterized drive time with single-visit LARC placement across a state-wide cohort of 4319 patients who received LARC between March 15, 2019, and March 14, 2021. Drive time was calculated on ArcGIS Pro 3.0.
Results:
68% of patients received a single-visit LARC. Patients who lived 30 minutes from their LARC appointment had 1.54 times the odds of single-visit LARC placement compared to patients who drove 10 minutes (95% confidence interval [CI], 1.26 1.90).
Limitations:
Our data are limited by the electronic medical record-based design, as well as the assumption that the patients home address is their drive time location of origin.
Conclusions:
Increased driving time is associated with single-visit LARC placement. Understanding and addressing barriers to care, including geographic accessibility, is essential to enhancing access to high-quality, person-centered contraceptive care.
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