Association of access to publicly funded family planning services with adolescent birthrates in California counties

American Journal of Public Health
Marina J ChabotHeike Thiel de Bocanegra

Abstract

We examined the association of adolescent birthrates (ABRs) with access to and receipt of publicly funded family planning services in California counties provided through 2 state programs: Medi-Cal, California's Medicaid program, and the Family Planning, Access, Care, and Treatment (Family PACT) program. Our key data sources included the California Health Interview Survey and California Women's Health Survey, Medi-Cal and Family PACT claims data, and the Birth Statistical Master File. We constructed a linear regression analysis measuring the relationship of access to and receipt of family planning services with ABRs when controlling for counties' select covariates. The regression analysis indicated that a higher access rate to Family PACT in a county was associated with a lower ABR (B = -0.19; P < .01) when controlling for unemployment rate, percentage of foreign-born adolescents, and percentage of adult low-income births. Efforts to reduce ABRs, specifically in counties that had persistently high rates are critical to achieving a healthy future for the state and the nation. Family PACT played a crucial role in helping adolescents avoid unintended and early childbearing.

References

Oct 19, 2001·Maternal and Child Health Journal·R GoldF A Connell
Jul 5, 2005·Pediatrics·Jonathan D Klein, UNKNOWN American Academy of Pediatrics Committee on Adolescence
Feb 5, 2010·The Review of Economics and Statistics·Melissa S Kearney, Phillip B Levine
May 18, 2010·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Zhou Yang, Laura M Gaydos
Aug 2, 2011·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Diana G FosterClaire D Brindis
Oct 25, 2011·Contraception·Lawrence B Finer, Mia R Zolna

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Citations

Dec 30, 2014·Contraception·Maria Isabel RodriguezK John McConnell
Apr 9, 2015·Journal of Pediatric and Adolescent Gynecology·Katherine M JohnsonHope A Ricciotti

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