The Association of Health Insurance with Use of Prescription Contraceptives
- 12 December 2007
- journal article
- Published by Guttmacher Institute in Perspectives on Sexual and Reproductive Health
- Vol. 39 (4), 226-230
- https://doi.org/10.1363/3922607
Abstract
Given that substantial proportions of women of reproductive age lack health insurance coverage, it is important to assess whether lack of insurance is associated with the use of prescription contraceptives, which are the most expensive but also the most effective methods for preventing pregnancy. Data from 26,674 females aged 18-44 who participated in the 2002 Behavioral Risk Factor Surveillance System survey (representing more than 25 million women in the U.S. population) were used to assess risk of unintended pregnancy, prescription contraceptive use and health insurance status. Logistic regression models tested the likelihood of prescription contraceptive use among insured versus uninsured respondents after controlling for socioeconomic characteristics and self-reported overall health. A significantly higher proportion of insured women than of uninsured women reported use of prescription contraceptives (54% vs. 45%). In multiple regression analysis, women lacking health insurance were 30% less likely to report using prescription contraceptive methods than were women with private or public health insurance. Results were similar across racial, age and income subgroups. Lack of health insurance is associated with reduced use of prescription contraceptives. Universal insurance coverage is needed to ensure access to the most effective contraceptive methods for all women in need.Keywords
This publication has 6 references indexed in Scilit:
- Disparities in Rates of Unintended Pregnancy In the United States, 1994 and 2001Perspectives on Sexual and Reproductive Health, 2006
- Contraceptive failure in the United StatesContraception, 2004
- U.S. Insurance Coverage of Contraceptives and the Impact Of Contraceptive Coverage Mandates, 2002Perspectives on Sexual and Reproductive Health, 2004
- U.S. Insurance Coverage of Contraceptives and the Impact Of Contraceptive Coverage MandatesPerspectives on Sexual and Reproductive Health, 2004
- Are All Contraceptive Failures Unintended Pregnancies? Evidence from the 1995 National Survey of Family GrowthFamily Planning Perspectives, 1999
- What's the Relative Risk?JAMA, 1998