Estimates of Pregnancies Averted Through California's Family Planning Waiver Program in 2002

Foster, Diana Greene; Biggs, M. Antonia; Amaral, Gorette; Brindis, Claire; Navarro, Sandy; Bradsberry, Mary; Stewart, Felicia H.

doi:10.1363/3812606

Cited by 19 publications

(6 citation statements)

References 8 publications

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“…We assumed that uninsured women would be less likely to use contraception (22% reduction in use compared to the baseline population) and be 18% less likely to use long-acting contraception [18,22]. Use rates by contraceptive types were assumed to be equal among income categories.…”

Section: Methodsmentioning

confidence: 99%

Extending contraceptive coverage under the Affordable Care Act saves public funds

Burlone¹,

Edelman²,

Caughey³

et al. 2013

Contraception

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Background The Affordable Care Act (ACA) will expand health care coverage to low-income Americans. Contraception services are a mandated component of ACA plans. Study Design A decision-analytic model was developed to compare the costs and outcomes of the current versus the proposed plan for contraceptive coverage (Federal Poverty Level=185% vs. 399%, respectively) over 5 years. The perspective adopted was that of Oregon state insurance providers. The primary outcomes were number of pregnancies averted, health costs and quality adjusted life years (QALYs). Contraceptive failure rates, costs, projected insurance coverage, contraception use and pregnancy outcome data were obtained from the published literature. Sensitivity analyses were performed for all variables. Results Extending contraceptive coverage both saves money and improves outcomes for Oregon state insurance plan providers. The proposed policy would prevent an additional 72 pregnancies per 1000 women over 5 years. Extending coverage is cost-effective, saving an additional $489 per woman enrolled over 5 years while increasing QALYs. Conclusions Expanding contraceptive coverage under the Affordable Health Act is cost-effective for Oregon state insurance providers. © 2013 Elsevier Inc. All rights reserved.

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Section: Methodsmentioning

confidence: 99%

Extending contraceptive coverage under the Affordable Care Act saves public funds

Burlone¹,

Edelman²,

Caughey³

et al. 2013

Contraception

View full text Add to dashboard Cite

show abstract

“…However, the existence of definitive trials for many key issues in obstetrics and gynecology is rare. The authors modeled the probability that a woman would become pregnant in each month, from the month the contraceptive was dispensed to the last month of contraceptive coverage, on the basis of the failure rate of the method used, the woman's agespecific fecundity, and the estimated probability of pregnancy in previous months [27,29]. This methodology is useful when uncertainty in clinical strategies exists, and a meaningful tradeoff of potential risks and benefits is present.…”

Section: Applications Of Cost-effectiveness Analysis In Obstetrics Anmentioning

confidence: 99%

Cost-effectiveness analyses and their role in improving healthcare strategies

Rodríguez

Caughey

2013

Current Opinion in Obstetrics &Amp; Gynecology

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CEA can play an important role in evidence-based decision making, with value for clinicians and policy makers alike. These studies are of particular interest in the field of obstetrics and gynecology, in which uncertainty from epidemiologic or clinical trials exists, or multiple perspectives need to be considered (maternal, neonatal, and societal). As with all research, it is essential that economic evaluations are conducted according to established methodologic standards. Interpretation and application of results should occur with a clear understanding of both the value and the limitations of economic evaluations.

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“…Numerous factors have been identified as influences on adolescent childbearing (6), including contraceptive access (7) and method choice (8, 9); sexual partnership characteristics (10); social and cultural norms regarding teen childbearing; and parent-child communication (11) and parental monitoring (12). Socioeconomic disparities and poverty at the individual, household, and neighborhood levels consistently have been found to be associated with teen pregnancy and sexual decision-making (13–15).…”

Section: Introductionmentioning

confidence: 99%

Limited Socioeconomic Opportunities and Latina Teen Childbearing: A Qualitative Study of Family and Structural Factors Affecting Future Expectations

Minnis

Marchi

Ralph

et al. 2012

J Immigrant Minority Health

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Background The decrease in adolescent birth rates in the United States has been slower among Latinas than among other ethnic/racial groups. Limited research has explored how socioeconomic opportunities influence childbearing among Latina adolescents. Methods We conducted in-depth interviews with 65 pregnant foreign- and U.S.-born Latina women (31 adolescents; 34 adults) in two California counties. We assessed perceived socioeconomic opportunities and examined how family, immigration and acculturation affected the relationships between socioeconomic opportunities and adolescent childbearing. Results Compared with women who delayed childbearing into adulthood, pregnant adolescents described having few resources for educational and career development and experiencing numerous socioeconomic and social barriers to achieving their goals. Socioeconomic instability and policies limiting access to education influenced childbearing for immigrant adolescents. In contrast, family disintegration tied to poverty figured prominently in U.S.-born adolescents’ childbearing. Conclusion Limited socioeconomic opportunities may play a large role in persistently high pregnancy rates among Latina adolescents.

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Estimates of Pregnancies Averted Through California's Family Planning Waiver Program in 2002

Abstract: Because all contraceptive methods substantially reduce the risk of pregnancy, Family PACT's impact on preventing pregnancy lies primarily in providing contraceptives to women who would otherwise not use any method.

Cited by 19 publications

References 8 publications

Extending contraceptive coverage under the Affordable Care Act saves public funds

Extending contraceptive coverage under the Affordable Care Act saves public funds

Cost-effectiveness analyses and their role in improving healthcare strategies

Limited Socioeconomic Opportunities and Latina Teen Childbearing: A Qualitative Study of Family and Structural Factors Affecting Future Expectations

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