Reproductive Health
A Cost Effectiveness Model of Long-Acting Reversible Contraceptive Methods in the Brazilian National Health System
The use of long-acting reversible contraceptives is low among adolescents owing to the high up-front cost. In this study, a 5-year cost-effectiveness model and budget impact analysis were used to compare the use of long-acting reversible contraceptives with the use of combined oral contraceptives among Brazilian adolescents.Association of State Gestational Age Limit Abortion Laws With Infant Mortality
A growing number of state legislatures have passed laws that restrict access to abortion care after a specified gestational age (gestational age limit laws). The impact of these laws on maternal and child population health outcomes and inequities is unknown. The objective of this study is to determine whether states that implement gestational age limit laws experience subsequent changes in rates of infant mortality.Access Denied: The Proliferation of American Medical Abortion Laws, 2000–2018
Medical abortion is a safe, effective, and often preferred method of terminating an unintended pregnancy, but access can be made difficult by the laws of a state. Despite modern efforts to prevent unintended pregnancies in the U.S., they comprise almost half of pregnancies and 95% of abortions, signifying that abortion is a necessary and desired healthcare service. This study's purpose is to describe the proliferation of American medical abortion access laws between 2000 and 2018.The Impact of Driving Time to Family Planning Facilities on Preventive Service Use in Ohio
Publicly funded family planning clinics provide preventive health services to low-income populations in the U.S. In recent years, several states, including Ohio, have restricted public funds for organizations that provide or refer patients to abortion care, often resulting in clinic closures. This research evaluates the effects of such closures on preventive service use and access to care among female adults in Ohio.Women's Reproductive Rights Policies and Adverse Birth Outcomes: A State-Level Analysis to Assess the Role of Race and Nativity Status
Reproductive rights policies can potentially support or inhibit individuals’ abilities to attain the highest standard of reproductive and sexual health; however, research is limited on how broader social policies may differentially impact women of color and immigrants in the U.S. This study examines the associations among state-level reproductive rights policies, race, and nativity status with preterm birth and low birth weight in the U.S.Impact of State-Level Changes on Maternal Mortality: A Population-Based, Quasi-Experimental Study
Recent increases in maternal mortality and persistent disparities have led to speculation about why the U.S. has higher rates than most high-income countries. The aim was to examine the impact of changes in state-level factors plausibly linked to maternal mortality on overall rates and by race/ethnicity.American College of Preventive Medicine Position Statement: Reproductive Health Care
The American College of Preventive Medicine (ACPM) recommends that state and federal governments, and non-governmental organizations ensure access to comprehensive, coordinated, and high-quality reproductive health services to include education; emergency, short-, and long-term reversible contraception; sterilization; and abortion. ACPM stands with other organizations in opposing legislative restrictions that decrease access to contraception and safe abortion for all.Youth-Friendly Family Planning Services for Young People: A Systematic Review Update
Youth-friendly family planning services may improve youth reproductive health outcomes. A systematic review conducted in 2011 was updated in 2016 to incorporate recent data examining the effects of youth-friendly family planning services on reproductive health outcomes and the facilitators and barriers facing young people in accessing family planning services.Impact of Contraceptive Education on Knowledge and Decision Making: An Updated Systematic Review
Educational interventions can help individuals increase their knowledge of available contraceptive methods, enabling them to make informed decisions and use contraception correctly. This review updates a previous review of contraceptive education.Ongoing Implementation Challenges to the Patient Protection and Affordable Care Act’s Contraceptive Mandate
Perhaps among the most notable achievements of the Patient Protection and Affordable Care Act (ACA) is the requirement that private health insurance plans cover contraceptive counseling, services, and Food and Drug Administration (FDA)–approved methods without cost sharing. Since 2013, decreased out-of-pocket medical expenditures for contraceptives have benefited millions of insured women in the U.S.1,2 Highly effective long-acting reversible methods (LARCs), including intrauterine devices (IUDs) and implants, have now become more readily accessible options for many more with the ACA’s elimination of high up-front insertion procedure and device costs.Youth-Friendly Family Planning Services for Young People: A Systematic Review
“Youth-friendly” family planning services, services tailored to meet the particular sexual and reproductive health needs of young people (aged 10–24 years), may improve reproductive health outcomes, including reduction of unintended pregnancy. The objectives of this systematic review were to summarize the evidence of the effect of youth-friendly family planning services on reproductive health outcomes and to describe key characteristics of youth-friendly family planning interventions. The review, conducted in 2011, was used to inform national recommendations on quality family planning services.Programs to Strengthen Parent–Adolescent Communication About Reproductive Health: A Systematic Review
When caring for an adolescent client, providers of contraceptive services must consider whether and how to encourage parent/guardian–child communication about the adolescent’s reproductive health. The objective of this systematic review was to summarize the evidence on the effectiveness of programs designed to increase parent–child communication about reproductive health. The review was used to inform national recommendations on quality family planning services. Data analysis occurred from mid-2011 through 2012.Sexual and Reproductive Health Care: Adolescent and Adult Men’s Willingness to Talk and Preferred Approach
Sexually active adolescent and adult men have substantial sexual and reproductive health (SRH) needs, but little is known about their willingness and preferred approach to talk about SRH with their healthcare provider.
