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Clinical availability of the copper IUD in rural versus urban settings: A simulated patient study
OBJECTIVE: To assess the proportion of Washington state clinics that offer the copper IUD in rural vs urban settings. STUDY DESIGN: We employed a simulated patient model to survey clinics in the Human Health Resources and Services Administration 340B database to primarily assess the availability of...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7895703/ https://www.ncbi.nlm.nih.gov/pubmed/33644745 http://dx.doi.org/10.1016/j.conx.2021.100059 |
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author | Lilja, Kristen Chin, Jennifer Benson, Lyndsey S. Infante, Sofia Micks, Elizabeth |
author_facet | Lilja, Kristen Chin, Jennifer Benson, Lyndsey S. Infante, Sofia Micks, Elizabeth |
author_sort | Lilja, Kristen |
collection | PubMed |
description | OBJECTIVE: To assess the proportion of Washington state clinics that offer the copper IUD in rural vs urban settings. STUDY DESIGN: We employed a simulated patient model to survey clinics in the Human Health Resources and Services Administration 340B database to primarily assess the availability of the copper IUD. RESULTS: We successfully surveyed 194/212 (92%) clinics. More urban than rural clinics reported copper IUD availability (76/97 [78%] vs 49/97 [51%]; p < 0.01). CONCLUSIONS: Rural clinics are less likely than urban clinics to have the copper IUD available. IMPLICATIONS: The frequency of unintended pregnancies is high in the United States. We should focus our attention on decreasing barriers to the copper IUD as a long-acting reversible contraceptive, particularly for women living in rural settings. |
format | Online Article Text |
id | pubmed-7895703 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-78957032021-02-25 Clinical availability of the copper IUD in rural versus urban settings: A simulated patient study Lilja, Kristen Chin, Jennifer Benson, Lyndsey S. Infante, Sofia Micks, Elizabeth Contracept X Article OBJECTIVE: To assess the proportion of Washington state clinics that offer the copper IUD in rural vs urban settings. STUDY DESIGN: We employed a simulated patient model to survey clinics in the Human Health Resources and Services Administration 340B database to primarily assess the availability of the copper IUD. RESULTS: We successfully surveyed 194/212 (92%) clinics. More urban than rural clinics reported copper IUD availability (76/97 [78%] vs 49/97 [51%]; p < 0.01). CONCLUSIONS: Rural clinics are less likely than urban clinics to have the copper IUD available. IMPLICATIONS: The frequency of unintended pregnancies is high in the United States. We should focus our attention on decreasing barriers to the copper IUD as a long-acting reversible contraceptive, particularly for women living in rural settings. Elsevier 2021-01-30 /pmc/articles/PMC7895703/ /pubmed/33644745 http://dx.doi.org/10.1016/j.conx.2021.100059 Text en © 2021 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Article Lilja, Kristen Chin, Jennifer Benson, Lyndsey S. Infante, Sofia Micks, Elizabeth Clinical availability of the copper IUD in rural versus urban settings: A simulated patient study |
title | Clinical availability of the copper IUD in rural versus urban settings: A simulated patient study |
title_full | Clinical availability of the copper IUD in rural versus urban settings: A simulated patient study |
title_fullStr | Clinical availability of the copper IUD in rural versus urban settings: A simulated patient study |
title_full_unstemmed | Clinical availability of the copper IUD in rural versus urban settings: A simulated patient study |
title_short | Clinical availability of the copper IUD in rural versus urban settings: A simulated patient study |
title_sort | clinical availability of the copper iud in rural versus urban settings: a simulated patient study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7895703/ https://www.ncbi.nlm.nih.gov/pubmed/33644745 http://dx.doi.org/10.1016/j.conx.2021.100059 |
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