Association of Access to Publicly Funded Family Planning Services With Adolescent Birthrates in California Counties.

• Autores: Marina J. Chabot, Sandy Navarro, Diane Swann, Philip D. Darney, Heike Thiel de Bocanegra
• Localización: American journal of public health, ISSN 0090-0036, Vol. 104, Nº. 0, 2014, págs. 1-6
• Idioma: inglés
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• Resumen

  • Objectives. 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. Methods. 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. Results. 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. Conclusions. 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. [ABSTRACT FROM AUTHOR]