Affordable but Inaccessible? Contraception Deserts in the US States.
Context: This article focuses on whether, and the extent to which, the resources made available by Title X-the only federal policy aimed specifically at reproductive health care-are equitably accessible. Here, equitable means that barriers to accessing services are lowest for those people who need t...
| Published in: | Journal of Health Politics, Policy & Law Vol. 46; no. 2; pp. 277 - 305 |
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| Main Authors: | , , , |
| Format: | Article |
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Duke University Press
Apr2021
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=149421112&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 149421112 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 03616878 HPP jtl: Journal of Health Politics, Policy & Law issn: 03616878 maglogo: N pubinfo: dt: Apr2021 vid: 46 iid: 2 pid: 154 pub: Duke University Press artinfo: ui: 149421112 10.1215/03616878-8802186 ppf: 277 ppct: 28 formats: tig: atl: Affordable but Inaccessible? Contraception Deserts in the US States. aug: au: Kreitzer, Rebecca J. Watts Smith, Candis Kane, Kellen A. Saunders, Tracee M. affil: University of North Carolina at Chapel Hill Pennsylvania State University University of Iowa su: United States Contraception Health services accessibility Reproductive health Geographic information systems Health service areas sug: subj: Contraception Health services accessibility Reproductive health United States Geographic information systems Health service areas keyword: 12SFCA contraception federalism GIS Title X 12SFCA contraception federalism GIS Title X ab: Context: This article focuses on whether, and the extent to which, the resources made available by Title X-the only federal policy aimed specifically at reproductive health care-are equitably accessible. Here, equitable means that barriers to accessing services are lowest for those people who need them most. Methods: The authors use geographic information systems (GIS) and statistical/spatial analysis (specifically the integrated two-step floating catchment area [I2SFCA] method) to study the spatial and nonspatial accessibility of Title X clinics in 2018. Findings: The authors find that contraception deserts vary across the states, with between 17% and 53% of the state population living in a desert. Furthermore, they find that low-income people and people of color are more likely to live in certain types of contraception deserts. Conclusions: The analyses reveal not only a wide range of sizes and shapes of contraception deserts across the US states but also a range of severity of inequity. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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