Table 4.
Associations Between Contraceptive Care Experiences and Contraception Source Preference Groups Among Women Aged 18–44 Years in Arizona, New Jersey, and Wisconsin (Pooled N = 2804), 2019–2020
| Narrow preference for obtaining contraception in-person from a health care providera |
Preference for obtaining contraception via telemedicineb |
Preference for obtaining contraception via telehealthc |
Preferences for obtaining contraception via a pharmacyd |
Preferences for obtaining contraception via innovative strategiese |
|||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Weighted % | OR (95% CI) | aOR (95% CI) | Weighted % | OR (95% CI) | aOR (95% CI) | Weighted % | OR (95% CI) | aOR (95% CI) | Weighted % | OR (95% CI) | aOR (95% CI) | Weighted % | OR (95% CI) | aOR (95% CI) | |
| Past receipt of person-centered contraceptive caref | |||||||||||||||
| No care | 36% | 0.72 (0.54–0.95) | 0.79 (0.54–1.16) | 38% | 0.91 (0.68–1.23) | 0.99 (0.65–1.52) | 42% | 1.42 (1.10–1.84) | 1.06 (0.75–1.51) | 39% | 0.9 (0.69–1.18) | 0.92 (0.65–1.28) | 36% | 0.94 (0.70–1.25) | 0.87 (0.59–1.28) |
| Less than excellent | 27% | 0.8 (0.58–1.12) | 0.83 (0.55–1.25) | 29% | 1.06 (0.76–1.48) | 1.23 (0.86–1.76) | 29% | 1.42 (1.06–1.90) | 1.5 (1.09–2.07) | 28% | 1.07 (0.78–1.47) | 1.1 (0.75–1.62) | 33% | 1.38 (1.01–1.90) | 1.35 (0.96–1.91) |
| Excellent care | 37% | Ref. | Ref. | 33% | Ref. | Ref. | 30% | Ref. | Ref. | 33% | Ref. | Ref. | 31% | Ref. | Ref. |
| Mistrust in contraceptive care health systemg | |||||||||||||||
| No | 67% | Ref. | Ref. | 57% | Ref. | Ref. | 60% | Ref. | Ref. | 62% | Ref. | Ref. | 53% | Ref. | Ref. |
| Yes | 33% | 0.81 (0.62–1.06) | 0.83 (0.61–1.13) | 43% | 1.43 (1.10–1.85) | 1.36 (1.03–1.81) | 40% | 1.44 (1.14–1.82) | 1.37 (1.06–1.76) | 38% | 1.19 (0.93–1.51) | 1.17 (0.88–1.55) | 47% | 1.84 (1.43–2.37) | 1.64 (1.25–2.15) |
State samples include respondents who reported using contraception in the 3 months before the survey and who indicated at least one preference for a source of contraception; samples are weighted to reflect women aged 18–44 years within each state. ORs (odds ratios) come from simple logistic regression models examining associations between each of the two independent variables represent contraceptive care experiences and each of the five dependent variables representing contraception source preference groups. aORs come from multivariable logistic regression models run separately for each of the independent variables representing contraceptive care experiences and controlling for the following demographic characteristics: state, age, race and ethnicity, sexual orientation, education, employment, income, relationship status, health insurance, and provider-involved contraceptive method use.
Preference expressed for obtaining contraception through either a doctor visit or walk-in clinic appointment and no concurrent preference expressed for either telemedicine or telehealth (phone app or ordering online for home delivery).
Preference expressed for obtaining contraception via telemedicine. Any other preferences may be concurrently reported.
Preference expressed for obtaining contraception via either a phone app or through online ordering for a home delivery. Any other preferences may be concurrently reported.
Preference expressed for obtaining contraception via a pharmacy with a prescription from doctor or pharmacist, over the counter without a prescription or from a store. Any other preferences may be concurrently reported.
Preference expressed for obtaining contraception via innovative strategies include nontraditional delivery service such as Uber, drone or bike messenger, or from a vending machine. Any other preferences may be concurrently reported.
Respondents were considered to have received person-centered care if they reported having received a contraceptive-related care visit in the prior 12 months, and they rated this care as excellent on each of the following four domains: respecting the respondent as a person, letting the respondent say what mattered to them about birth control, taking the respondent's preferences about their birth control seriously, and giving the respondent enough information to make the best decision about their birth control; respondents who had not received contraceptive care in the past 12 months were categorized as having received no care.
Respondents were considered to have mistrust of the contraceptive health care system if they reported either disagree or strongly disagree on “the government makes certain that birth control methods are safe before they come onto the market,” or agree or strongly agree on either “the government and public health institutions use poor people and people of color as guinea pigs to try out new birth control methods,” “the government is trying to limit populations of color by encouraging their use of birth control,” or “drug companies don't care if birth control is safe, they just want people to use it so they can make money.”