Table. Total Annual ED Visits With Any Diagnosis of EC Compared With Total Annual Non-EC ED Visits Among Females Aged 15 to 44 Years From 2006 to 2020.
| Characteristic | No. (%) of EC ED visits | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| 2006 | 2007 | 2008 | 2010 | 2012 | 2014 | 2016 | 2018 | 2019 | 2020 | |
| EC ED visits | ||||||||||
| Total No. | 17 019 | 5616 | 4491 | 3329 | 2345 | 1403 | 1509 | 941 | 1063 | 659 |
| Age group, y | ||||||||||
| 15-19 | 5778 (34.0) | 1722 (30.7) | 1456 (32.4) | 1041 (31.3) | 601 (25.6) | 433 (30.8) | 415 (27.5) | 294 (31.3) | 296 (27.8) | 186 (28.3) |
| 20-24 | 6599 (38.8) | 2252 (40.1) | 1633 (36.3) | 1205 (36.2) | 775 (33.1) | 359 (25.6) | 479 (31.8) | 250 (26.6) | 256 (24.1) | 158 (24.0) |
| 25-29 | 2820 (16.6) | 974 (17.3) | 791 (17.6) | 602 (18.1) | 575 (24.5) | 343 (24.4) | 333 (22.1) | 172 (18.3) | 207 (19.4) | 140 (21.2) |
| 30-34 | 1074 (6.3) | 381 (6.8) | 412 (9.2) | 255 (7.7) | 262 (11.2) | 179 (12.7) | 163 (10.8) | 147 (15.7) | 164 (15.4) | 106 (16.0) |
| 35-39 | 512 (3.0) | 193 (3.4) | 149 (3.3) | 153 (4.6) | 101 (4.3) | 54 (3.9) | 86 (5.7) | 45 (4.8) | 100 (9.4) | 49 (7.4) |
| 40-44 | 236 (1.4) | 93 (1.7) | 50 (1.1) | 72 (2.2) | 30 (1.3) | 36 (2.6) | 34 (2.2) | 32 (3.4) | 41 (3.8) | 21 (3.1) |
| Income quartile | ||||||||||
| Lowest | 3353 (19.7) | 1867 (33.2) | 1309 (29.1) | 1375 (41.3) | 790 (33.7) | 483 (34.4) | 568 (37.7) | 446 (47.4) | 339 (31.9) | 219 (33.2) |
| Second | 4078 (24.0) | 1177 (21.0) | 1350 (30.1) | 873 (26.2) | 536 (22.9) | 406 (29.0) | 349 (23.1) | 221 (23.5) | 293 (27.6) | 124 (18.8) |
| Third | 4339 (25.5) | 1327 (23.6) | 814 (18.1) | 522 (15.7) | 528 (22.5) | 265 (18.9) | 323 (21.4) | 149 (15.8) | 229 (21.5) | 135 (20.4) |
| Highest | 4776 (28.1) | 1083 (19.3) | 908 (20.2) | 455 (13.7) | 418 (17.8) | 222 (15.8) | 207 (13.7) | 110 (11.7) | 182 (17.1) | 87 (13.2) |
| Payer | ||||||||||
| Medicaid | 2928 (17.2) | 1399 (24.9) | 1109 (24.7) | 915 (27.5) | 1206 (51.4) | 705 (50.3) | 838 (55.6) | 557 (59.2) | 694 (65.3) | 366 (55.5) |
| Private | 6989 (41.1) | 2640 (47.0) | 1657 (36.9) | 1114 (33.5) | 386 (16.5) | 238 (16.9) | 349 (23.1) | 108 (11.5) | 173 (16.3) | 152 (23.0) |
| Medicare | 135 (0.8) | 50 (0.9) | 79 (1.8) | 87 (2.6) | 48 (2.0) | 48 (3.4) | 52 (3.5) | 18 (1.9) | 41 (3.9) | 18 (2.7) |
| Self-pay | 4637 (27.2) | 1265 (22.5) | 1187 (26.4) | 842 (25.3) | 366 (15.6) | 174 (12.4) | 251 (16.6) | 230 (24.5) | 131 (12.3) | 74 (11.2) |
| No charge | 1473 (8.7) | 81 (1.4) | 47 (1.0) | 4 (0.1) | 4 (0.2) | 4 (0.3) | 4 (0.3) | 0 (0.0) | 0 (0.0) | 0 (0.0) |
| Other | 603 (3.5) | 153 (2.7) | 377 (8.4) | 352 (10.6) | 327 (14.0) | 234 (16.7) | 14 (0.9) | 22 (2.3) | 24 (2.3) | 50 (7.6) |
| Hospital region | ||||||||||
| Northeast | 9868 (58.0) | 3290 (58.6) | 2569 (57.2) | 1813 (54.5) | 1346 (57.4) | 741 (52.8) | 763 (50.6) | 484 (51.5) | 604 (56.8) | 290 (43.9) |
| South | 2542 (14.9) | 635 (11.3) | 694 (15.4) | 274 (8.2) | 105 (4.5) | 95 (6.7) | 76 (5.1) | 78 (8.3) | 100 (9.4) | 115 (17.4) |
| Midwest | 2237 (13.1) | 836 (14.9) | 645 (14.4) | 546 (16.4) | 438 (18.7) | 319 (22.7) | 303 (20.1) | 114 (12.1) | 123 (11.6) | 128 (19.4) |
| West | 2371 (13.9) | 854 (15.2) | 583 (13.0) | 696 (20.9) | 455 (19.4) | 249 (17.7) | 366 (24.3) | 265 (28.2) | 236 (22.2) | 127 (19.3) |
| Race and ethnicity | ||||||||||
| Asian or Pacific Islander | NA | NA | NA | NA | NA | NA | NA | NA | 27 (1.6) | 11 (0.6) |
| Black | NA | NA | NA | NA | NA | NA | NA | NA | 364 (21.6) | 266 (15.8) |
| Hispanic | NA | NA | NA | NA | NA | NA | NA | NA | 273 (16.2) | 141 (8.4) |
| Native American | NA | NA | NA | NA | NA | NA | NA | NA | 34 (2.0) | 36 (2.1) |
| White | NA | NA | NA | NA | NA | NA | NA | NA | 253 (15.0) | 162 (9.6) |
| Other | NA | NA | NA | NA | NA | NA | NA | NA | 92 (5.5) | 27 (1.6) |
| Non-EC ED Visits | ||||||||||
| Total | 30 163 819 | 30 860 401 | 31 749 810 | 33 249 231 | 33 794 672 | 34 734 293 | 35 474 680 | 33 669 056 | 33 460 351 | 28 840 073 |
| Age group, y | ||||||||||
| 15-19 | 4 756 348 (15.8) | 4 840 044 (15.7) | 4 928 087 (15.5) | 4 841 302 (14.6) | 4 709 069 (13.9) | 4 607 453 (13.3) | 4 918 617 (13.9) | 4 751 216 (14.1) | 4 514 696 (13.5) | 3 681 856 (12.8) |
| 20-24 | 6 291 324 (20.9) | 6 429 684 (20.8) | 6 666 266 (21.0) | 7 171 726 (21.6) | 7 203 487 (21.3) | 7 196 254 (20.7) | 6 955 800 (19.6) | 6 395 561 (19.0) | 6 268 122 (18.7) | 5 378 206 (18.6) |
| 25-29 | 5 551 181 (18.4) | 5 856 032 (19.0) | 6 109 108 (19.2) | 6 496 426 (19.5) | 6 602 611 (19.5) | 6 934 624 (20.0) | 7 108 625 (20.0) | 6 722 651 (20.0) | 6 618 605 (19.8) | 5 601 605 (19.4) |
| 30-34 | 4 558 090 (15.1) | 4 699 907 (15.2) | 4 898 517 (15.4) | 5 433 678 (16.3) | 5 821 859 (17.2) | 6 155 197 (17.7) | 6 273 434 (17.7) | 5 955 614 (17.7) | 6 059 033 (18.1) | 5 345 630 (18.5) |
| 35-39 | 4 478 866 (14.8) | 4 548 809 (14.7) | 4 651 104 (14.6) | 4 746 842 (14.3) | 4 777 734 (14.1) | 5 090 178 (14.7) | 5 496 749 (15.5) | 5 353 381 (15.9) | 5 386 799 (16.1) | 4 724 128 (16.4) |
| 40-44 | 4 528 011 (15.0) | 4 485 925 (14.5) | 4 496 728 (14.2) | 4 559 256 (13.7) | 4 679 912 (13.8) | 4 750 587 (13.7) | 4 721 455 (13.3) | 4 490 633 (13.3) | 4 613 096 (13.8) | 4 108 648 (14.2) |
| Income quartile | ||||||||||
| Lowest | 9 767 889 (32.4) | 10 520 600 (34.1) | 10 509 664 (33.1) | 11 665 132 (35.1) | 11 910 271 (35.2) | 12 848 822 (37.0) | 13 267 656 (37.4) | 12 921 480 (38.4) | 12 439 976 (37.2) | 10 654 135 (36.9) |
| Second | 8 204 926 (27.2) | 8 383 184 (27.2) | 9 476 084 (29.8) | 9 303 828 (28.0) | 8 955 209 (26.5) | 10 012 982 (28.8) | 9 752 807 (27.5) | 9 355 222 (27.8) | 8 749 789 (26.1) | 7 914 030 (27.4) |
| Third | 6 704 086 (22.2) | 6 747 213 (21.9) | 6 443 822 (20.3) | 6 922 773 (20.8) | 7 536 316 (22.3) | 6 760 723 (19.5) | 7 041 931 (19.9) | 6 411 367 (19.0) | 7 042 658 (21.0) | 5 676 676 (19.7) |
| Highest | 4 865 716 (16.1) | 4 516 612 (14.6) | 4 554 195 (14.3) | 4 688 074 (14.1) | 4 833 266 (14.3) | 4 497 758 (12.9) | 4 912 667 (13.8) | 4 541 220 (13.5) | 4 788 115 (14.3) | 4 169 154 (14.5) |
| Payer | ||||||||||
| Medicaid | 9 046 514 (30.0) | 8 830 817 (28.6) | 9 498 463 (29.9) | 11 486 248 (34.5) | 12 720 089 (37.6) | 14 842 769 (42.7) | 15 074 329 (42.5) | 14 488 983 (43.0) | 13 706 927 (41.0) | 11 931 059 (41.4) |
| Private | 11 522 493 (38.2) | 11 796 833 (38.2) | 11 973 780 (37.7) | 11 102 849 (33.4) | 10 177 162 (30.1) | 10 591 869 (30.5) | 11 637 884 (32.8) | 11 012 438 (32.7) | 11 248 588 (33.6) | 10 044 987 (34.8) |
| Medicare | 1 139 373 (3.8) | 1 196 092 (3.9) | 1 268 620 (4.0) | 1 388 079 (4.2) | 1 590 884 (4.7) | 1 620 439 (4.7) | 1 609 347 (4.5) | 1 357 798 (4.0) | 1 397 012 (4.2) | 1 140 877 (4.0) |
| Self-pay | 6 435 993 (21.3) | 7 178 675 (23.3) | 6 959 087 (21.9) | 7 319 805 (22.0) | 7 248 483 (21.4) | 5 853 036 (16.9) | 5 337 260 (15.0) | 5 349 905 (15.9) | 5 538 317 (16.6) | 4 246 915 (14.7) |
| No charge | 348 949 (1.2) | 280 134 (0.9) | 297 802 (0.9) | 261 840 (0.8) | 212 190 (0.6) | 232 291 (0.7) | 181 056 (0.5) | 140 555 (0.4) | 199 378 (0.6) | 186 679 (0.6) |
| Other | 1 549 003 (5.1) | 1 409 548 (4.6) | 1 563 672 (4.9) | 1 543 587 (4.6) | 1 786 586 (5.3) | 1 514 965 (4.4) | 1 574 599 (4.4) | 1 288 577 (3.8) | 1 310 323 (3.9) | 1 235 397 (4.3) |
| Hospital region | ||||||||||
| Northeast | 5 704 610 (18.9) | 5 864 417 (19.0) | 6 068 541 (19.1) | 6 110 390 (18.4) | 6 188 372 (18.3) | 6 160 816 (17.7) | 6 295 084 (17.7) | 5 927 723 (17.6) | 5 829 979 (17.4) | 4 942 714 (17.1) |
| South | 12 368 393 (41.0) | 12 660 327 (41.0) | 13 023 502 (41.0) | 13 669 244 (41.1) | 14 125 083 (41.8) | 14 681 573 (42.3) | 14 726 510 (41.5) | 14 192 806 (42.2) | 14 052 034 (42.0) | 12 287 991 (42.6) |
| Midwest | 7 023 309 (23.3) | 7 454 562 (24.2) | 7 637 822 (24.1) | 8 101 006 (24.4) | 7 903 343 (23.4) | 8 014 762 (23.1) | 8 269 693 (23.3) | 7 529 387 (22.4) | 7 571 854 (22.6) | 6 377 999 (22.1) |
| West | 5 067 507 (16.8) | 4 881 095 (15.8) | 5 019 945 (15.8) | 5 368 591 (16.1) | 5 577 874 (16.5) | 5 877 141 (16.9) | 6 183 393 (17.4) | 6 019 140 (17.9) | 6 006 484 (18.0) | 5 231 368 (18.1) |
| Race and ethnicity | ||||||||||
| Asian and Pacific Islander | NA | NA | NA | NA | NA | NA | NA | NA | 676 202 (1.1) | 616 224 (1.0) |
| Black | NA | NA | NA | NA | NA | NA | NA | NA | 8 553 026 (14.0) | 7 210 847 (11.8) |
| Hispanic | NA | NA | NA | NA | NA | NA | NA | NA | 5 823 904 (9.5) | 5 083 289 (8.3) |
| Native American | NA | NA | NA | NA | NA | NA | NA | NA | 203 612 (0.3) | 205 122 (0.3) |
| White | NA | NA | NA | NA | NA | NA | NA | NA | 16 341 853 (26.8) | 14 008 364 (23.0) |
| Othera | NA | NA | NA | NA | NA | NA | NA | NA | 1 218 725 (2.0) | 1 070 615 (1.8) |
Abbreviations: EC, emergency contraception; ED, emergency department; NA, not available.
a
Other includes any racial or ethnic group not listed or multiracial.