title: Association of access to publicly funded family planning services with adolescent birthrates in California counties.
abstract: OBJECTIVE
  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.
authors.affiliation: At the time of the study, all authors were with the Bixby Center for Global Reproductive Health, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco.
authors.forename: Marina J
authors.initials: MJ
authors.lastname: Chabot
authors.forename: Sandy
authors.initials: S
authors.lastname: Navarro
authors.forename: Diane
authors.initials: D
authors.lastname: Swann
authors.forename: Philip
authors.initials: P
authors.lastname: Darney
authors.forename: Heike
authors.initials: H
authors.lastname: Thiel de Bocanegra
mesh_terms: D000293:Adolescent; D002140:California / Q000453:epidemiology; D005193:Family Planning Services / Q000458:organization & administration / Q000600:supply & distribution*; D005260:Female; D005380:Financing, Government; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D016014:Linear Models; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000706:statistics & numerical data*; D055815:Young Adult