title: Source of care and variation in long-acting reversible contraception use.
abstract: OBJECTIVE
  To examine variation in long acting reversible contraception (LARC) use by source of birth control services.
  
  
  METHODS
  Cross-sectional study.
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  Sexually active women who received contraceptive services in the past 12 months, who were neither pregnant nor trying to become pregnant and who were not sterilized and nor were their partners sterilized.
  
  
  METHODS
  Three multinomial logistic regression models assessed the relationship between source of services and LARC use, controlling for covariates. The odds of LARC use were compared with LARC nonuse, high-efficacy use, and low-efficacy use.
  
  
  METHODS
  Reported LARC method use.
  
  
  RESULTS
  There was no statistically significant difference in LARC use between women receiving services from community or public health clinics and women receiving services from private clinics. Women receiving care at a family-planning clinics had lower odds of LARC use versus LARC nonuse (odds ratio [OR] = 0.27; 95% confidence interval [CI], 0.10-0.74), versus high-efficacy method use (OR = 0.32; 95% CI, 0.11-0.88) and versus low-efficacy method use (OR = 0.13; 95% CI, 0.02-0.87) compared with those receiving services at private clinics.
  
  
  CONCLUSIONS
  Women receiving care from family-planning clinics had lower odds of LARC use compared with those receiving care from a private doctor's office or health maintenance organization facility.
authors.affiliation: Department of Family Medicine and Population Health, Division of Epidemiology, Virginia Commonwealth University School of Medicine, Richmond, Virginia. Electronic address: lhg5@duke.edu.
authors.forename: Lauren
authors.initials: L
authors.lastname: Groskaufmanis
authors.affiliation: Department of Family Medicine and Population Health, Division of Epidemiology, Virginia Commonwealth University School of Medicine, Richmond, Virginia.
authors.forename: Saba W
authors.initials: SW
authors.lastname: Masho
mesh_terms: D000328:Adult; D003271:Contraceptive Agents, Female / Q000627:therapeutic use*; D003430:Cross-Sectional Studies; D003695:Delivery of Health Care / Q000639:trends*; D005193:Family Planning Services / Q000639:trends*; D005260:Female; D006279:Health Maintenance Organizations / Q000639:trends; D054625:Healthcare Disparities / Q000639:trends*; D006801:Humans; D066149:International Planned Parenthood Federation / Q000639:trends; D016015:Logistic Models; D015999:Multivariate Analysis; D016017:Odds Ratio; D010818:Practice Patterns, Physicians' / Q000639:trends*; D017149:Private Sector / Q000639:trends; D012725:Sexual Behavior; D013997:Time Factors
chemical_list: D003271:Contraceptive Agents, Female
keywords: Long-acting reversible contraception; birth control; contraception