title: Changes in Insurance Status in CHOICE Project Participants.
abstract: OBJECTIVE
  To evaluate changes in insurance status of the Contraceptive CHOICE Project (CHOICE) participants between enrollment and long-term (5-year) follow-up.
  
  
  METHODS
  A random sample of 463 CHOICE participants who received an intrauterine device between January 2008 and June 2009 were contacted for a follow-up telephone survey (median follow-up time, 69.6 months). This sub-study compares the insurance statuses at enrollment and at follow-up using a related samples McNemar test.
  
  
  RESULTS
  This analysis includes the 311 women who consented to participate in the follow-up survey and provided insurance status information. These women had a mean age of 34 years, 51% were white, and 19% had a household income below 100% of the federal poverty level. We noted a statistically significant change in insurance status over this time period (41% uninsured at time of enrollment, 24% uninsured at time of follow-up; p<0.001). Multinomial analysis showed that a change to full-time employment was associated with gaining insurance (RR= 1.97, 95% CI 1.12-3.47).
  
  
  CONCLUSIONS
  Women in this study were more likely to gain insurance than lose insurance between enrollment in CHOICE and at the time of follow-up. Since insurance status is associated with positive health outcomes, this improvement in insurance status is promising.
authors.forename: Kelly S
authors.initials: KS
authors.lastname: Milman
authors.forename: Justin T
authors.initials: JT
authors.lastname: Diedrich
authors.forename: Qiuhong
authors.initials: Q
authors.lastname: Zhao
authors.forename: Jeffrey F
authors.initials: JF
authors.lastname: Peipert
mesh_terms: D000328:Adult; D003268:Contraception Behavior / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D019458:Insurance Coverage / Q000706:statistics & numerical data*; D007434:Intrauterine Devices / Q000706:statistics & numerical data*; D017057:Medically Uninsured; D058991:Patient Protection and Affordable Care Act / Q000706:statistics & numerical data*; D014481:United States