Affordable but Inaccessible? Contraception Deserts in the US States.
CONTEXT
This article focuses on whether, and the extent to which, the resources made available by Title X-the only federal policy aimed specifically at reproductive health care-are equitably accessible. Here, equitable means that barriers to accessing services are lowest for those people who need them most.


METHODS
The authors use geographic information systems (GIS) and statistical/spatial analysis (specifically the integrated two-step floating catchment area [I2SFCA] method) to study the spatial and nonspatial accessibility of Title X clinics in 2018.


FINDINGS
The authors find that contraception deserts vary across the states, with between 17% and 53% of the state population living in a desert. Furthermore, they find that low-income people and people of color are more likely to live in certain types of contraception deserts.


CONCLUSIONS
The analyses reveal not only a wide range of sizes and shapes of contraception deserts across the US states but also a range of severity of inequity.
['Kreitzer|Rebecca J|RJ|', 'Smith|Candis Watts|CW|', 'Kane|Kellen A|KA|', 'Saunders|Tracee M|TM|']
D002391:Catchment Area, Health D003267:Contraception D040362:Geographic Information Systems D006297:Health Services Accessibility D006801:Humans D034121:Reproductive Health Services D012959:Socioeconomic Factors D062206:Spatial Analysis D014481:United States
contraception federalism GIS I2SFCA Title X