The association between socio-economic deprivation and receipt of long-acting reversible contraception at a single clinic visit

Abstract

Objectives: To determine the relationship between area deprivation index (ADI) and obtaining single-visit long-acting reversible contraception (LARC).

Study design: We utilized Poisson regression to determine the association between area deprivation and single-visit LARC insertion within a state-wide healthcare system between 2019-2021.

Results: Among our cohort (N = 4417), 68.60% of patients desiring LARC obtained single-visit LARC. Participants living in high deprivation areas were less likely to receive single-visit LARC (aRR 0.72, 95% CI 0.65-0.80).

Conclusions: Living in areas of high deprivation is independently negatively associated with obtaining a single-visit LARC.

Implications: While access to single-visit LARC should be universally improved, reducing barriers for patientswith a higher ADI may help limit inequities in reproductive healthcare.

Keywords: Area deprivation; Contraception; Health disparities; Long-acting reversible contraception.