Suchergebnisse

OBJECTIVE: To examine associations between health insurance coverage, income level and contraceptive use — overall and most/moderately effective method use — among women ages 18–44 at risk of pregnancy, within and across 41 United States jurisdictions in 2017. STUDY DESIGN: Using data from the 2017 Behavioral Risk Factor Surveillance System, we calculated the proportions of women using any contraceptive method and using a most or moderately effective method for each state/territory and across all jurisdictions, categorized by health insurance coverage and income groups. For both contraceptive use outcomes, we ran simple and multivariable logistic regression models to test for significant differences in outcomes between insured and uninsured individuals. RESULTS: Across jurisdictions, compared to uninsured women, those who had health care coverage had higher levels of contraceptive use (65% versus 59%; p < .001) and most/moderately effective contraceptive use (43% compared to 35%; p < .001); low-income women with coverage also had higher levels of contraceptive use (64% versus 61%; p < .05) and most or moderately effective contraceptive use (42% versus 36%; p < .01) than their uninsured counterparts. Controlling for individual-level demographic characteristics, health insurance coverage was associated with increased odds of most or moderately effective contraceptive use across jurisdictions (adjusted odds ratio = 1.33, p < .01). In 11 states, insured women had significantly higher odds of at least one contraceptive use metric than their uninsured counterparts. CONCLUSIONS: Variation in contraceptive use across the states likely reflects broader demographic, social and structural differences across state and local populations. States' political will and support around contraceptive access likely play a role in individuals' ability to obtain and use contraception. IMPLICATIONS: Our key finding that insurance coverage is significantly associated with use of most/moderately effective contraceptive ...

Landscape Conservation Cooperatives (LCCs) are public-private partnerships that focus on natural resource challenges which transcend political and jurisdictional boundaries and require a more holistic, collaborative, and adaptive approach to conservation that is firmly grounded in science and strives to ensure the sustainability of land, water, wildlife and cultural resources. The Great Northern LCC, covering Western Montana and parts of several other states and provinces, is nearing completion of a process that synthesizes conservation priorities among the 25 organizations represented on the Steering Committee and their partners. This Strategic Conservation Framework identifies priority species, ecosystems, and ecosystem processes across the landscape represented by the Great Northern LCC based on synthetic summarizations of five state-based Wildlife Action Plans, 40 other regional conservation planning documents, and focused interviews with key personnel across the region. Here we report on the process by which we analyzed data from the State Wildlife Action Plans (SWAPs) of ID, MT, OR, WA, and WY and from Strategic Habitat Conservation as one piece of information for strategic planning. Thirty-five species of greatest conservation need (as defined in the SWAPs) were identified as having commonality across the five states. The ranges of these species were then overlain and a map of areas with the greatest number of species of conservation need can be visualized across the Great Northern LCC.