Affordable but inaccessible? Contraception deserts in the US States

Rebecca J. Kreitzer, Candis Watts Smith, Kellen A. Kane, Tracee M. Saunders

Research output: Contribution to journalReview articlepeer-review

28 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)277-304
Number of pages28
JournalJournal of health politics, policy and law
Issue number2
StatePublished - Apr 1 2021

All Science Journal Classification (ASJC) codes

  • Health Policy


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