{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T10:04:54Z","timestamp":1753869894622,"version":"3.41.2"},"reference-count":41,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T00:00:00Z","timestamp":1747353600000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["UL1TR001998"],"award-info":[{"award-number":["UL1TR001998"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pharmacoepidemiology and Drug"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To evaluate the impact of the COVID\u201019 national emergency declaration on contraceptive dispensing trends among commercially insured Kentucky females.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data ranging from 1\/7\/2019 through 12\/27\/2020 for female enrollees aged 19\u201344 with a primary residence in Kentucky were extracted from the Merative Marketscan Commercial Claims and Encounters Database. A segmented regression analysis was used for statistical modeling of an interrupted time series design to describe changes in weekly contraceptive (oral, transdermal, and vaginal) dispensing rates and days' supply following the COVID\u201019 national emergency.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 90\u2009541 enrollees met study inclusion criteria. The estimated weekly contraceptive dispensing rate per 100 reproductive\u2010aged female enrollees was 3.22 (95% confidence interval [CI] 3.16\u20133.28) at the beginning of the pre\u2010pandemic period. Following the national emergency, an immediate estimated rate increase of 0.11 (95% CI 0.01\u20130.21; <jats:italic>p<\/jats:italic>\u2009=\u20090.030) was seen with no change in trend. At the beginning of the pre\u2010pandemic period, the estimated weekly percentage of days' supply &gt;\u200928\u2009days was 29.2% (95% CI 28.8\u201329.6) with an increasing trend of 1.1% every 10\u2009weeks (slope 0.11 [95% CI 0.09\u20130.12; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001]). Following the national emergency, an immediate decrease of 1.5% (95% CI \u22122.2 to \u22120.8; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) was observed, followed by sustainment of the pre\u2010pandemic trend. No differential impacts were seen with regard to age group (19\u201326 vs. 27\u201344) or rural\u2013urban classification.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Following the COVID\u201019 national emergency declaration, trends in both contraceptive dispensing and days' supply among commercially insured Kentucky females were relatively stable, suggesting multiple behavioral and policy\u2010related factors potentially overshadowing changes in access.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pds.70159","type":"journal-article","created":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T08:45:59Z","timestamp":1747385159000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Changes in Hormonal Contraceptive Dispensing Trends Among Commercially Insured Kentucky Females During the <scp>COVID<\/scp>\u201019 Pandemic"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7612-1587","authenticated-orcid":false,"given":"Dustin K.","family":"Miracle","sequence":"first","affiliation":[{"name":"Department of Pharmacy Practice and Science University of Kentucky College of Pharmacy  Lexington Kentucky USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lindsey R.","family":"Hammerslag","sequence":"additional","affiliation":[{"name":"Institute for Biomedical Informatics University of Kentucky  Lexington Kentucky USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Svetla","family":"Slavova","sequence":"additional","affiliation":[{"name":"Department of Biostatistics University of Kentucky  Lexington Kentucky USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Feitong","family":"Lei","sequence":"additional","affiliation":[{"name":"Markey Cancer Center University of Kentucky  Lexington Kentucky USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4304-5167","authenticated-orcid":false,"given":"Jeffery","family":"Talbert","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Practice and Science University of Kentucky College of Pharmacy  Lexington Kentucky USA"},{"name":"Institute for Biomedical Informatics University of Kentucky  Lexington Kentucky USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3648-8197","authenticated-orcid":false,"given":"Daniela C.","family":"Moga","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Practice and Science University of Kentucky College of Pharmacy  Lexington Kentucky USA"},{"name":"Department of Epidemiology University of Kentucky College of Public Health  Lexington Kentucky USA"},{"name":"Sanders\u2010Brown Center on Aging University of Kentucky  Lexington Kentucky USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia R.","family":"Freeman","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Practice and Science University of Kentucky College of Pharmacy  Lexington Kentucky USA"},{"name":"Center for the Advancement of Pharmacy Practice University of Kentucky College of Pharmacy  Lexington Kentucky USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,5,16]]},"reference":[{"volume-title":"Updated Methodology to Estimate Overall and Unintended Pregnancy Rates in the United States","year":"2023","author":"Rossen L.","key":"e_1_2_11_2_1"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13524\u2010014\u20100359\u20109"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365\u20103016.2000.00289.x"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.2307\/3004012"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.2307\/2676350"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ogc.2007.01.003"},{"volume-title":"Current Contraceptive Status Among Women Aged 15\u201349: United States, 2015\u20132017","year":"2018","author":"Daniels K.","key":"e_1_2_11_8_1"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2014.01.037"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2018.03.031"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2022.09.129"},{"key":"e_1_2_11_12_1","unstructured":"T. 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