{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T15:02:03Z","timestamp":1777388523379,"version":"3.51.4"},"reference-count":43,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T00:00:00Z","timestamp":1747353600000},"content-version":"unspecified","delay-in-days":135,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1463423625000325_as1\">\n\t    <jats:title>Aim:<\/jats:title>\n\t    <jats:p>In the United States, roughly one million pregnancies occur every year from the misuse and discontinuation of oral contraceptives \u2013 which may be affected by an individual\u2019s exposure to social determinants of health (SDOH). For those experiencing poorer SDOH, significant barriers may exist when family planning. Thus, our primary objective is to examine associations between domains of SDOH and contraceptive use as well as pregnancy intention using the Behavior Risk Factor Surveillance System (BRFSS).<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423625000325_as2\">\n\t    <jats:title>Methods:<\/jats:title>\n\t    <jats:p>A cross-sectional analysis of 2017 BRFSS was conducted using the SDOH module to examine differences in family planning. We used bivariate and multivariable logistic regression models to measure associations, via odd ratios, between SDOHs and contraceptive use and pregnancy intention controlling for other sociodemographic variables.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423625000325_as3\">\n\t    <jats:title>Results:<\/jats:title>\n\t    <jats:p>We found that individuals experiencing negative SDOH who reported running out of food (AOR: 0.65; CI: 0.50-0.86), were unable to afford balanced meals (AOR: 0.64; CI:0.49-0.84), or had no money left at the end of the month (AOR: 0.45; CI: 0.32-0.64) were less likely to have used contraceptive methods compared to those not experiencing challenges within these SDOH domains. Among women not utilizing contraceptive methods, individuals not intending to get pregnant were more likely to report difficulty affording balanced meals or having financial stability compared to women attempting to become pregnant.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423625000325_as4\">\n\t    <jats:title>Conclusions:<\/jats:title>\n\t    <jats:p>Our study found that the SDOH domains of monthly financial instability and food insecurity are significantly associated with women not using contraceptive measures but not wanting to become pregnant. Addressing barriers to contraceptive access and FP is becoming more important with shifting policies regarding women\u2019s reproductive healthcare. For women seeking contraceptive and FP advice, increased funding may help provide a solution.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/s1463423625000325","type":"journal-article","created":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T07:55:19Z","timestamp":1747382119000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":3,"title":["Social determinants of health and family planning: impact of food and financial insecurity on contraceptive use and pregnancy intention"],"prefix":"10.1017","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5195-5427","authenticated-orcid":false,"given":"Breanna","family":"Sharp","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2294-9888","authenticated-orcid":false,"given":"Covenant","family":"Elenwo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jordan","family":"Lowrimore","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4713-1476","authenticated-orcid":false,"given":"Caroline","family":"Markey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6810-6571","authenticated-orcid":false,"given":"Micah","family":"Hartwell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,5,16]]},"reference":[{"key":"S1463423625000325_ref13","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.8800"},{"key":"S1463423625000325_ref15","doi-asserted-by":"publisher","DOI":"10.1363\/2019.30830"},{"key":"S1463423625000325_ref38","article-title":"Poverty during pregnancy: its effects on child health outcomes","volume":"12","author":"Larson","year":"2007","journal-title":"Paediatrics and Child Health"},{"key":"S1463423625000325_ref22","unstructured":"Low Income Home Energy Assistance Program (LIHEAP) (2023). 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