{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T08:26:11Z","timestamp":1787127971545,"version":"build-2736575974"},"reference-count":17,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T00:00:00Z","timestamp":1767744000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T00:00:00Z","timestamp":1767744000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100021872","name":"Office of Population Affairs","doi-asserted-by":"crossref","award":["FPRPA006074"],"award-info":[{"award-number":["FPRPA006074"]}],"id":[{"id":"10.13039\/100021872","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2026,5,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Health care systems should be designed to provide the care that people need and want; person-centered metrics are therefore critical data inputs to this process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>We used multiple national datasets to develop a more person-centered metric for estimating need for contraception, comparing results made using a conventional approach with this new approach. The conventional metric estimates the number of individuals who have a likely need for contraceptive services based on their sexual experience and presumed risk for pregnancy. The new metric estimates the number of individuals who have a self-defined need for contraceptive services based on their current or recent contraceptive method or service use or their expressed desires to use contraception.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We found that the overall number of individuals considered to have a need for contraceptive services is roughly similar when comparing the conventional approach (37.8 million) with the new approach (38.3 million or 39.2 million, depending on the survey). However, these numbers represent somewhat different people according to each metric, with the traditional metric misclassifying some individuals who themselves desire to use or not use contraception.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications:<\/jats:title>\n                    <jats:p>A new, more person-centered metric will better align measurement of contraceptive service need with what people want and will improve estimates of potential demand for care and how many individuals are likely to seek care. This paper provides policymakers and program planners with the thorough methodology and justification for the new metric that will be needed if the new metric is to be accepted and adopted for wide use.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15409996251408956","type":"journal-article","created":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T09:31:39Z","timestamp":1767778299000},"page":"452-462","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Moving Toward a Population Level Measure of Person-Centered Contraceptive Need in the United States"],"prefix":"10.1177","volume":"35","author":[{"given":"Jennifer J.","family":"Frost","sequence":"first","affiliation":[{"name":"Research Department, Guttmacher Institute, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan L.","family":"Kavanaugh","sequence":"additional","affiliation":[{"name":"Research Department, Guttmacher Institute, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayana","family":"Douglas-Hall","sequence":"additional","affiliation":[{"name":"Research Department, Guttmacher Institute, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anu Manchikanti","family":"G\u00f3mez","sequence":"additional","affiliation":[{"name":"School of Social Welfare, Sexual Health and Reproductive Equity Program, University of California, Berkeley, Berkeley, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,7]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Frost JJ Zolna MR Frohwirth LF Douglas-Hall A Blades N Mueller J et al. Publicly supported family planning services in the United States: Likely need availability and impact 2016 [Internet]. New York: Guttmacher Institute; 2019. Available from: https:\/\/www.guttmacher.org\/report\/publicly-supported-FP-services-US-2016 [Last accessed: February21 2024]."},{"key":"e_1_3_3_3_2","unstructured":"Frost J Blades N Douglas-Hall A Zolna M Maynard A Sackietey S et al. Publicly supported family planning services in the United States: Likely need availability and use [Internet]. New York: Guttmacher Institute; 2020. Available from: https:\/\/www.gutttmacher.org\/report\/publicly-supportedFP-services-US-2020"},{"key":"e_1_3_3_4_2","unstructured":"Office of Population Affairs. Title X Family Planning Program [Internet]. 2023. Available from: https:\/\/opa.hhs.gov\/sites\/default\/files\/2025-03\/title-x-family-planning-program-2025.pdf"},{"key":"e_1_3_3_5_2","volume-title":"Crossing the Quality Chasm: A New Health System for the 21st Century [Internet].","author":"Institute of Medicine (US) Committee on Quality of Health Care in America","year":"2001","unstructured":"Institute of Medicine (US) Committee on Quality of Health Care in America. Crossing the Quality Chasm: A New Health System for the 21st Century [Internet]. Washington (DC): National Academies Press (US); 2001. Available from: http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK222274\/ [Last accessed: February21, 2024]."},{"key":"e_1_3_3_6_2","article-title":"Estimates of use of preferred contraceptive method in the United States: A population-based study","volume":"30","author":"Gomez AM","year":"2024","unstructured":"Gomez AM, , Bennett AH, , Arcara J, et al. Estimates of use of preferred contraceptive method in the United States: A population-based study. Lancet Reg Health\u2014Am [Internet], 2024; 30. Available from: https:\/\/www.thelancet.com\/journals\/lanam\/article\/PIIS2667-193X(23)00236-3\/fulltext","journal-title":"Lancet Reg Health\u2014Am [Internet]"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2024.09.007"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/sifp.70023"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.conx.2022.100076"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/sifp.12218"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.39191"},{"key":"e_1_3_3_12_2","unstructured":"AmeriSpeak. 2024. Panel Design: How AmeriSpeak households are sampled. Available from: https:\/\/amerispeak.norc.org\/us\/en\/amerispeak\/about-amerispeak\/panel-design.html"},{"key":"e_1_3_3_13_2","unstructured":"National Survey of Family Growth. 2017-2019 National Survey of Family Growth (NSFG): Summary of design and data collection methods: Table 7 phase 1 and final response rates by sex race\/Hispanic origin and age: 2011\u20132013 2013\u20132015 2015\u20132017 and 2017\u20132019 NSFG. 2020."},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/sifp.12224"},{"key":"e_1_3_3_15_2","unstructured":"Coalition to Expand Contraceptive Access (CECA) National Birth Equity Collaborative (NBEC) University of San Francisco Person-Centered Reproductive Health Program (UCSF). Coalition to Expand Contraceptive Access (CECA). 2023. Aligning values and evidence: Toward a measure of sexual and reproductive wellbeing. Available from: https:\/\/www.contraceptionaccess.org\/srwb-us"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.2196\/58009"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2022.0406"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2021.01.008"}],"container-title":["Journal of Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15409996251408956","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15409996251408956","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15409996251408956","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T07:51:50Z","timestamp":1787125910000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15409996251408956"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,7]]},"references-count":17,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5,1]]}},"alternative-id":["10.1177\/15409996251408956"],"URL":"https:\/\/doi.org\/10.1177\/15409996251408956","relation":{},"ISSN":["1540-9996","1931-843X"],"issn-type":[{"value":"1540-9996","type":"print"},{"value":"1931-843X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,7]]}}}