{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T10:45:40Z","timestamp":1770893140593,"version":"3.50.1"},"reference-count":34,"publisher":"Guttmacher Institute","issue":"2","license":[{"start":{"date-parts":[[2015,6,11]],"date-time":"2015-06-11T00:00:00Z","timestamp":1433980800000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Perspect Sexual Reproductive"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>CONTEXT<\/jats:title><jats:p>The number of women in the United States exposed to restrictive abortion policies has increased substantially over the past decade. It is not well understood whether and how women adjust their contraceptive behavior when faced with restrictive abortion contexts.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Data from 14,523 women aged 15\u201344 were drawn from the 1995 and 2010 cycles of the National Survey of Family Growth. A difference\u2010in\u2010differences approach was employed to examine the relationship between state\u2010level changes in women's access to abortion and their contraceptive choices. Multinomial logistic regression analysis was used to determine the relative risk of using highly effective or less effective methods rather than no method for women exposed to varying levels of restrictive abortion contexts.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Women who lived in a state where abortion access was low were more likely than women living in a state with greater access to use highly effective contraceptives rather than no method (relative risk ratio, 1.4). Similarly, women in states characterized by high abortion hostility (i.e., states with four or more types of restrictive policies in place) were more likely to use highly effective methods than were women in states with less hostility (1.3). The transition to a more restrictive abortion context was not associated with women's contraceptive behavior, perhaps because states that introduced restrictive abortion legislation between 1995 and 2010 already had significant limitations in place.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION<\/jats:title><jats:p>To prevent unwanted pregnancies, it is important to ensure access to highly effective contraceptive methods when access to abortions is limited.<\/jats:p><\/jats:sec>","DOI":"10.1363\/47e3015","type":"journal-article","created":{"date-parts":[[2015,6,20]],"date-time":"2015-06-20T10:14:20Z","timestamp":1434795260000},"page":"71-82","source":"Crossref","is-referenced-by-count":11,"title":["State Abortion Context and U.S. Women's Contraceptive Choices, 1995\u20132010"],"prefix":"10.1363","volume":"47","author":[{"given":"Josephine","family":"Jacobs","sequence":"first","affiliation":[{"name":"Ivey Business School, Western University, London Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Stanfors","sequence":"additional","affiliation":[{"name":"Centre for Economic Demography, Lund University Lund Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"259","published-online":{"date-parts":[[2015,6,11]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2007.09.001"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2008.06.001"},{"key":"e_1_2_7_4_1","volume-title":"Public Costs from Unintended Pregnancies and the Role of Public Insurance Programs in Paying for Pregnancy and Infant Care: Estimates for 2008","author":"Sonfield A","year":"2013"},{"key":"e_1_2_7_5_1","unstructured":"U.S. Department of Health and Human Services Family planning 2013 <http:\/\/www.healthypeople.gov\/2020\/topicsobjectives2020\/overview.aspx?topicId=13> accessed Feb. 4 2014."},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1363\/3922607"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1363\/3607204"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2008.06.009"},{"key":"e_1_2_7_9_1","doi-asserted-by":"crossref","DOI":"10.1515\/9780691221649","volume-title":"Sex and Consequences: Abortion, Public Policy, and the Economics of Fertility","author":"Levine PB","year":"2004"},{"issue":"1","key":"e_1_2_7_10_1","first-page":"14","article-title":"Troubling trend: more states hostile to abortion rights as middle ground shrinks","volume":"15","author":"Gold RB","year":"2012","journal-title":"Guttmacher Policy Review"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssresearch.2011.09.010"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-6296(03)00063-8"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.92.11.1773"},{"issue":"2","key":"e_1_2_7_14_1","first-page":"313","article-title":"Frequency of sexual activity among unmarried adolescent girls: Do state policies pertaining to abortion access matter?","volume":"32","author":"Sen B","year":"2006","journal-title":"Eastern Economic Journal"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.3386\/w7601"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2011.07.013"},{"key":"e_1_2_7_17_1","first-page":"2","article-title":"National Survey of Family Growth, cycle 6: sample design, weighting, imputation, and variance estimation","author":"Lepkowski JM","year":"2006","journal-title":"Vital and Health Statistics"},{"key":"e_1_2_7_18_1","volume-title":"Who Decides? A State\u2010by\u2010State Review of Abortion and Reproductive Rights","author":"Foundation NARAL","year":"1995"},{"key":"e_1_2_7_19_1","volume-title":"Who Decides? 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