{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T16:32:10Z","timestamp":1793637130068,"version":"4.5.1"},"reference-count":36,"publisher":"Public Library of Science (PLoS)","issue":"8","license":[{"start":{"date-parts":[[2023,8,31]],"date-time":"2023-08-31T00:00:00Z","timestamp":1693440000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"NIH\/National Institute of Diabetes, Digestive, and Kidney Disorders","award":["K12DK111028"],"award-info":[{"award-number":["K12DK111028"]}]},{"DOI":"10.13039\/100004439","name":"William and Flora Hewlett Foundation","doi-asserted-by":"publisher","award":["2022-01110-GRA"],"award-info":[{"award-number":["2022-01110-GRA"]}],"id":[{"id":"10.13039\/100004439","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007457","name":"JPB Foundation","doi-asserted-by":"publisher","award":["2021-2688"],"award-info":[{"award-number":["2021-2688"]}],"id":[{"id":"10.13039\/100007457","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["P2C HD042849"],"award-info":[{"award-number":["P2C HD042849"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>Young people\u2019s ability to use their preferred contraceptive method is an indicator of reproductive autonomy and healthcare access. State policies can hinder or facilitate access to a preferred contraceptive method.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Objective<\/jats:title>\n<jats:p>This study compared use of preferred contraceptive method in Texas and California, states with contrasting health policy contexts that impact health insurance coverage and access to subsidized family planning services.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Methods<\/jats:title>\n<jats:p>We used baseline survey data from an ongoing cluster randomized controlled trial of sexually active students, assigned female at birth, ages 18\u201325, at 29 community colleges in Texas and California (N = 1,974). We described contraceptive preferences and use, as well as reasons for nonuse of a preferred method. We conducted multivariable-adjusted mixed-effects logistic regression analyses for clustered data, and then calculated the predicted probability of using a preferred contraceptive method in Texas and California by insurance status.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Results<\/jats:title>\n<jats:p>More Texas participants were uninsured than Californians (30% vs. 8%, p&lt;0.001). Thirty-six percent of Texas participants were using their preferred contraceptive method compared to 51% of Californians. After multivariable adjustments, Texas participants had lower odds of using their preferred method (adjusted odds ratio = 0.62, 95% confidence interval = 0.48\u20130.81) compared to those in California. Texas participants in all insurance categories had a lower predicted probability of preferred method use compared to California participants. In Texas, we found a 12.1 percentage-point difference in the predicted probability of preferred method use between the uninsured (27.5%) and insured (39.6%) (p&lt;0.001). Texans reported financial barriers to using their preferred method more often than Californians (36.7% vs. 19.2%, p&lt;0.001) as did the uninsured compared to the insured (50.9% vs. 18.7%, p&lt;0.001).<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec005\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>These findings present new evidence that state of residence plays an important role in young people\u2019s ability to realize their contraceptive preference. Young people in Texas, with lower insurance coverage and more limited access to safety net programs for contraceptive care than in California, have lower use of preferred contraception. It has become urgent in states with abortion bans to support young people\u2019s access to their preferred methods.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0290726","type":"journal-article","created":{"date-parts":[[2023,8,31]],"date-time":"2023-08-31T17:30:30Z","timestamp":1693503030000},"page":"e0290726","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":14,"title":["Use of preferred contraceptive method among young adults in Texas and California: A comparison by state and insurance coverage"],"prefix":"10.1371","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6277-7833","authenticated-orcid":true,"given":"Kristine","family":"Hopkins","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Yarger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irene","family":"Rossetto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audrey","family":"Sanchez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisa","family":"Brown","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Elmes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thaddeus","family":"Mantaro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kari","family":"White","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5587-6398","authenticated-orcid":true,"given":"Cynthia C.","family":"Harper","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2023,8,31]]},"reference":[{"issue":"1","key":"pone.0290726.ref001","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.contraception.2019.02.005","article-title":"Challenging unintended pregnancy as an indicator of reproductive autonomy.","volume":"100","author":"JE Potter","year":"2019","journal-title":"Contraception"},{"issue":"6","key":"pone.0290726.ref002","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1089\/jwh.2016.5807","article-title":"Women\u2019s contraceptive preference-use mismatch.","volume":"26","author":"K He","year":"2017","journal-title":"J Womens Health"},{"issue":"5","key":"pone.0290726.ref003","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1016\/j.contraception.2021.02.006","article-title":"Use of nonpreferred contraceptive methods among women in 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