Disparities in contraceptive access by ethnicity are widely documented. We drew on 2019–2022 panel data from patients seeking family planning in Arizona and estimated ordinal conditional logistic regression models to examine whether disruptions in access to care led to poor contraceptive outcomes and whether this differed by ethnicity. We found associations between experiencing increased barriers to accessing preferred contraception and reduced odds of using it. We also found associations between location of care and use of preferred contraception that differ by ethnicity. Our study highlights that access barriers can restrict people’s reproductive autonomy and healthcare systems are inadequately set up to ensure sexual and reproductive equity for all.
Differential Associations Between Access to Sexual and Reproductive Healthcare and Subsequent Contraceptive and Pregnancy Outcomes by Ethnicity Among Family Planning Patients in Arizona
