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SerpicoThesis.pdf (881.71 KB)

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Age, Race, Parity, and Access to Same-Day IUD Insertion at Obstetrician-Gynecology Practices in Ohio: A Mystery Client Study

Serpico, Jaclyn J
http://orcid.org/0000-0002-6406-7429
http://rave.ohiolink.edu/etdc/view?acc_num=osu1524053971818973

Abstract Details

2018, Master of Public Health, Ohio State University, Public Health.
This study investigated the availability of same-day intra-uterine device (IUD) insertion and whether women in Ohio face age, race or parity-based bias in attempts to schedule an IUD insertion appointment. We used a mystery client approach to test scheduling bias and same-day insertion availability at obstetrician-gynecology practices in Ohio, a method that, to our knowledge, has never been used in the U.S. to investigate barriers to IUD access. We called a random sample of 396 obstetrician-gynecology practices while posing as a potential client seeking an appointment to receive an IUD. Using one of eight standardized scripts, we determined the availability of same-day IUD insertion, and whether willingness of office staff to schedule IUD insertion appointments varied by patient’s age, parity, or race. Practices were randomized to follow a balanced 3x2 factorial design, whereby practices were assigned to one of two conditions: (1) age (18 vs. 30 years of age); (2) parity (nulliparous vs. primiparity); and (3) race (white vs. Black). The overwhelming majority (92.35%) of practices required multiple appointments for IUD insertion (as opposed to same-day insertion). We found a statistically-significant positive association between parity and same-day insertion; however, the wide confidence interval indicates that the estimate was imprecise (OR=3.55, 95% CI=1.19-10.53). We found no statistically significant associations between age or race and access to same-day IUD insertion.
Ricks JaNelle, DrPH (Committee Co-Chair)
Smooth Wendy, PhD (Committee Co-Chair)
Gallo Maria, PhD (Committee Member)
Sreenivas Mytheli, PhD (Committee Member)
85 p.
Gender Studies; Public Health; Womens Studies
IUD; LARC; contraception; same-day IUD insertion; implicit bias

Recommended Citations

Citations

  • Serpico, J. J. (2018). Age, Race, Parity, and Access to Same-Day IUD Insertion at Obstetrician-Gynecology Practices in Ohio: A Mystery Client Study [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1524053971818973

    APA Style (7th edition)

  • Serpico, Jaclyn. Age, Race, Parity, and Access to Same-Day IUD Insertion at Obstetrician-Gynecology Practices in Ohio: A Mystery Client Study. 2018. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1524053971818973.

    MLA Style (8th edition)

  • Serpico, Jaclyn. "Age, Race, Parity, and Access to Same-Day IUD Insertion at Obstetrician-Gynecology Practices in Ohio: A Mystery Client Study." Master's thesis, Ohio State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=osu1524053971818973

    Chicago Manual of Style (17th edition)

osu1524053971818973
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This open access ETD is published by The Ohio State University and OhioLINK.