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High-Risk Teen Compliance With Prescription Contraception: An Analysis Of Ohio Medicaid Claims
Journal of Pediatric and Adolescent Gynecology
  • Therese M. Zink, Wright State University - Main Campus
  • Theresa Shireman
  • Mona Ho
  • Thomas Buchanan
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Study Objective: This study examines utilization of and compliance with prescription contraception by adolescents. Design: Retrospective cohort analysis of billing and pharmacy claims. Setting: Ohio Medicaid fee-for-service enrollees. Participants: Claims data of 12- to 19-year-olds identified at high risk for pregnancy by sexually related service billing or procedure code. Main Outcome Measure: Prescription contraception use and compliance patterns were examined over a 12-month study period. Results: During a 6-month enrollment period, 3338 females were identified at risk for pregnancy. Over one-fourth (920) became pregnant. Across the 12-month follow-up, 40% (1328) used no prescription contraception and 33% (1090) used some prescribed contraceptive. Most teens used injectable medroxyprogesterone (517) or oral contraceptive pills (492). About 20% of those using any type of prescribed contraceptive were compliant for the full year; less than 30% used a method for 3 months or less. Whites were more compliant with contraception than nonwhites. Younger age and concurrent mental health condition were also predictors of noncompliance. Conclusions: Teens at risk for pregnancy demonstrated poor compliance with prescribed contraceptives. Billing/pharmacy claims analysis is a useful tool for identifying teens at risk for pregnancy in order to target and evaluate interventions or to benchmark care provided to adolescents.
Citation Information
Therese M. Zink, Theresa Shireman, Mona Ho and Thomas Buchanan. "High-Risk Teen Compliance With Prescription Contraception: An Analysis Of Ohio Medicaid Claims" Journal of Pediatric and Adolescent Gynecology Vol. 15 Iss. 1 (2002) p. 15 - 21 ISSN: 1083-3188
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