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APHA Scientific Session and Event Listing

Diana E. Ramos, MD, MPH, Maternal, Child, & Adolescent Health, Los Angeles County-Department of Health Services, 600 South Commonwealth, Suite 800, Los Angeles, CA 90005, 3232514444, dramos@ladhs.org, Katherine Levario, LAC-DHS, Maternal, Child, and Adolescent Health, 600 S. Commonwealth Suite 800, Los ANgeles, CA 90005, and Cynthia Harding, MPH, Maternal, Child and Adolescent Health, Los Angeles County Department of Health, 600 Commonwealth, 8th Floor, Los Angeles, CA 90005.

Background:

Nationwide, the leading method of contraception in the United States was the oral contraceptive pill (OCP) followed by female sterilization and the male condom. In California for 2004 for all Title X Clinics, the BCP was the most contraception dispensed 41%, the male condom was second 15% along with Depo-Provera (DMPA) 15%. Other methods, (withdrawal, rhythm, sponge, suppository) was third, 7%.

Methods:

A retrospective review of 2004 and 2005 LAC-DHS Title X Annual Family Planning Report was performed. Comparative and descriptive analysis was performed.

Results:

During 2004, for the LAC-DHS sites, there were 22,917 encounters. As in the California statistics, the OCP was the most common method dispensed, 37.5 % (8,605/22,917) adding to the contraception formulations dispensed are the contraceptive patch ( Ortho-Evra) 0.07% ( 1,671/22,971) and contraceptive ring (Nuvaring) 0.001% ( 30/22,917) were dispensed. The male condom was second, 24% (5,529/22,917). Depo-Provera (DMPA) was the third most common method, 0.07% (1,779/22,917).

There were 22,237 family planning encounters in 2005. The male condom was the most common method dispensed, 28% (6,383/22,737) with the OCP's being second, 26% (6,131/22,237). 0.07% of contraceptive patches were dispensed (1,650/22,737) and 0.01% ( 245/22,737) of the contraceptive ring was dispensed. DPMA at 0.08% (1,744/22,737) was third.

Conclusion: Title X LAC-DHS sites, in 2005 dispensed condoms more than OCP's. Limitations to the data collection included the inability to determine if more than one method was dispensed. The benefits of increased condom use are limited by actual patient use. Their availability will hopefully lead to use.

Learning Objectives:

1.List the most common contraception choices nationally and in California. 2.List the most common contraception dispensed in LAC-DHS Title X Clinics.
• Recognize the trends and implications of the LAC-DHS Title X Clinic trends between 2004 and 2005.

Presenting author's disclosure statement:

Not Answered