Trends in Intrauterine Device Use Before and After National Eligibility Guideline Changes

Kandice A. Kapinos, Gabriela Alvarado, Kortney Floyd James · 2026

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Description

Intrauterine devices are among the most effective contraceptives, yet for years young and childless women were steered away from them. Kandice Kapinos, Gabriela Alvarado, and Kortney Floyd James track what changed after national guidelines widened eligibility, in a 2026 study of United States survey data from 2002 to 2023.

Among women who had never given birth, IUD use climbed from nearly zero to over seventeen percent. The 2014 guideline update brought an immediate jump of about six points and a faster climb afterward. Women with two or more births, the comparison group, rose steadily until 2014 and then leveled off. Condom-only use fell as IUDs rose, suggesting substitution between methods. The pattern held for insured and uninsured women alike.

Catalog record

CREATORKandice A. Kapinos, Gabriela Alvarado, Kortney Floyd James
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE27 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13581354

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