Contraception policies in the US are reactionary

BMJ 2012; 345 doi: http://dx.doi.org/10.1136/bmj.e8069 (Published 30 November 2012)
Cite this as: BMJ 2012;345:e8069

Get access to this article and all of bmj.com for the next 14 days

Sign up for a 14 day free trial today

Access to the full text of this article requires a subscription or payment. Please log in or subscribe below.

  1. Michelle J Hindin, associate professor,
  2. Michele R Decker, assistant professor,
  3. Caroline Moreau, assistant professor
  1. 1Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
  1. mhindin{at}jhsph.edu

Time to forget political posturing and focus on the evidence of gains from preventing unwanted pregnancies

Over the past decade in the United States, contraception has become a political issue rather than a public health prevention strategy, despite evidence that easier access to contraception reduces unintended pregnancy,1 thereby improving women’s and children’s health. Only 5% of unintended pregnancies occur among the two thirds of US women at risk of unintended pregnancy who practice contraception consistently and correctly.2 In 2006 alone, publicly funded contraception averted an estimated 1.94 million unintended pregnancies, which translated into about 860 000 unintended births, 810 000 abortions, and 270 000 miscarriages.3 Contraceptive services are cost effective. Every $1 (£0.62; €0.77) spent on public funding for family planning saves $3.74 in pregnancy related costs, with annual savings of $19.3bn.4 Protection against unintended pregnancy, particularly in adolescents, leads to gains in education, employment, and wealth in the longer term.5 Contraception also prevents unintended pregnancy in the 18% of women who experience sexual violence and lack control over when and with whom they have sex.6

Nevertheless, in the US, at federal …

Get access to this article and all of bmj.com for the next 14 days

Sign up for a 14 day free trial today

Access to the full text of this article requires a subscription or payment. Please log in or subscribe below.

Article access

Article access for 1 day

Purchase this article for £20 $30 €32*

The PDF version can be downloaded as your personal record

* Prices do not include VAT

THIS WEEK'S POLL