Medical Care Cost Savings from Adolescent Contraceptive Use

Trussell, James; Koenig, Jacqueline; Stewart, Felicia; Darroch, Jacqueline E.
November 1997
Family Planning Perspectives;Nov/Dec97, Vol. 29 Issue 6, p248
Academic Journal
The article examines the costs and savings of contraceptive use among women in the United States aged 15-19, estimating both the costs of methods used individually and the costs of dual method use. An analysis of the economic benefits of adolescent contraceptive use utilizes in formation from a national private payer database and from the California Medicaid program to compare private- and public-sector costs and savings. The study estimates the costs of acquiring and using ii contraceptive methods appropriate for adolescents, treating associated side effects, providing medical care related to an unintended pregnancy during method use and treating sexually transmitted diseases (STDs) and compares them with the costs of using no method. The average annual cost per adolescent at risk of unintended pregnancy who uses no method is $1,267 ($1,079 for unintended pregnancy and $188 for STDs) in the private sector and $677 ($541 for unintended pregnancy and $137 for STDs) in the public sector under the most conservative assumptions.


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