Health Affairs January 1, 2025
Julia Strasser, Ellen Schenk, Sara Luckenbill, Danielle Tsevat, Lauryn King, Qian Luo, Julie Maslowsky

Abstract

Young adults’ access to contraception is shifting after the June 2022 United States Supreme Court Dobbs v. Jackson Women’s Health Organization decision. This concurrent mixed-methods study measured young adults’ use of and perceptions about tubal sterilization and vasectomy after the leaked Dobbs opinion in May 2022. Using national-level medical claims data from IQVIA, we conducted difference-in-differences analyses of tubal sterilizations and vasectomies by age and state policy; using open-text survey responses from national MyVoice surveys in 2022 and 2023, we thematically analyzed young adults’ perspectives. Tubal sterilization and vasectomy visits...

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