Rural-Urban Residence and Emergency Contraception Use, Access, and Counseling in the United States, 2006-2017

Document Type


Publication Date



rural, rural health, reproductive health services, women, emergency contraception use, MRHRC

Publication Title

Contraception: X


Researchers from the Maine Rural Health Research Center at the University of Southern Maine's Muskie School of Public Service conducted a study examining the rural-urban differences in the access, use, and counseling of emergency contraceptives. Using data from from the National Survey of Family Growth, the authors noted that an overall increase in emergency contraceptive use during the study period suggests that several federal policies aimed at improving access to emergency contraceptive pills have expanded access for both rural and urban populations. Lower use of counseling by women in rural areas may be tied to other barriers faced by this population in accessing reproductive health information. The authors suggest that reproductive health policies and programs, such as telehealth and direct-to-consumer contraceptive services, take into consideration rural-urban residence.

FMI: Carly MIlkowski, MPH,