Structural disadvantage and contraceptive use: Geographic variation and changes as a result of Medicaid expansion
Awarded 2021
Emerging Scholars in Family Planning
Alice Cartwright, MPH
University of North Carolina at Chapel Hill

Alice Cartwright is a doctoral student in Maternal and Child Health in the Gillings School of Global Public Health at the University of North Carolina at Chapel Hill and a predoctoral trainee with the Carolina Population Center. Alice received her MPH from the University of California, Berkeley. Before beginning her doctoral studies, Alice spent almost 10 years working in the US and East Africa to make maternal health medicines, contraceptive supplies, and reproductive health services more equitably available and accessible. She currently works as an Associate Scientist at FHI 360 investigating long term contraceptive continuation in South Africa and Zambia and before beginning her doctoral studies, supported the development and implementation of research on US abortion policies at Advancing New Standards in Reproductive Health (ANSIRH) at the University of California, San Francisco. The proposed research will use restricted geographic data from the National Survey of Family Growth and Alice will conduct quantitative analyses to 1) describe geographic patterns of contraceptive use by community-level socioeconomic disadvantage in the US; 2) examine the relationship between individual and community characteristics on contraceptive use; and 3) assess if Medicaid expansion differentially impacted contraceptive use in more disadvantaged geographic areas. These analyses will be part of Alice’s dissertation project that seeks to integrate structural and geographic measures of inequity into reproductive health research.