OBJECTIVE: To evaluate differences in permanent contraception rates among reproductive-aged adults after the Dobbs v. Jackson Women’s Health Organization decision and effect heterogeneity based on sex, distance from abortion care, and measures of marginalization. METHODS: We conducted an interrupted time series analysis using an all payer claims database of ambulatory surgical facilities in Pennsylvania from January 1, 2019, to March 31, 2023. RESULTS: The sample included 453,244 permanent contraception procedures in females (83.2%) and males (16.8%) aged 15–44 years in Pennsylvania. There was a statistically significant temporary increase in permanent contraception procedure rates among females and males after Dobbs . The magnitude of the effect was greatest in females, among whom those residing in areas with higher educational attainment, lower poverty rates, and further from abortion care had the greatest increase in permanent contraception rates. CONCLUSION: Despite continued legal protections for abortion in Pennsylvania, we found an increase in permanent contraception rates among Pennsylvanians after the Dobbs decision.
Abernathy et al. (2025) studied this question.