An image of two hands holding papers with bar and pie graphs next to a photo of a hand highlighting a book.

Research and Data

The Latest

Power to Decide Data

A gif of a map showing the changes in abortion access across the country from May to December 2022.
Interactive Abortion Access Maps

Alongside what should have been the 50th anniversary of Roe v. Wade, Power to Decide's AbortionFinder published interactive maps that provide a compelling illustration of the terrible new chapter for abortion access that’s unfolded over the past year. The maps convey the chaos sparked by the Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization on June 24, 2022, which rolled back generations of reproductive rights by overturning Roe v. Wade—and now jeopardizes the reproductive rights of generations to come.

More than 19 million women of reproductive age living in the US are in need of publicly funded contraception and live in contraceptive deserts. Our map provides an up-to-date, visual description of where women in need can access birth control—and where they can’t—across the country.

There’s a lot of information—and misinformation—when it comes to sexual health and contraception. We believe it's important to regularly assess and report on public perspectives about reproductive well-being.

These fact sheets summarize the number of women living in contraceptive deserts in each state. They also address the impacts of the Title X domestic gag rule and whether the state has adopted policies to expand access to contraception. 

Interested in Using Our Data?

Are you interested in using our data for school or work?

We are not able to make the data more broadly available, but we have, in limited instances, made the data available to research partners who intend to analyze it and use it for publication. If you are a researcher interested in using our data for a specific project, please email to request a data use agreement. 

Power to Decide Research

A cell phone with the Real Talk app pulled up on screen.
Evaluation of an App-Based Sexual Health Intervention

Power to Decide is currently leading a 5-year evaluation of SafeSpace, an app-based intervention that uses authentic youth stories to provide information and resources on sexual health as well as mental and emotional health. Funded by the Administration for Children and Families/Family and Youth Services Bureau’s Personal Responsibility Education Program - Innovative Strategies (PREIS), this project is implemented in partnership with MyHealthEd, Inc., Healthy Teen Network, and Child Trends. 

Using a randomized controlled trial, this study is evaluating the efficacy of SafeSpace among adolescents at highest risk of pregnancy, with a focus on youth who identify as LGBTQ+, Black, or Latine. SafeSpace is a 10-week curriculum based on Real Talk, which was originally developed by MyHealthEd as part of Power to Decide’s Innovation Next incubator implemented from 2015-2021. For more details about the evaluation, please see Child Trend’s project web page

The logo for The Let's Talk Birth Control Study.
Evaluation of a Contraceptive Clinical Decision Support Intervention

Power to Decide, in partnership with Child Trends, the National Association of Community Health Centers, and University of California San Francisco Beyond the Pill Program, has launched a 5-year project to pilot, implement, and evaluate Let’s Talk Birth Control, a clinical decision support intervention for adolescents that consists of a printed contraceptive decision aid and an online provider training to support contraceptive counseling. Funded by The Office of Population Affairs Teen Pregnancy Prevention Program, the evaluation will enroll 1,500 sexually active adolescents assigned female at birth, who are ages 15-24 and seeking services at community health centers, prioritizing those in states or counties in the United States with teen birth rates higher than the national average. Using a cluster-level randomized controlled trial, this study will test the effectiveness of Let’s Talk Birth Control on contraceptive use and use of preferred contraceptive method. Patient-centered contraceptive counseling will also be examined as a key implementation outcome.

The rigorous evaluation of ‘Let’s Talk Birth Control’ is supported by the Office of Population Affairs of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $910,000 with 100 percent funded by OPA/OASH/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, OPA/OASH/HHS or the U.S. Government. For more information, please visit

A group of five people works together at a table.
Research Initiative on Contraceptive Access

With support from the Arnold Ventures, Power to Decide recently completed an 18-month research initiative with two distinct components that addressed contraceptive access: 1) development of a contraceptive access measurement index that synthesizes existing measures of access; and 2) qualitative data collection with young people addressing their knowledge and preferences related to over-the-counter (OTC) oral contraception. To develop the contraceptive access index, we conducted an environmental scan of existing conceptualizations and measures of access and convened an expert workgroup throughout 2023. The qualitative data collection component of this initiative involved focus groups with young people who face particular barriers to contraceptive access, including Black and Latinx youth, indigenous youth, and youth living in rural areas. Findings from these focus groups are being used to inform the development of materials for young people and pharmacists to support OTC access when it becomes available.

Staff Authored Publications

Other Resources

We believe that one key to helping young people build that power is providing high-quality, accurate information about topics related to sexual health. Here, you will find a library of research including reports, fact sheets, and other resources.

Interested in learning about recent data released in the world of sexual and reproductive health? Check out our data breakdown blogs, which cover a variety of subjects such as condoms, abortion access, STIs, and much more. 

Outside Sources to Learn From

Contraceptive Use (Data from the CDC's National Survey of Family Growth)

  • Nearly all women (99% of those age 15-49) who have ever had sexual intercourse have used contraception in their lifetime. A snapshot in time of contraceptive use shows that 65% of women aged 15-49 were using contraception in 2017-2019.
  • The most used methods of contraception among women aged 15-49 between 2017 and 2019 include female sterilization (18%), the pill (14%), the IUD or implant (10%), male condom (8%), male sterilization (6%), withdrawal (4%), Depo-Provera (2%), calendar/rhythm (1.4%), and natural family planning (0.3%). About one-third (35%) say they are not currently using contraception.

Abortion (Data from the Guttmacher Institute)

  • There were more than one million estimated abortions in the US in 2023. That is a 10% increase since 2020. 
  • Medication abortions now represent more than six in ten (63%) of all abortions in the US. That is a 53% increase from 2020. 

Births (Data from the National Center for Health Statistics)

  • The number of births in the US was essentially unchanged between 2021 and 2023. As a general matter, birth rates have decreased for younger women and increased for older women in the past decade plus. 
  • The teen birth rate has declined 78% since peaking in 1991, including a 2% decline between 2021 and 2022. 
  • Birth rates for women aged 20-24 have decreased 43% between 2007 and 2022.