At the time of the study, all authors were with the Bixby Center for Global Reproductive Health, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco.
Am J Public Health. 2014 Feb;104 Suppl 1(Suppl 1):e1-6. doi: 10.2105/AJPH.2013.301454. Epub 2013 Dec 19.
We examined the association of adolescent birthrates (ABRs) with access to and receipt of publicly funded family planning services in California counties provided through 2 state programs: Medi-Cal, California's Medicaid program, and the Family Planning, Access, Care, and Treatment (Family PACT) program.
Our key data sources included the California Health Interview Survey and California Women's Health Survey, Medi-Cal and Family PACT claims data, and the Birth Statistical Master File. We constructed a linear regression analysis measuring the relationship of access to and receipt of family planning services with ABRs when controlling for counties' select covariates.
The regression analysis indicated that a higher access rate to Family PACT in a county was associated with a lower ABR (B = -0.19; P < .01) when controlling for unemployment rate, percentage of foreign-born adolescents, and percentage of adult low-income births.
Efforts to reduce ABRs, specifically in counties that had persistently high rates are critical to achieving a healthy future for the state and the nation. Family PACT played a crucial role in helping adolescents avoid unintended and early childbearing.
我们研究了青少年出生率（ABR）与加利福尼亚州两个州立项目提供的公共资助计划生育服务的获取和接受情况之间的关联：Medi-Cal，加利福尼亚州的医疗补助计划，以及计划生育、获取、护理和治疗（家庭 PACT）计划。
我们的主要数据源包括加利福尼亚健康访谈调查和加利福尼亚妇女健康调查、Medi-Cal 和家庭 PACT 索赔数据以及出生统计主文件。我们构建了线性回归分析，在控制了各县特定协变量的情况下，衡量了获取和接受计划生育服务与 ABR 之间的关系。
回归分析表明，当控制失业率、青少年外国出生比例和成人低收入生育比例时，一个县获得家庭 PACT 的机会率越高，ABR 越低（B=−0.19；P<.01）。
努力降低 ABR，特别是在那些持续高出生率的县，对于实现该州和全国的健康未来至关重要。家庭 PACT 在帮助青少年避免意外和过早生育方面发挥了关键作用。
