对联邦资助的计划生育诊所的认知与偏好
Perceptions of and preferences for federally-funded family planning clinics.
作者信息
Oglesby Willie H
机构信息
Department of Health Policy & Management, College of Public Health, Kent State University, PO Box 5190, 800 Hilltop Drive, 212 Moulton Hall, Kent, Ohio 44242, USA.
出版信息
Reprod Health. 2014 Jun 30;11:50. doi: 10.1186/1742-4755-11-50.
BACKGROUND
The Title X family planning program provides affordable access to a range of sexual and reproductive health services, with a priority for low-income people. The disproportionate burden of unintended pregnancy, breast and cervical cancer, and sexually transmitted diseases among minority groups, teens, and young adults in the US underscore the need for affordable access to such services. However, increased access to sexual and reproductive health services, resulting from the Affordable Care Act (ACA) create questions regarding the continued need for this program.
METHODS
A study was conducted to assess clients' perceptions of Title X-funded family planning clinics and their preferences for these clinics for a range of sexual and reproductive health services. An anonymous, self-administered, paper-and-pencil survey was administered to 696 clients who received services from one of eight Title X-funded family planning clinics in Northeast Ohio.
RESULTS
The majority of participants stated very positive perceptions of the Title X-funded clinics; that they "Always" go to the Title X-funded clinic for birth control, STD/HIV testing, and pregnancy testing; and that the Title X-funded clinic was their regular source of health care. Females were more likely than males to prefer the Title X clinic for birth control, physical exams, pregnancy testing, and health information and more teens under the age of 18 preferred to use the Title X clinic for STD/HIV testing, physical exams, pregnancy testing, and health information.
CONCLUSIONS
Findings indicate that these Title X-funded family planning clinics successfully reached populations in need of sexual and reproductive health services and suggest that these facilities can help play an important role in reducing disparities even after full implementation of the Affordable Care Act. However, more research is needed to fully quantify the need and value of Title X-funded family planning clinics and its relation to the changing health care environment in the US.
背景
第十条计划生育项目提供了一系列价格合理的性健康和生殖健康服务，优先面向低收入人群。美国少数族裔、青少年和年轻人意外怀孕、患乳腺癌和宫颈癌以及感染性传播疾病的负担过重，这凸显了获得此类价格合理服务的必要性。然而，《平价医疗法案》（ACA）带来的性健康和生殖健康服务可及性的提高引发了关于该项目持续必要性的问题。
方法
开展了一项研究，以评估客户对由第十条资助的计划生育诊所的看法，以及他们对这些诊所提供的一系列性健康和生殖健康服务的偏好。对从俄亥俄州东北部八家由第十条资助的计划生育诊所之一接受服务的696名客户进行了一项匿名的、自行填写的纸笔调查。
结果
大多数参与者对由第十条资助的诊所给予了非常积极的评价；他们“总是”前往由第十条资助的诊所进行节育、性传播疾病/艾滋病毒检测和妊娠检测；并且由第十条资助的诊所是他们常规的医疗保健来源。女性比男性更倾向于选择由第十条资助的诊所进行节育、体格检查、妊娠检测和获取健康信息，18岁以下的青少年中，更多人更愿意使用由第十条资助的诊所进行性传播疾病/艾滋病毒检测、体格检查、妊娠检测和获取健康信息。
结论
研究结果表明，这些由第十条资助的计划生育诊所成功地服务了有性健康和生殖健康服务需求的人群，并表明即使在《平价医疗法案》全面实施之后，这些机构仍可在减少差距方面发挥重要作用。然而，需要更多研究来全面量化由第十条资助的计划生育诊所的需求和价值，以及它与美国不断变化的医疗保健环境的关系。
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