Mosher W D, Horn M C
Public Health Rep. 1986 Jul-Aug;101(4):405-16.
The factors that affect how women choose their source of family planning care and how often they go for such care were investigated in the National Survey of Family Growth. The survey is based on a national sample of women 15-44 years of age interviewed in 1982, 4,318 of whom had family planning visits in the last 3 years. In contrast, previous research has been based on small, nonrepresentative samples, usually in one or a few locations or limited to visits to either private doctors or clinics, but not both; been limited to teenagers; or had no multivariate analysis. This study overcomes those limitations. When other variables were controlled, race, income, and insurance coverage had important effects on provider choice; marital status was important for white women, but not for black women. Contraceptive method, insurance coverage, and race were important determinants of the frequency of family planning visits, independent of other variables. It is suggested that relative costs or ability to pay, confidentiality, knowledge of alternative sources, and convenience of location affect choice of provider and visit rates.
《全国家庭成长调查》对影响女性选择计划生育护理服务来源以及她们接受此类护理服务频率的因素进行了调查。该调查基于1982年对全国15至44岁女性的抽样调查,其中4318名女性在过去3年中接受过计划生育服务。相比之下,以往的研究样本较小且不具代表性,通常局限于一个或几个地点,或者仅限于看私人医生或去诊所,而非两者兼顾;研究对象仅限于青少年;或者没有进行多变量分析。本研究克服了这些局限性。当控制其他变量时,种族、收入和保险覆盖范围对服务提供者的选择有重要影响;婚姻状况对白人女性很重要,但对黑人女性则不然。避孕方法、保险覆盖范围和种族是计划生育就诊频率的重要决定因素,不受其他变量影响。研究表明,相对成本或支付能力、保密性、对其他服务来源的了解以及地点便利性会影响服务提供者的选择和就诊率。