University of Nebraska Medical Center, College of Public Health, Department of Health Promotion, Omaha, NE, USA.
Contraception. 2021 Aug;104(2):188-193. doi: 10.1016/j.contraception.2021.02.014. Epub 2021 Mar 2.
To compare the frequency of the provision of contraceptive counseling at the time of clinical pregnancy test at family planning clinics to other clinical settings among women who wish to avoid pregnancy for the next 2 years or longer.
This was a secondary data analysis of the 2011-2017 National Survey of Family Growth. It used logistic regression to estimate the relationship between receiving contraceptive counseling with source of care, age, educational attainment, race/ethnicity, poverty status, marital status, insurance status, and pregnancy history among 1790 women aged 15-44 who received in-clinic pregnancy tests and sought to avoid pregnancy for the next two years or longer.
Most clinical pregnancy tests were performed by private practices (52%), community health clinics (20%), and other clinical settings (19%); 8% were performed by family planning clinics. Family planning clinics more frequently provided contraceptive counseling with pregnancy tests than other clinical settings (78% at family planning clinics versus 62% at private doctor's offices and 49% at other settings; aOR = 0.45 [0.25, 0.82], and aOR = 0.26 [0.13, 0.52]). Regardless of clinical setting, age, marital status, income, and pregnancy history, women were more likely to receive contraceptive counseling along with in-clinic pregnancy testing if they were Black (aOR = 1.84 [1.17, 2.90]); they were less likely to receive contraceptive counseling following in-clinic pregnancy test if they had educational attainment higher than a high school education (aOR = 0.53 [0.34, 0.82] and aOR = 0.57 [0.33, 0.99]).
Contraceptive counseling at the time of clinical pregnancy testing for women who wish to avoid pregnancy is more common at family planning clinics, but it varies by education and race.
Efforts are needed to ensure that women who wish to avoid pregnancy consistently receive contraceptive counseling when seeking clinical pregnancy testing.
比较计划生育诊所与其他临床环境中，在进行临床妊娠检测时为有 2 年或更长时间避孕需求的女性提供避孕咨询的频率。
这是对 2011-2017 年全国生育调查的二次数据分析。使用逻辑回归估计了在接受临床妊娠检测并希望在未来 2 年内避免怀孕的 1790 名 15-44 岁女性中，避孕咨询的提供与医疗来源、年龄、教育程度、种族/民族、贫困状况、婚姻状况、保险状况和妊娠史之间的关系。
大多数临床妊娠检测是在私人诊所（52%）、社区卫生诊所（20%）和其他临床环境中进行的（19%）；8%是在计划生育诊所进行的。与其他临床环境相比，计划生育诊所更频繁地在妊娠检测时提供避孕咨询（计划生育诊所为 78%，私人医生办公室为 62%，其他环境为 49%；aOR=0.45[0.25,0.82]和 aOR=0.26[0.13,0.52]）。无论临床环境如何，年龄、婚姻状况、收入和妊娠史，黑人女性在接受临床妊娠检测时更有可能获得避孕咨询（aOR=1.84[1.17,2.90]）；如果她们的教育程度高于高中，她们在接受临床妊娠检测后更不可能获得避孕咨询（aOR=0.53[0.34,0.82]和 aOR=0.57[0.33,0.99]）。
对于有避孕需求的女性，在计划生育诊所进行临床妊娠检测时，提供避孕咨询更为常见，但这因教育程度和种族而异。
需要努力确保有避孕需求的女性在寻求临床妊娠检测时，始终获得避孕咨询。
