Section of Family Planning, Department of Obstetrics and Gynecology, Keck School of Medicine of the University of Southern California, Los Angeles, CA, United States.
Keck School of Medicine of the University of Southern California, Los Angeles, CA, United States.
Contraception. 2021 Aug;104(2):165-169. doi: 10.1016/j.contraception.2021.04.004. Epub 2021 Apr 20.
To characterize the sexual and reproductive health (SRH) services available to men from publicly funded family planning clinics in California.
We conducted a cross-sectional telephone survey in 2018 to compare the accessibility of SRH services for male clients at Planned Parenthood clinics in California to those visiting a random sample of 200 other publicly funded family planning clinics, selected from a California Department of Health Care Services list of 773 that had served at least 15 male clients in the prior year. A representative at each clinic answered questions about provision of 20 clinical services. We examined differences in individual service provision by clinic affiliation using χ tests.
Only one-third (773/2348) of publicly funded clinics in California served more than 15 male clients each year, with rural clinics less likely than urban counties to do so. We were able to contact 62 of 107 Planned parenthood clinics and 81 of the 200 other publicly-funded family planning clinics that we attempted to reach. Most (95%) offered HIV and STI screening; 65% offered vasectomy consultation, but only 5% provided vasectomy services. Planned Parenthood clinics were more likely than other publicly funded clinics to provide condom demonstrations, emergency contraception, STI testing, HPV vaccination, penile/testicular exams, and infertility testing (p < 0.05 for all comparisons).
Male family planning services are less frequently offered by rural clinics and by publicly funded clinics in California that are not affiliated with Planned Parenthood.
Men's underutilization of family planning may be partially explained by a lack of access to clinical services.
描述加利福尼亚州公共资金计划生育诊所为男性提供的性健康和生殖健康 (SRH) 服务的特点。
我们于 2018 年进行了一项横断面电话调查，以比较加利福尼亚州计划生育诊所男性客户获得 SRH 服务的便利性与随机抽取的 200 家其他公共资金计划生育诊所的便利性，这些诊所是从加利福尼亚州卫生部列出的 773 家为至少 15 名男性客户提供服务的诊所中选出的。每家诊所的一名代表回答了关于提供 20 项临床服务的问题。我们使用 χ 检验检查了诊所关联对个别服务提供的差异。
加利福尼亚州的公共资金诊所中只有三分之一（773/2348）每年为超过 15 名男性客户提供服务，农村诊所比城市县更不可能这样做。我们能够联系到 107 家计划生育诊所中的 62 家和 200 家其他试图联系的公共资金计划生育诊所中的 81 家。大多数（95%）提供艾滋病毒和性传播感染 (STI) 筛查；65%提供输精管切除术咨询，但只有 5%提供输精管切除术服务。计划生育诊所比其他公共资金诊所更有可能提供 condom 演示、紧急避孕、性传播感染测试、HPV 疫苗接种、阴茎/睾丸检查和不孕症测试（所有比较的 p 值均<0.05）。
农村诊所和与计划生育组织没有关联的加利福尼亚州公共资金诊所提供男性计划生育服务的频率较低。
男性对计划生育的利用不足可能部分解释为无法获得临床服务。
