Blair G. Darney (
Frances M. Biel, OCHIN, Portland, Oregon.
Health Aff (Millwood). 2022 Apr;41(4):497-506. doi: 10.1377/hlthaff.2021.01483.
Community health centers are a crucial source of health care for reproductive-age women. Some community health centers receive funding from the federal Title X program, which provides funding for family planning services for low-income women. We describe the provision of the most effective (intrauterine devices and implants) and moderately effective (short-acting hormonal methods) contraceptive methods in a large network of 384 community health center clinics across twenty states in 2016-18. Title X clinics provided more most and moderately effective contraception at all time points and for all age groups (adolescent, young adult, and adult). They provided 52 percent more of the most effective contraceptives to women at risk for pregnancy than clinics not funded by Title X. This finding was especially notable for adolescents (58 percent more). Title X clinics play a key role in access to effective contraception across the US safety net. Strengthening the Title X program should continue to be a policy priority for public health for the Biden-Harris administration.
社区卫生中心是育龄妇女获得医疗保健的重要来源。一些社区卫生中心获得联邦 Title X 项目的资助,该项目为低收入妇女提供计划生育服务。我们描述了在 2016 年至 2018 年期间,在 20 个州的 384 家社区卫生中心诊所的大型网络中,最有效(宫内节育器和植入物)和中度有效(短效激素方法)避孕方法的提供情况。在所有时间点和所有年龄段(青少年、年轻成人和成人),Title X 诊所都提供了更多的最有效和中度有效的避孕措施。与未获得 Title X 资助的诊所相比,Title X 诊所向有怀孕风险的妇女提供了 52%的最有效避孕药具。这一发现对于青少年(增加了 58%)来说尤为显著。Title X 诊所在美国安全网中发挥着提供有效避孕措施的关键作用。加强 Title X 项目应继续成为拜登-哈里斯政府公共卫生的政策优先事项。