Torres A, Forrest J D
Fam Plann Perspect. 1987 Mar-Apr;19(2):54-8.
Organized family planning clinics are a major source of contraceptive services for low-income women, who are less likely than higher income women to be using a contraceptive method. A 1983 study estimated that 9.5 million U.S. women with family incomes below 150 percent of poverty were at risk of unintended pregnancy, and identified a network of 5,106 clinics providing them with services. Seventy-six percent of all counties in the United States have organized clinics that offer family planning services; almost all of those without services are nonmetropolitan counties. An estimated 52 percent of low-income women at risk of unintended pregnancy were served by organized family planning clinics in 1983, while the rest either went unserved or sought care elsewhere. Ten percent of low-income women not served by clinics live in counties that have no family planning clinics, but 67 percent live in counties where existing clinics reach fewer than half of potential low-income patients. More sites may be needed, particularly in counties without clinics, to effectively serve low-income women at risk of unintended pregnancy. However, since the majority of unserved women live in counties where at least one clinic exists, coverage might be improved through increased accessibility and outreach.
有组织的计划生育诊所是低收入女性避孕服务的主要来源，低收入女性使用避孕方法的可能性低于高收入女性。1983年的一项研究估计，950万家庭收入低于贫困线150%的美国女性面临意外怀孕的风险，并确定了一个由5106家为她们提供服务的诊所组成的网络。美国76%的县设有提供计划生育服务的诊所；几乎所有没有此类服务的县都是非都市县。据估计，1983年，有组织的计划生育诊所为52%面临意外怀孕风险的低收入女性提供了服务，其余女性要么未得到服务，要么在其他地方寻求护理。未得到诊所服务的低收入女性中，10%生活在没有计划生育诊所的县，但67%生活在现有诊所覆盖不到一半潜在低收入患者的县。可能需要更多的诊所地点，尤其是在没有诊所的县，以便有效地为面临意外怀孕风险的低收入女性提供服务。然而，由于大多数未得到服务的女性生活在至少有一家诊所的县，因此可以通过提高可及性和扩大服务范围来改善覆盖情况。
