Burnettt C A, Tyler C W, Schoenbucher A K, Terry J S
Am J Public Health. 1980 Mar;70(3):246-50. doi: 10.2105/ajph.70.3.246.
Record linkage was used to identify births in 1974 to patients who had received contraceptive services from public family planning clinics in metropolitan Atlanta. The record linkage methodology is described. Results indicated that patient educational level, age, contraceptive choice, and race were the factors most associated with subsequent patient fertility. Black teenage patients experienced the highest fertility. Patients age 20 years and over with some education beyond high school experienced approximately one-third the fertility of less-educated patients. The program effectiveness of the IUD and the Pill was substantially better than that of foam and condoms. Excluding teenagers, the program effectiveness of the IUD was better than the Pill. Changes in family planning services for high-risk patients may help them achieve their fertility control objectives. Linking family planning clinic records to official birth records as described in this study can help determine clinic success in meeting patient objectives. Other applications of record linkage are discussed briefly.
通过记录链接来识别1974年接受过大亚特兰大地区公共计划生育诊所避孕服务的患者所生育的孩子。文中描述了记录链接方法。结果表明，患者的教育程度、年龄、避孕方式选择和种族是与随后生育能力最相关的因素。黑人青少年患者的生育率最高。20岁及以上且接受过高中以上教育的患者生育率约为受教育程度较低患者的三分之一。宫内节育器（IUD）和避孕药的项目效果明显优于泡沫剂和避孕套。排除青少年后，宫内节育器的项目效果优于避孕药。针对高危患者的计划生育服务的改变可能有助于他们实现生育控制目标。如本研究所述，将计划生育诊所记录与官方出生记录相链接有助于确定诊所在实现患者目标方面的成效。还简要讨论了记录链接的其他应用。
