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The Project Connect Health Systems Intervention: Linking Sexually Experienced Youth to Sexual and Reproductive Health Care
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10 2014
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Source: J Adolesc Health. 55(4):528-534
[PDF-322.54 KB]
Details:
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Alternative Title:J Adolesc Health
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Personal Author:
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Description:Purpose:
To evaluate a health systems intervention to increase adolescents’ receipt of high-quality sexual and reproductive health care services.
Methods:
Quasi experimental design. Twelve high schools in a large public school district were matched into pairs. Within each pair, schools were assigned to condition so that no control school shared a geographic border with an intervention school. Five yearly surveys (T1, T2, …, T5) were administered from 2005 to 2009 (N = 29,823) to students in randomly selected classes in grades 9–12. Community-based providers of high-quality sexual and reproductive health care services were listed on a referral guide for use by school nurses to connect adolescents to care.
Results:
Statistically significant effects were found for intervention school females on three out-comes, relative to controls. Relative to T1, receipt of birth control in the past year was greater at T4 (adjusted odds ratio [AOR] = 1.85; 95% confidence interval [Cl], 1.09–3.15) and T5 (AOR = 2.22; 95% CI, 1.32–3.74). Increases in sexually transmitted disease testing and/or treatment in the past year were greater in T1–T3 (AOR = 1.78; 95% CI, 1.05–3.02), T1–T4 (AOR = 1.73; 95% CI, 1.01–2.97), T1–T5 (AOR = 1.97; 95% CI, 1.17–3.31), and T2–T5 (AOR = 1.76; 95% CI, 1.06–2.91). Increases in ever receiving an HIV test were greater in T1–T4 (AOR = 2.14; 95% CI, 1.08–4.26). Among males, no intervention effects were found.
Conclusions:
A school-based structural intervention can improve female adolescents’ receipt of services.
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Pubmed ID:24856358
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Pubmed Central ID:PMC6748039
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