Details:

Alternative Title:
Perspect Sex Reprod Health
Publisher's site:
http://dx.doi.org/10.1363/psrh.12030
Personal Author:
ROBBINS, Cheryl L. ; Gavin, Loretta ; Carter, Marion W. ; Moskosky, Susan B.
ROBBINS, Cheryl L. ; Gavin, Loretta ; Carter, Marion W. ; Moskosky, Susan B. Less -
Description:
CONTEXT

Federal and clinical guidelines recommend that reproductive life plan assessments be integrated into routine family planning encounters to increase the provision of preconception care. The associations between clinical protocols and reported reproductive life plan assessment, and between reproductive life plan assessment and preconception care delivery, are unknown.

METHODS

Two, nationally-representative surveys of administrators and medical providers at publicly-funded health centers (2013–2014), were linked to explore associations between reproductive life plan protocols, reproductive life plan assessment (very often/often versus not often/never), and preconception care delivery (frequently versus never/rarely/occasionally) (n=1,039). Bivariate and adjusted prevalence ratios (aPR) with 95% confidence intervals (CI) were used to examine associations.

RESULTS

Of respondents, 58% reported having reproductive life plan assessment protocol, 87% reported that they frequently assessed reproductive life plans, and 55% reported that they frequently provided preconception care. Lower percentages of reproductive life plan assessment protocols were observed among: community health centers (32%) versus other health center types; health centers focused on primary care (33%) versus reproductive health or other care focus; and health centers without Title X-funding (36%) versus Title X-funded. Administrators reporting frequent reproductive life plan assessments were more likely than those reporting infrequent reproductive life plan assessment to report frequent provision of preconception care (aPR 1.4, 95% CI 1.09–1.75).

CONCLUSIONS

Further research is needed to confirm the associations between report of having written protocols and reported clinical practice and to elucidate the specific preconception care services that may be associated with reproductive life plan assessment.


Subject:
[+]
Article Clinical Protocols Community Health Centers Family Planning Services Female Financing, Government Humans Preconception Care Pregnancy Prevalence Reproductive Behavior Reproductive Health
Source:
Perspect Sex Reprod Health. 49(3):167-172.
Pubmed ID:
28475825
Pubmed Central ID:
PMC5603190
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:52a8fa533af75c380c2dcf48639d0bb052773fe7e14e5eb61f713862b4a0cc69
Download URL:
https://stacks.cdc.gov/view/cdc/48229/cdc_48229_DS1.pdf
File Type:

Supporting Files

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