Interventions to Increase Male Attendance and Testing for Sexually Transmitted Infections at Publicly-Funded Family Planning Clinics

Details

• Alternative Title:
  J Adolesc Health
• Personal Author:
  Fine, David ; Warner, Lee ; Salomon, Sarah ; Johnson, David M.
• Description:
  Purpose:
  
  We assessed the impact of staff, clinic, and community interventions on male and female family planning client visit volume and sexually transmitted infection testing at a multisite community-based health care agency.
  
  Methods:
  
  Staff training, clinic environmental changes, in-reach/outreach, and efficiency assessments were implemented in two Family Health Center (San Diego, CA) family planning clinics during 2010–2012; five Family Health Center family planning programs were identified as comparison clinics. Client visit records were compared between preintervention (2007–2009) and postintervention (2010–2012) for both sets of clinics.
  
  Results:
  
  Of 7,826 male client visits during the time before intervention, most were for clients who were aged <30 years (50%), Hispanic (64%), and uninsured (81%). From preintervention to postintervention, intervention clinics significantly increased the number of male visits (4,004 to 8,385; Δ = +109%); for comparison clinics, male visits increased modestly (3,822 to 4,500; Δ = +18%). The proportion of male clinic visits where chlamydia testing was performed increased in intervention clinics (35% to 42%; p < .001) but decreased in comparison clinics (37% to 33%; p < .001). Subgroup analyses conducted among adolescent and young adult males yielded similar findings for male client volume and chlamydia testing. The number of female visits declined nearly 40% in both comparison (21,800 to 13,202; −39%) and intervention clinics (30,830 to 19,971; −35%) between preintervention and postintervention periods.
  
  Conclusions:
  
  Multilevel interventions designed to increase male client volume and sexually transmitted infection testing services in family planning clinics succeeded without affecting female client volume or services.
  
  
• Subjects:
  Adolescent Adolescents Adult Age Distribution Chlamydia Infections Community Health Centers Ethnicity Family Planning Services Female Health Promotion Humans Male Multivariate Analysis Sex Factors Sexually Transmitted Diseases Young Adult

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• Source:
  J Adolesc Health. 61(1):32-39
• Pubmed ID:
  28528207
• Pubmed Central ID:
  PMC7021216
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHS/United States
• Place as Subject:
  California
• Volume:
  61
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:7c7c76e271677e94c41bd0906ec0ba6d4f6640e2d8a8e5f227475b8382ea84aa
• Download URL:
  https://stacks.cdc.gov/view/cdc/85099/cdc_85099_DS1.pdf
• File Type:
  [PDF - 115.51 KB ]