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Interventions to Increase Male Attendance and Testing for Sexually Transmitted Infections at Publicly-Funded Family Planning Clinics
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May 17 2017
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Source: J Adolesc Health. 61(1):32-39
[PDF-115.51 KB]
Details:
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Alternative Title:J Adolesc Health
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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.
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Pubmed ID:28528207
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Pubmed Central ID:PMC7021216
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