Abstract:
OBJECTIVES:Federally Qualified Health Centers (FQHCs) are a major and growing source of primary care for low-income women of reproductive age; however, only limited knowledge exists on the scope of family planning care they provide and the mechanisms for delivery of these essential reproductive health services, including family planning. In this paper, we report on the scope of services provided at FQHCs including on-site provision, prescription only and referral options for the range of contraceptive methods. STUDY DESIGN:An original survey of 423 FQHC organizations was fielded in 2011. RESULTS:Virtually all FQHCs reported that they provide at least one contraceptive method (99.8%) at one or more clinical sites. A large majority (87%) of FQHCs report that their largest primary care site prescribes oral contraceptives plus one additional method category of contraception, with oral contraception and injectables being the most commonly available methods. Substantial variation is seen among other methods such as intrauterine devices (IUDs), contraceptive implants, the patch, vaginal ring and barrier methods. For all method categories, Title-X-funded sites are more likely to provide the method, though, even in these sites, IUDs and implants are much less likely to be provided than other methods. CONCLUSION:There is clearly wide variability in the delivery of family planning services at FQHCs in terms of methods available, level of counseling, and provision of services on-site or through prescription or referral. Barriers to provision likely include cost to patients and/or additional training to providers for some methods, such as IUDs and implants, but these barriers should not limit on-site availability of inexpensive methods such as oral contraceptives. IMPLICATIONS:With the expansion of contraceptive coverage under private insurance as part of preventive health services for women, along with expanded coverage for the currently uninsured, and the growth of FQHCs as the source of care for women of reproductive age, it is critical that women seeking family planning services at FQHCs have access to a wide range of contraceptive options. Our study both highlights the essential role of FQHCs in providing family planning services and also identifies remaining gaps in the provision of contraception in FQHC settings.
journal_name
Contraceptionjournal_title
Contraceptionauthors
Wood S,Beeson T,Bruen B,Goldberg DG,Mead H,Shin P,Rosenbaum Sdoi
10.1016/j.contraception.2013.09.015subject
Has Abstractpub_date
2014-02-01 00:00:00pages
85-90issue
2eissn
0010-7824issn
1879-0518pii
S0010-7824(13)00640-9journal_volume
89pub_type
杂志文章相关文献
CONTRACEPTION文献大全abstract::Interception of pregnancy in its initial stage is an attractive and viable approach to contraception. A chemical agent, taken within the first few days of missed menses, intercepts the conception, which is expelled with menstrual flow. The main targets of such agents are the uterus, blastocyst and the growing trophobl...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2003.12.011
更新日期:2004-05-01 00:00:00
abstract:BACKGROUND:Intrauterine contraception (IUC) is safe, highly effective and has few medical contraindications. Primary care providers see many women with chronic conditions who might benefit from IUC. STUDY DESIGN:We surveyed women aged 18-50 who visited one of four primary care clinics in Pennsylvania between October 2...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2013.02.004
更新日期:2013-08-01 00:00:00
abstract::RU 486 and three of its metabolites (RU 42633-monodemethyl, RU 42848-didemethyl, and RU 42698-hydroxymetabolite) were determined by HPLC in plasma from nine non-pregnant and 36 pregnant women. Each non-pregnant subject took an oral dose of RU 486 (25, 100, 400 and 600 mg consecutively) once per menstrual cycle. Six of...
journal_title:Contraception
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/0010-7824(93)90004-q
更新日期:1993-08-01 00:00:00
abstract:BACKGROUND:Medroxyprogesterone acetate (MPA), which increases high-density lipoprotein level, has not been used as a progestin in combination with estrogen in a transdermal patch to date. The aim of the research was to develop and evaluate a matrix-type transdermal drug delivery (TDD) system of a combination of ethinyl...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2011.03.005
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVES:To evaluate the impact on lipid and carbohydrate variables of a combined one-third ethinyl estradiol (EE)/levonorgestrel (LNG) dose reduction in oral contraceptives. METHODS:In an open-label, randomized study, a dose-reduced oral contraceptive containing 20 microg EE and 100 microg LNG (20 EE/100 LNG) was c...
journal_title:Contraception
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/j.contraception.2004.08.017
更新日期:2005-02-01 00:00:00
abstract::The objective of the study was to assess the efficacy of cervical preparation with misoprostol or laminaria suction abortion up to 18 weeks gestation. The study was conducted among a consecutive case series of patients presenting for dilatation and evacuation at a single center. Cervical preparation was effected by ei...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/s0010-7824(02)00306-2
更新日期:2002-06-01 00:00:00
abstract::The opinions of 20 international experts in reproductive endocrinology and family planning service delivery were solicited concerning contraceptive pill use during breastfeeding and, in particular, to determine whether the experts felt that breastfeeding women who use progestin-only pills (POPs) should be advised to s...
journal_title:Contraception
pub_type: 社论
doi:10.1016/0010-7824(95)00076-m
更新日期:1995-05-01 00:00:00
abstract::The effects of Nonoxynol-9 and chlorhexidine on sperm motility were compared using the objective Transmembrane Migration Ratio method. These agents were found to be of similar potency in inhibiting sperm motility. The concentrations which reduced sperm motility by 50% (EC50) were 0.205 mg/ml for Nonoxynol-9 and 0.215 ...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/0010-7824(85)90108-8
更新日期:1985-08-01 00:00:00
abstract::With the objective of evaluating the ovulatory function among long-term Norplant implants users with regular menstrual cycles, we undertook this prospective study including 11 Norplant implants users and 11 control women who were not using hormonal methods of fertility control. Exposed and unexposed women had had at l...
journal_title:Contraception
pub_type: 临床试验,杂志文章
doi:10.1016/s0010-7824(96)00179-5
更新日期:1996-11-01 00:00:00
abstract::The discovery of the reversible antifertility action of an extract from Tripterygium wilfordii both in male rats and in men in 1986 stimulated worldwide interest. International and national collaborations aimed at the bioassay-directed sub-fractionation of materials extracted from the plant was then organized and to d...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/0010-7824(94)00018-r
更新日期:1995-02-01 00:00:00
abstract:OBJECTIVE:To identify factors associated with contraceptive uptake among participants in a miscarriage management clinical trial. STUDY DESIGN:We performed a secondary analysis of a multi-center, randomized controlled trial of medical management regimens for miscarriage between 5 and 12 completed weeks. Pregnancy inte...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2020.03.002
更新日期:2020-06-01 00:00:00
abstract::The separate effect of ethinylestradiol (4 micrograms/kg b.w./day) and d-norgestrel (20 micrograms/kg b.w./day) on the fibrinolytic activity in plasma and in vessel walls of the hind leg was investigated in an experimental study on rats. No hormonal effect on the fibrinolytic activity in plasma was registered. However...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/0010-7824(84)90101-x
更新日期:1984-08-01 00:00:00
abstract::This paper presents a secondary analysis of 3419 Norplant users from 11 countries throughout Asia, Africa and Latin America. The main objective was to identify the menstrual problems associated with a high risk of early discontinuation of Norplant use. Eligible participants were divided into two groups: those who cont...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/s0010-7824(03)00040-4
更新日期:2003-05-01 00:00:00
abstract:OBJECTIVES:To assess factors associated with routine pregnancy intention screening by primary care physicians and their support for such an initiative. STUDY DESIGN:We conducted a cross-sectional survey study of 443 primary care physicians in New York State. We performed multivariable logistic regression analyses of p...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2019.11.004
更新日期:2020-02-01 00:00:00
abstract::The clinical performance of the Copper T 380A (TCu 380A) and the Lippes Loop intrauterine devices (IUDs) were evaluated for 12 months in a group of 710 women who had one of the two IUDs inserted. Results are from a randomized clinical trial conducted at three collaborating research sites located in three developing co...
journal_title:Contraception
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1016/0010-7824(95)00119-u
更新日期:1995-07-01 00:00:00
abstract::Oral contraceptives are in widespread use, and are commonly prescribed for contraception in patients taking other medications. An example of this is the concomitant use of oral contraceptives and anticonvulsants in epileptic patients. This combination creates a potential for drug interactions which may alter the effic...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/0010-7824(85)90062-9
更新日期:1985-06-01 00:00:00
abstract::Sexually transmitted infections and unplanned pregnancies present a great risk to the reproductive health of women. Therefore, female-controlled vaginal products directed toward disease prevention and contraception are needed urgently. In the present study, efforts were made to evaluate the contraceptive potential of ...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2003.11.002
更新日期:2004-04-01 00:00:00
abstract:OBJECTIVE:The objective was to understand the motivations around and practices of abortion referral among women's health providers. METHODS:We analyzed the written comments from a survey of Nebraska physicians and advanced-practice clinicians in family medicine and obstetrics-gynecology about their referral practices ...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2017.01.007
更新日期:2017-05-01 00:00:00
abstract:BACKGROUND:Postplacental intrauterine device (IUD) insertion is a safe, convenient and effective option for postpartum contraception. Few studies involve ultrasound-guided insertion, and none involve the levonorgestrel IUD or take place in the United States. STUDY DESIGN:The study was conducted to assess the safety an...
journal_title:Contraception
pub_type: 临床试验,杂志文章
doi:10.1016/j.contraception.2007.06.003
更新日期:2007-10-01 00:00:00
abstract::Differential precipitation of plasma proteins after equilibration of the plasma with tracer amounts of testosterone (T) was used to measure free and not-T-estradiol binding globulin (TeBG)-bound T in 20 women and 10 men. Tritiated T was the tracer used. Comparison of this method with the equilibration dialysis metho...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/0010-7824(74)90099-7
更新日期:1974-12-01 00:00:00
abstract::A multicentre randomized clinical trial of the TCu220C, Lippes Loop D and Copper 7 was undertaken in nine WHO Collaborating centres for Clinical Research in Human Reproduction. A total of 984, 992 and 994 devices, respectively, were inserted between 1976 and 1978. The subjects were followed for two years. At this time...
journal_title:Contraception
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/0010-7824(82)90167-6
更新日期:1982-07-01 00:00:00
abstract::A placebo-controlled, double-blind study was carried out to assess the direct hormonal effects of combined and progestogen-only oral contraceptives on well-being and sexuality of women in two contrasting cultures. One-hundred-fifty women, who had been sterilised or whose partners had been vasectomised, were recruited ...
journal_title:Contraception
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1016/0010-7824(95)00226-x
更新日期:1995-12-01 00:00:00
abstract::Users of subdermal contraceptive implants report long duration of use, convenience, and high efficacy as liked features and bleeding irregularities, weight loss/gain, and headaches as disliked effects of these methods. Satisfied users tend to be women who do not experience side effects or women who value positive feat...
journal_title:Contraception
pub_type: 杂志文章,评审
doi:10.1016/s0010-7824(01)00281-5
更新日期:2002-01-01 00:00:00
abstract::Adult female rats were given a single, subcutaneous injection of 8, 16 or 32 micrograms of levonorgestrel (LNG). Blood samples were collected at various time intervals and serum concentrations of LNG were determined by radioimmunoassay. The patterns of temporal decline in LNG concentrations in the three dose groups in...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/0010-7824(84)90009-x
更新日期:1984-12-01 00:00:00
abstract::After more than a century of reliance on latex condoms, male condoms fabricated from new materials are finally becoming commercially available to consumers. This study was an open label acceptability study that compared three lubricated condom products during vaginal intercourse: a natural rubber latex condom, a polyu...
journal_title:Contraception
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0010-7824(00)00119-0
更新日期:2000-06-01 00:00:00
abstract::The requirement that every woman desiring medical abortion must come in person to a clinical facility to obtain the drugs is a substantial barrier for many women. To eliminate this requirement in the United States, two key components of the standard initial visit would need to be restructured. First, alternatives to u...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2015.06.020
更新日期:2015-09-01 00:00:00
abstract:OBJECTIVES:As obesity may affect the efficacy of some contraceptives, we examined weight, body mass index (BMI) and prevalence of obesity among female contraceptive clients at 231 U.S. health centers. A secondary aim was to analyze differences in contraceptive method use by obesity status. STUDY DESIGN:Cross-sectional...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2015.02.006
更新日期:2015-06-01 00:00:00
abstract:BACKGROUND:Women ages 35 years and older have the greatest proportion of contraceptive nonuse and unintended pregnancies ending in abortion. STUDY DESIGN:We conducted a population-based case-control study among women ages 35-44 years at risk of unwanted pregnancy using the National Survey of Family Growth (NSFG) data ...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2009.12.013
更新日期:2010-05-01 00:00:00
abstract::To compare the effectiveness and safety of the Filshie Clip System and Hulka Clip System when applied via minilaparotomy and laparoscopy, we conducted 2 multicenter randomized controlled trials of 2126 women (878 in the minilaparotomy study and 1248 in the laparoscopy study) who received either the Filshie or Hulka Cl...
journal_title:Contraception
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0010-7824(00)00166-9
更新日期:2000-10-01 00:00:00
abstract::Roussel Uclaf in partnership with the INSERM unit of Prof. E.E. Baulieu first discovered mifepristone (RU486) as part of a large research program on steroidal compounds with antihormone properties. Exhibiting a strong affinity to the progesterone and the glucocorticoid receptors, mifepristone exerted competitive antag...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/s0010-7824(03)00171-9
更新日期:2003-12-01 00:00:00