Evidence map›Paper›PMID 27125894›Full record

ArticleContraception2016

Four aspects of the scope and quality of family planning services in US publicly funded health centers: Results from a survey of health center administrators.

Marion W Carter, Loretta Gavin, Lauren B Zapata, Marta Bornstein, Nancy Mautone-Smith, Susan B Moskosky

Abstract read
In one paragraph

Article in Contraception, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Evaluating Family Planning Organizations Under China's Two-Child Policy in Shandong Province.International journal of environmental research and public health · 2019
    Article
  6. Article
  7. Article
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  11. Receipt of Selected Preventive Health Services for Women and Men of Reproductive Age - United States, 2011-2013.Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002) · 2017
    Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Marion W CarterCenters for Disease Control and Prevention, Division of STD Prevention, 1600 Clifton Road, MS-E-80, Atlanta, GA, 30329, USA. Electronic address: Acq0@cdc.gov.
Loretta GavinOffice of the Assistant Secretary of Health, Office of Population Affairs, 1101 Wootton Parkway, Suite 700, Rockville, MD 20852, USA.
Lauren B ZapataCenters for Disease Control and Prevention, Division of Reproductive Health, 4770 Buford Highway NE, Mailstop F-74, Chamblee, GA 30341-3717, USA.
Marta BornsteinOak Ridge Institute for Science and Education, based at the Centers for Disease Control and Prevention, Division of STD Prevention, 1600 Clifton Road, MS-E-80, Atlanta, GA 30329, USA.
Nancy Mautone-SmithOffice of the Assistant Secretary of Health, Office of Population Affairs, 1101 Wootton Parkway, Suite 700, Rockville, MD 20852, USA.
Susan B MoskoskyOffice of the Assistant Secretary of Health, Office of Population Affairs, 1101 Wootton Parkway, Suite 700, Rockville, MD 20852, USA.

Funding

Scientific and Technical CoreP2CHD041022 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI HIRAM BELTRAN-SANCHEZ · 2016 to 2026
$6.9M
Intramural CDC HHS CC999999NICHD NIH HHS P2C HD041022
6 · The paper itself

Abstract

objectivesThis study aims to describe aspects of the scope and quality of family planning services provided by US publicly funded health centers before the release of relevant federal recommendations. STUDY

designUsing nationally representative survey data (N=1615), we describe four aspects of service delivery: family planning services provided, contraceptive methods provided onsite, written contraceptive counseling protocols and youth-friendly services. We created a count index for each issue and used multivariable ordered logistic regression to identify health center characteristics associated with scoring higher on each.

resultsHalf of the sample received Title X funding and about a third each were a community health center or health department clinic. The vast majority reported frequently providing contraceptive services (89%) and STD services (87%) for women in the past 3 months. Service provision to males was substantially lower except for STD screening. A total of 63% and 48% of health centers provided hormonal IUDs and implants onsite in the past 3 months, respectively. Forty percent of health centers included all five recommended contraceptive counseling practices in written protocols. Of youth-friendly services, active promotion of confidential services was among the most commonly reported (83%); offering weekend/evening hours was among the least (42%). In multivariable analyses, receiving Title X funding, having larger volumes of family planning clients and being a Planned Parenthood clinic were associated with higher scores on most indices.

conclusionMany services were consistent with the recommendations for providing quality family planning services, but there was room for improvement across domains and health centers types. IMPLICATIONS STATEMENT: As assessed in this paper, the scope and quality of these family planning services was relatively high, particularly among Planned Parenthood clinics and Title X-funded centers. However, results point to important areas for improvement. Future studies should assess change as implementation of recent family planning service recommendations continues.

Indexed as

Delivery of Health CareQuality of Health CareAdolescentAdultCommunity Health CentersContraceptionFamily Planning ServicesFemaleFinancing, GovernmentHumansLogistic ModelsMaleSexually Transmitted DiseasesSurveys and QuestionnairesUnited StatesYoung AdultContraceptive counselingContraceptive methodsTitle XYouth-friendly services

Identifiers

PMID27125894
PMCPMC6742436

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.