Evidence map›Paper›PMID 34624140›Full record

ArticleHealth services research2022

A comparison of contraceptive services for adolescents at school-based versus community health centers in Oregon.

Emily R Boniface, Maria I Rodriguez, John Heintzman, Sarah H Knipper, Rebecca Jacobs, Blair G Darney

Open access · hybridAbstract read
In one paragraph

Article in Health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 33% of its field
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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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 at 3 institutions in 2 countries.

Emily R BonifaceDepartment of Obstetrics & Gynecology, Oregon Health & Science University, Portland, Oregon, USA.ORCID 0000-0001-8012-1758
Maria I RodriguezDepartment of Obstetrics & Gynecology, Oregon Health & Science University, Portland, Oregon, USA.ORCID 0000-0002-3127-2581
John HeintzmanDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon, USA.ORCID 0000-0002-6215-5871
Sarah H KnipperPublic Health Division, Oregon Health Authority, Portland, Oregon, USA.
Rebecca JacobsPublic Health Division, Oregon Health Authority, Portland, Oregon, USA.
Blair G DarneyDepartment of Obstetrics & Gynecology, Oregon Health & Science University, Portland, Oregon, USA.ORCID 0000-0001-8120-028X
Oregon Health & Science University · USOregon Health Authority · USPortland State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare Oregon school-based health centers (SBHCs) with community health centers (CHCs) as sources of adolescent contraceptive services. DATA SOURCES: Oregon electronic health record data, 2012-2016. STUDY

designWe compared clinic-level counseling rates and long-acting reversible contraception (LARC) provision, adolescent populations served, and visit-level LARC provision time trends. We evaluated adjusted associations between LARC provision and Title X participation by clinic type. DATA COLLECTION/EXTRACTION

methodsWe used diagnosis and procedure codes to identify contraceptive counseling and provision visits, excluding visits for adolescents not at risk of pregnancy. PRINCIPAL

findingsCHCs were more likely to provide LARC on-site than SBHCs (67.2% vs. 36.4%, respectively). LARC provision increased more at SBHCs (5.8-fold) than CHCs (2-fold) over time. SBHCs provided more counseling visits per clinic (255 vs. 142) and served more young and non-White adolescents than CHCs. The adjusted probability of LARC provision at Title X SBHCs was higher than non-Title X SBHCs (4.4% [3.9-4.9] vs. 1.7% [1.4-2.0]), but there was no significant association at CHCs.

conclusionsIn Oregon, CHCs and SBHCs are both important sources of adolescent contraceptive services, and Title X plays a crucial role in SBHCs. Compared with CHCs, SBHCs provided more counseling, showed a larger increase in LARC provision over time, and served more younger and non-White adolescents.

Indexed as

AdolescentAdolescent Health ServicesCommunity Health CentersContraceptionFamily Planning ServicesFemaleHumansMaleOregonReproductive Health ServicesSchool Health ServicesSex EducationadolescentCHCcommunity health centercontraceptionLARCSBHCschool-based health center

Identifiers

PMID34624140
PMCPMC8763291
OpenAlexW3202397246

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.