Availability of Services Related to Achieving Pregnancy in U.S. Publicly Funded Family Planning Clinics |
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| Institution: | 1. Office of Population Affairs, US Department of Health and Human Services, Rockville, Maryland;2. University of Southern Maine, Muskie School of Public Service, Public Health Program, Portland, Maine;3. University of Maryland, Department of Family Science, College Park, Maryland;1. Department of Pharmacology and Toxicology, College of Pharmacy, King Saud University, P.O. 2457, Riyadh 11451, Saudi Arabia;2. Department of Pharmacology and Toxicology, College of Pharmacy, Al-Azhar University, Cairo, Egypt;1. Department of Sensory and Cognitive Physiology, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan;2. Program for Leading Graduate Schools HIGO Program, Kumamoto University, Kumamoto, Japan;3. Department of Physiology, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan;4. Institute of Neuroscience, Soochow University, Suzhou, China;5. RIKEN Brain Science Institute, Wako, Japan;1. Department of Psychiatry, Institute of Psychiatric Research, Indiana University School of Medicine, Indianapolis, IN 46202, United States;2. Department of Neurosurgery, Louisiana State University Health Sciences Center, Shreveport, LA, United States;1. Directorate of Clinical Research and Impact Assessment for Vaccines, Instituto Finlay de Vacunas (IFV), Havana, Cuba;2. Epidemiology Department, Instituto de Medicina Tropical Pedro Kourí (IPK), Havana, Cuba |
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| Abstract: | BackgroundRecognizing that quality family planning services should include services to help clients who want to become pregnant, the objective of our analysis was to examine the distribution of services related to achieving pregnancy at publicly funded family planning clinics in the United States.MethodsA nationally representative sample of publicly funded clinics was surveyed in 2013–2014 (n = 1615). Clinic administrators were asked about several clinical services and screenings related to achieving pregnancy: basic infertility services, reproductive life plan assessment, screening for body mass index, screening for sexually transmitted diseases, provision of natural family planning services, infertility treatment, and primary care services. The percentage of clinics offering each of these services was compared by Title X funding status; prevalence ratios (PRs) and 95% confidence intervals (CIs) were estimated after adjusting for clinic characteristics.ResultsCompared to non-Title X clinics, Title X clinics were more likely to offer reproductive life plan assessment (adjusted PR aPR], 1.62; 95% CI, 1.42–1.84), body mass index screening for men (aPR, 1.10; 95% CI, 1.01–1.21), screening for sexually transmitted diseases (aPRs ranged from 1.21 to 1.37), and preconception health care for men (aPR, 1.10; 95% CI, 1.01–1.20). Title X clinics were less likely to offer infertility treatment (aPR, 0.55; 95% CI, 0.40–0.74) and primary care services (aPR, 0.74; 95% CI, 0.68–0.80) and were just as likely to offer basic infertility services, preconception health care services for women, natural family planning, and body mass index screening in women.ConclusionsThe availability of selected services related to achieving pregnancy differed by Title X status. A follow-up assessment after publication of national family planning recommendations is underway. |
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