Geographic access to family planning facilities and the risk of unintended and teenage pregnancy.
Objectives: This study tested the hypotheses that greater geographic access to family planning facilities is associated with lower rates of unintended and teenage pregnancies. Methods: State Pregnancy Risk Assessment Monitoring System (PRAMS) and natality files in four states were used to locate uni...
| Publicado en: | Maternal & Child Health Journal Vol. 11; no. 2; pp. 145 - 153 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Mar2007
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106297896&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106297896 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Mar2007 vid: 11 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 106297896 106297896 2009540047 10.1007/s10995-006-0151-6 NLM17131196 106297896 ppf: 145 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Geographic access to family planning facilities and the risk of unintended and teenage pregnancy. aug: au: Goodman DC Klerman LV Johnson KA Chang C Marth N affil: The Center for the Evaluative Clinical Sciences and the Department of Pediatrics, Dartmouth Medical School, 7251 Strasenburgh Hall, Hanover, NH, 03755, USA, david.goodman@dartmouth.edu. sug: subj: Family Planning Geographic Factors Health Services Accessibility United States Pregnancy in Adolescence Pregnancy, Unplanned Adolescence Adult Confidence Intervals Correlational Studies Data Analysis Software Female Funding Source Logistic Regression Odds Ratio Pregnancy United States Human Adolescent: 13-18 years Adult: 19-44 years Female ab: Objectives: This study tested the hypotheses that greater geographic access to family planning facilities is associated with lower rates of unintended and teenage pregnancies. Methods: State Pregnancy Risk Assessment Monitoring System (PRAMS) and natality files in four states were used to locate unintended and teenage births, respectively. Geographic availability was measured by cohort travel time to the nearest family planning facility, the presence of a family planning facility in a ZIP area, and the supply of primary care physicians and obstetric-gynecologists. Results: 83% of the PRAMS cohort and 80% of teenagers lived within 15 min or less of a facility and virtually none lived more than 30 min. Adjusted odds ratios did not demonstrate a statistically significant trend to a higher risk of unintended pregnancies with longer travel time. Similarly there was no association with unintended pregnancy and the presence of a family planning facility within the ZIP area of maternal residence, or with the supply of physicians capable of providing family planning services. Both crude and adjusted relative rates of teenage pregnancies were significantly lower with further distance from family planning sites and with the absence of a facility in the ZIP area of residence. In adjusted models, the supply of obstetricians-gynecologists and primary care physicians was not significantly associated with decreased teen pregnancies. Conclusions: This study found no relationship between greater geographic availability of family planning facilities and a risk of unintended pregnancies. Greater geographic availability of family planning services was associated with a higher risk of teenage pregnancy, although these results may be confounded by facilities locating in areas with greater family planning needs. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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