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299681
Sexually Transmitted Infection Services and Adoption of Effective Contraceptive Methods
Sunday, November 16, 2014
Sara Daniel, MPH
,
Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, CA
M. Antonia Biggs, PhD
,
Bixby Center for Global Reproductive Health, University of California, San Francisco, San Francisco, CA
Jan Malvin, PhD
,
Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, CA
Claire Brindis, DrPH
,
Bixby Center for Global Reproductive Health & Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, CA
Jennifer Yarger, PhD
,
Bixby Center for Global Reproductive Health & Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, CA
Sexually transmitted infection (STI) services may provide an opportunity for family planning providers to introduce effective contraceptive methods to their clients. California’s Family PACT Program provides family planning services including contraceptive and STI-related services to low-income residents. As part of the program’s quality improvement efforts, 1,498 Family PACT clients were interviewed in 2012 immediately following a clinical visit. The purpose of this study was to explore clients’ reasons for visiting a family planning provider and their subsequent contraceptive method adoption decision. At their visit, 54% of males and 14% of females reported that they had come for STI services. Of the 265 individuals who reported coming in for STI services, 52% came in for STI services only, 23% for STI and birth control services, and 25% for STI and other services. Twenty-four percent of female clients who came in for a STI services switched to a more effective contraceptive method, while 73% retained a method with the same level of efficacy. Although female clients who came in for STI services were less likely to pursue contraceptive options, the level of effective contraceptive method adoption in this group was on par with female clients not seeking STI services. These findings suggest that STI services may serve as a gateway to effective contraceptive methods, although some client groups may need additionally tailored services to ensure effective method use.
Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Public health or related research
Learning Objectives:
Identify family planning clients’ reasons for visiting a Family PACT provider.
Discuss contraceptive method adoption of clients based on their reasons for visiting a family planning provider.
Describe the differences in contraceptive counseling and dispensing practices based on clients’ reason for visit.
Keyword(s): Contraception, STDs/STI
Presenting author's disclosure statement:Qualified on the content I am responsible for because: I have a Master of Public Health and over four years of experience conducting biomedical and public health research. As Research Associate for the California’s family planning program, Family PACT, interests include access to primary care services, comprehensive family planning and disparities in family planning outcomes.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.
