The project connect health systems intervention: linking sexually experienced youth to sexual and reproductive health care
| Autor: | Peter R. Kerndt, Abdelmonem A. Afifi, Christine J. De Rosa, William G. Cumberland, Patricia Dittus, Esteban Martinez, Robin A. Jeffries, Kathleen A. Ethier, Emily Q. Chung |
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| Rok vydání: | 2013 |
| Předmět: |
Sexually transmitted disease
Male Referral Adolescent media_common.quotation_subject Sexual Behavior education Article Birth control Environmental health Intervention (counseling) Medicine Humans media_common Reproductive health School Health Services business.industry Public Health Environmental and Occupational Health Odds ratio Confidence interval Psychiatry and Mental health Adolescent Behavior Adolescent Health Services Pediatrics Perinatology and Child Health Female Reproductive Health Services business Quasi-experiment Demography Program Evaluation |
| Zdroj: | The Journal of adolescent health : official publication of the Society for Adolescent Medicine. 55(4) |
| ISSN: | 1879-1972 |
| Popis: | Purpose To evaluate a health systems intervention to increase adolescents' receipt of high-quality sexual and reproductive health care services. Methods Quasi experimental design. Twelve high schools in a large public school district were matched into pairs. Within each pair, schools were assigned to condition so that no control school shared a geographic border with an intervention school. Five yearly surveys (T1, T2, …, T5) were administered from 2005 to 2009 (N = 29,823) to students in randomly selected classes in grades 9–12. Community-based providers of high-quality sexual and reproductive health care services were listed on a referral guide for use by school nurses to connect adolescents to care. Results Statistically significant effects were found for intervention school females on three outcomes, relative to controls. Relative to T1, receipt of birth control in the past year was greater at T4 (adjusted odds ratio [AOR] = 1.85; 95% confidence interval [CI], 1.09–3.15) and T5 (AOR = 2.22; 95% CI, 1.32–3.74). Increases in sexually transmitted disease testing and/or treatment in the past year were greater in T1–T3 (AOR = 1.78; 95% CI, 1.05–3.02), T1–T4 (AOR = 1.73; 95% CI, 1.01–2.97), T1–T5 (AOR = 1.97; 95% CI, 1.17–3.31), and T2–T5 (AOR = 1.76; 95% CI, 1.06–2.91). Increases in ever receiving an HIV test were greater in T1–T4 (AOR = 2.14; 95% CI, 1.08–4.26). Among males, no intervention effects were found. Conclusions A school-based structural intervention can improve female adolescents' receipt of services. |
| Databáze: | OpenAIRE |
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