Reproductive health services: A missed opportunity in VA primary care?


Journal

Contraception
ISSN: 1879-0518
Titre abrégé: Contraception
Pays: United States
ID NLM: 0234361

Informations de publication

Date de publication:
04 2023
Historique:
received: 19 05 2022
revised: 03 01 2023
accepted: 09 01 2023
pubmed: 18 1 2023
medline: 8 3 2023
entrez: 17 1 2023
Statut: ppublish

Résumé

Integration of reproductive health services into comprehensive primary care is increasingly viewed as a strategy to address service gaps and improve patient-centered care. We assess receipt of contraceptive and prepregnancy health counseling among pregnancy-capable Veterans within Veterans Affairs (VA) primary care. Data are from 1076 participants in a nationally representative, cross-sectional survey of women Veterans ages 18 to 45 with an overall survey response rate of 28%. Descriptive analyses and chi square tests of association were performed. Only 44% of pregnancy-capable Veterans reported receiving any contraceptive and/or prepregnancy care from a VA primary care provider in the past year. Although VA guidelines include reproductive services as a core component of primary care, additional efforts may be needed to promote routine provision of this care in practice.

Identifiants

pubmed: 36649750
pii: S0010-7824(23)00010-0
doi: 10.1016/j.contraception.2023.109957
pii:
doi:

Substances chimiques

Contraceptive Agents 0

Types de publication

Journal Article Research Support, U.S. Gov't, Non-P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

109957

Informations de copyright

Published by Elsevier Inc.

Auteurs

Deirdre A Quinn (DA)

Center for Health Equity Research & Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, United States; Center for Innovative Research on Gender Health Equity, University of Pittsburgh, Pittsburgh, PA, United States. Electronic address: deirdre.quinn@va.gov.

Florentina E Sileanu (FE)

Center for Health Equity Research & Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, United States.

Sonya Borrero (S)

Center for Health Equity Research & Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, United States; Center for Innovative Research on Gender Health Equity, University of Pittsburgh, Pittsburgh, PA, United States; Center for Research on Health Care, University of Pittsburgh, Pittsburgh, PA, United States.

Lisa S Callegari (LS)

Departments of Obstetrics & Gynecology and Health Services, University of Washington, Seattle, WA, United States; Center for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, WA, United States.

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Classifications MeSH