Implementing Adolescent Sexual and Reproductive Health Clinical Best Practice in the Bronx, New York.
Implementing Adolescent Sexual and Reproductive Health Clinical Best Practice in the Bronx, New York.
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在纽约布朗克斯实施青少年性健康和生殖健康临床最佳实践。
DOI：
10.1016/j.jadohealth.2018.09.020
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发表时间：
2019
期刊：
影响因子：
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通讯作者：
Bedell,Jane
中科院分区：
文献类型：
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作者：
Travers,Madeline;O'Uhuru,Deborah;Mueller,Trisha;Bedell,Jane
目的无法获得高质量的青春期性健康和生殖健康(ASRH)护理可能是导致纽约布朗克斯区青少年怀孕率高的原因之一。Bronx Teens Connection(BxTC)是一项社区范围的干预措施，旨在增加ASRH最佳实践的实施数量和12-19岁女性接受Bronx卫生中心服务的数量。方法为了推广最佳实践，BxTC在2011-2014年间向合作的卫生中心提供培训和技术援助。卫生中心工作人员每年完成26项调查，以记录临床实践和服务利用情况。结果BxTC为12家合作医疗中心提供了285小时的培训和技术援助。八家健康中心一直都完成了调查。在可能实施的31项asrh最佳做法中，实施的平均数从2011年的23项增加到2014年的28项。在拉美裔/拉丁裔(p= .026)和所有15-17岁的女性(p= .035)中，观察到无重复的女性青少年患者的增加。8个保健中心中有6个报告的避孕覆盖率在西班牙裔/拉丁裔(32%-55%，p= .006)、15-17岁患者(33%-53%，p= .005)和18-19岁患者(38%-56%，p= .036)中增加。提供给青少年的荷尔蒙植入物总数从2011年的2个增加到2014年的173个。结论其他司法管辖区可以考虑优先考虑临床联系，以通过支持最佳实践和扩大在最不投资的社区获得服务的机会来改善ASH结果。
PurposeInequitable access to quality adolescent sexual and reproductive health (ASRH) care may contribute to the high rate of teen pregnancy in the Bronx, New York. Bronx Teens Connection (BxTC), a community-wide intervention, sought to increase the number of ASRH best practices implemented and the number of females 12–19 years old receiving services by health centers in the Bronx.MethodsTo promote best practices, BxTC provided training and technical assistance to partnering health centers from 2011 to 2014. Health center staff completed a 26-item survey annually to document clinic practices and service utilization. Significance of changes was assessed with pairedttests.ResultsBxTC provided 285 hours of training and technical assistance to 12 partnering health centers. Eight health centers consistently completed the survey. Of the possible 31 ASRH best practices, the average number implemented increased from 23 in 2011 to 28 in 2014. Increases in unduplicated female adolescent patients were observed among Hispanics/Latinas (p= .026) and all females aged 15–17 (p= .035). Contraceptive coverage reported by six of the eight health centers increased among Hispanic/Latinas (32%–55%,p= .006), patients ages 15–17 (33%–53%,p= .005), and patients 18–19 (38%–56%,p= .036). The total number of hormonal implants provided to teens increased from two in 2011 to 173 in 2014.ConclusionsOther jurisdictions may consider prioritizing clinical linkages in order to improve ASRH outcomes by supporting best practices and expanding access to services in the most disinvested neighborhoods.