堕胎诊所的生殖健康服务:提供和政策背景的范围审查。

IF 2.5 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Katherine M Mahoney, Licia Bravo, Arden McAllister, Kacie Bogar, Sean Hennessey, Courtney A Schreiber, Alice Abernathy
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引用次数: 0

摘要

目标:提供堕胎服务的诊所通常提供预防性生殖健康服务。我们对美国堕胎诊所提供的避孕护理、性传播感染(STI)检测和/或治疗、宫颈癌预防和/或筛查进行了范围审查,并强调堕胎诊所在堕胎时获得和提供这些服务的变化的政策驱动因素。数据来源:研究人员从PubMed, Embase, Scopus和CINAHL中筛选文章并提取数据,从成立到2023年3月。研究方法选择:如果文章涉及避孕护理、性传播感染检测和/或治疗、宫颈癌预防和/或筛查与人工流产的获取、需求或提供相关,则纳入综述。在这些文章中,我们仔细研究了任何关于健康政策的讨论,这些讨论的概念广泛地基于描述与生殖保健政策关联的现有文献,以确定堕胎护理机构中生殖保健提供的政策驱动因素。制表、整合和结果:共筛选了5359篇文献;74个被纳入审查。65项涉及避孕护理,7项涉及性传播感染检测和/或治疗,2项涉及宫颈癌预防和/或筛查。在提供预防性生殖健康服务方面造成差异的因素包括保险和计费政策以及对堕胎设施和临床医生的监管要求。关于限制或保护堕胎机会的政策与全国范围内提供堕胎服务的诊所提供预防性保健服务之间关系的现有数据有限。结论:人工流产门诊是生殖健康服务的一个接入点。限制堕胎机会的立法趋势可能对提供预防性生殖保健,如避孕护理、性传播感染检测和/或治疗以及宫颈癌预防和/或筛查产生溢出效应。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Reproductive Health Services in Abortion-Providing Clinics: A Scoping Review of Provision and Policy Contexts.

Objectives: Abortion-providing clinics often offer preventive reproductive health services. We conducted a scoping review to characterize provision of contraceptive care, sexually transmitted infection (STI) testing and/or treatment, and cervical cancer prevention and/or screening at U.S. abortion-providing clinics and to highlight policy drivers of variation in access to and provision of these services at the time of abortion by abortion-providing clinics.

Data sources: Researchers screened articles and extracted data from PubMed, Embase, Scopus, and CINAHL from inception through March 2023.

Methods of study selection: Articles were eligible for review if they related contraceptive care, STI testing and/or treatment, or cervical cancer prevention and/or screening to abortion access, demand, or provision. Within these articles, we closely examined any discussion of health policy, conceptualized broadly based on existing literature describing policy associations with reproductive health care to identify policy drivers of reproductive health care provision in abortion care settings.

Tabulation, integration, and results: A total of 5,359 articles were screened; 74 were included in the review. Sixty-five were about contraceptive care, seven on STI testing and/or treatment and two on cervical cancer prevention and/or screening. Drivers of variation in provision of preventive reproductive health services included insurance and billing policies and regulatory requirements on abortion-providing facilities and clinicians. Existing data on the association between policies that restrict or protect abortion access and provision of preventive health services by abortion-providing clinics on a national scale are limited.

Conclusion: Abortion-providing clinics are an access point for reproductive health services. Legislative trends to constrain abortion access may have spillover effects on provision of preventive reproductive health care such as contraceptive care, STI testing and/or treatment, and cervical cancer prevention and/or screening.

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来源期刊
CiteScore
4.50
自引率
6.20%
发文量
97
审稿时长
32 days
期刊介绍: Women"s Health Issues (WHI) is a peer-reviewed, bimonthly, multidisciplinary journal that publishes research and review manuscripts related to women"s health care and policy. As the official journal of the Jacobs Institute of Women"s Health, it is dedicated to improving the health and health care of all women throughout the lifespan and in diverse communities. The journal seeks to inform health services researchers, health care and public health professionals, social scientists, policymakers, and others concerned with women"s health.
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