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    Provision of contraceptive services to homeless women: results of a survey of health care for the homeless providers

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    Authors
    Saver, Barry G.
    Weinreb, Linda F.
    Gelberg, Lillian
    Zerger, Suzanne
    UMass Chan Affiliations
    Meyers Primary Care Institute
    Department of Family Medicine and Community Health
    Document Type
    Journal Article
    Publication Date
    2012-03-29
    Keywords
    Contraception
    Contraceptive Agents, Female
    Contraceptive Devices
    Family Planning Services
    Female
    Health Care Surveys
    *Health Services Accessibility
    Healthcare Disparities
    *Homeless Persons
    Humans
    Patient Acceptance of Health Care
    Pregnancy
    Pregnancy, Unplanned
    Questionnaires
    United States
    Health Services Research
    Maternal and Child Health
    Primary Care
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    Link to Full Text
    http://dx.doi.org/10.1080/03630242.2011.649829
    Abstract
    Homeless women have both a higher rate of pregnancy and a higher proportion of unintended pregnancies than other American women. The authors sought to learn about contraception services offered by providers of health care to homeless women and barriers to provision of long-acting, reversible contraception in these settings. A survey of the 31 member organizations in the national Health Care for the Homeless Practice-Based Research Network was conducted, inquiring about services provided and barriers to service provision. Among the 20 responding organizations (65% response rate), 17 directly provided contraceptive services; two referred patients elsewhere, and one provided no contraceptive services. All 17 that provided such services provided condoms; 15 provided oral contraceptives; 14 provided injectable contraception; 6 provided intrauterine devices, and 2 provided contraceptive implants. Barriers to providing the last two methods included lack of provider training, lack of resources for placement, costs, and concerns about complications. The present survey results suggested very limited access for homeless women across the country to the two most effective means of long-acting, reversible contraception. Modest investments of resources could reduce a number of barriers to providing these services.
    Source

    Women Health. 2012;52(2):151-61. Link to article on publisher's site

    DOI
    10.1080/03630242.2011.649829
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/37184
    PubMed ID
    22458291
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1080/03630242.2011.649829
    Scopus Count
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