Document Detail


Factors affecting the willingness of counselors to integrate preconception care into sexually transmitted disease clinics.
MedLine Citation:
PMID:  20800769     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The high rate of unintended pregnancy is an immediate barrier to providing preconception care (PCC). Failure to deliver additional PCC messages at sexually transmitted disease (STD) clinics might represent a major missed opportunity to target women at increased risk for unintended pregnancy for behaviors that also put them at risk for adverse pregnancy outcomes.
METHODS: Using a survey questionnaire, we assessed perceptions of PCC and factors influencing the willingness of STD counselors to integrate PCC as an intervention service provided by the STD clinics of 140 STD counselors. We used a cross-sectional design and selected survey participants with a minimum of 2 years' experience in providing HIV pretest and posttest counseling and syphilis interviewing using a nonprobability, purposive sample.
RESULTS: The level of occupational responsibility and the amount of time available seemed to affect counselor perceptions of the importance of PCC and whether it should be integrated as an intervention service provided by STD clinics. Findings suggested that, although most STD counselors reported that PCC was an important issue, there was significant variation in the perception of whether PCC should be delivered at STD clinics.
CONCLUSION: STD counselors perceived PCC to be an important intervention service that can be delivered at STD clinics. Additional study is needed to identify factors that might affect full integration into the STD clinic setting.
Authors:
Christopher S Parker; Sana Ghaddar; Qing Zhang; Brandi Cooke
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Women's health issues : official publication of the Jacobs Institute of Women's Health     Volume:  20     ISSN:  1878-4321     ISO Abbreviation:  Womens Health Issues     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-30     Completed Date:  2010-12-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9101000     Medline TA:  Womens Health Issues     Country:  United States    
Other Details:
Languages:  eng     Pagination:  329-34     Citation Subset:  IM    
Copyright Information:
Published by Elsevier Inc.
Affiliation:
National Center on Birth Defects and Developmental Disabilities (NCBDDD), Centers for Disease Control and Prevention (CDC), Atlanta, Georgia 30333, USA. cparker@cdc.gov
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MeSH Terms
Descriptor/Qualifier:
Adult
Ambulatory Care Facilities / organization & administration
Attitude of Health Personnel
Counseling / statistics & numerical data*
Delivery of Health Care, Integrated / organization & administration*
Female
Health Services Accessibility
Humans
Male
Middle Aged
Patient Education as Topic / methods*
Preconception Care / organization & administration*
Pregnancy
Professional Competence
Questionnaires
Sex Counseling / organization & administration*
Sexually Transmitted Diseases / prevention & control*
United States
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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