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Women's experiences with person-centered family planning care: Differences by sociodemographic characteristics

OBJECTIVE: Person-centered contraceptive care is associated with positive reproductive health outcomes. Our objective was to analyze patients’ ratings on the newly developed Person-Centered Contraceptive Counseling scale (PCCC) to provide distributions for a nationally representative population and...

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Autores principales: Welti, Kate, Manlove, Jennifer, Finocharo, Jane, Faccio, Bianca, Kim, Lisa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9372601/
https://www.ncbi.nlm.nih.gov/pubmed/35965653
http://dx.doi.org/10.1016/j.conx.2022.100081
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author Welti, Kate
Manlove, Jennifer
Finocharo, Jane
Faccio, Bianca
Kim, Lisa
author_facet Welti, Kate
Manlove, Jennifer
Finocharo, Jane
Faccio, Bianca
Kim, Lisa
author_sort Welti, Kate
collection PubMed
description OBJECTIVE: Person-centered contraceptive care is associated with positive reproductive health outcomes. Our objective was to analyze patients’ ratings on the newly developed Person-Centered Contraceptive Counseling scale (PCCC) to provide distributions for a nationally representative population and to assess differences by sociodemographic characteristics. STUDY DESIGN: Using data from 2017 to 2019 National Survey of Family Growth (NSFG), we analyzed ratings across the four PCCC items among 2242 women who received contraceptive counseling in the past year. Items measured patients’ reports of how providers respected them, let them describe their contraceptive preferences, took their preferences seriously, and adequately informed them about their options. We studied each PCCC item individually as well as the combined scale, distinguishing between ratings of “excellent” versus lower ratings. Bivariate and multivariate logistic regression models assessed how patients’ characteristics (age, race/ethnicity and English proficiency, sexual orientation, income, and parity) and provider type were associated with the likelihood of experiencing person-centered care. RESULTS: The majority of women (59%–69%) reported that their family planning provider was “excellent” across the four PCCC items and just over half (51%) reported “excellent” on all items. In multivariate analyses, having a lower income, Black race, non-heterosexual identity, and Hispanic ethnicity combined with low English proficiency were associated with lower PCCC ratings. CONCLUSIONS: In a nationally representative sample, the PCCC captured variation in women's experiences with person-centered family planning care by sociodemographic characteristics. Findings highlight the need for contraceptive counseling that centers on clients’ preferences and experiences, particularly for patients who belong to groups experiencing health inequities. IMPLICATIONS: Person-centered care is a key component of high-quality family planning services. This analysis highlights sociodemographic disparities in person-centered care by analyzing PCCC ratings. Findings show the value of this new health care performance measure and affirm the need for family planning care that centers individuals' preferences and lived experiences.
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spelling pubmed-93726012022-08-13 Women's experiences with person-centered family planning care: Differences by sociodemographic characteristics Welti, Kate Manlove, Jennifer Finocharo, Jane Faccio, Bianca Kim, Lisa Contracept X Original Research Article OBJECTIVE: Person-centered contraceptive care is associated with positive reproductive health outcomes. Our objective was to analyze patients’ ratings on the newly developed Person-Centered Contraceptive Counseling scale (PCCC) to provide distributions for a nationally representative population and to assess differences by sociodemographic characteristics. STUDY DESIGN: Using data from 2017 to 2019 National Survey of Family Growth (NSFG), we analyzed ratings across the four PCCC items among 2242 women who received contraceptive counseling in the past year. Items measured patients’ reports of how providers respected them, let them describe their contraceptive preferences, took their preferences seriously, and adequately informed them about their options. We studied each PCCC item individually as well as the combined scale, distinguishing between ratings of “excellent” versus lower ratings. Bivariate and multivariate logistic regression models assessed how patients’ characteristics (age, race/ethnicity and English proficiency, sexual orientation, income, and parity) and provider type were associated with the likelihood of experiencing person-centered care. RESULTS: The majority of women (59%–69%) reported that their family planning provider was “excellent” across the four PCCC items and just over half (51%) reported “excellent” on all items. In multivariate analyses, having a lower income, Black race, non-heterosexual identity, and Hispanic ethnicity combined with low English proficiency were associated with lower PCCC ratings. CONCLUSIONS: In a nationally representative sample, the PCCC captured variation in women's experiences with person-centered family planning care by sociodemographic characteristics. Findings highlight the need for contraceptive counseling that centers on clients’ preferences and experiences, particularly for patients who belong to groups experiencing health inequities. IMPLICATIONS: Person-centered care is a key component of high-quality family planning services. This analysis highlights sociodemographic disparities in person-centered care by analyzing PCCC ratings. Findings show the value of this new health care performance measure and affirm the need for family planning care that centers individuals' preferences and lived experiences. Elsevier 2022-07-25 /pmc/articles/PMC9372601/ /pubmed/35965653 http://dx.doi.org/10.1016/j.conx.2022.100081 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Research Article
Welti, Kate
Manlove, Jennifer
Finocharo, Jane
Faccio, Bianca
Kim, Lisa
Women's experiences with person-centered family planning care: Differences by sociodemographic characteristics
title Women's experiences with person-centered family planning care: Differences by sociodemographic characteristics
title_full Women's experiences with person-centered family planning care: Differences by sociodemographic characteristics
title_fullStr Women's experiences with person-centered family planning care: Differences by sociodemographic characteristics
title_full_unstemmed Women's experiences with person-centered family planning care: Differences by sociodemographic characteristics
title_short Women's experiences with person-centered family planning care: Differences by sociodemographic characteristics
title_sort women's experiences with person-centered family planning care: differences by sociodemographic characteristics
topic Original Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9372601/
https://www.ncbi.nlm.nih.gov/pubmed/35965653
http://dx.doi.org/10.1016/j.conx.2022.100081
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