Initiating contraception in sexually transmitted disease clinic setting: a randomized trial☆
Section snippets
Sample selection and design
The study was conducted at the Denver Metro Health Clinic (DMHC), the STD clinic operated by Denver Public Health. The DMHC is a readily accessible and confidential facility offering free comprehensive, walk-in services for diagnosis, treatment, management, and prevention of STD. Services are provided to all interested persons, regardless of county of residency; there are between 15,000 and 18,000 patient visits per year.
Women with a new problem who identified themselves as being residents of
Baseline characteristics
From December 1996 through January 2000, a total of 7305 women were screened for possible enrollment into the study, of whom 1909 (26.1%) were eligible for participation, with 877 (45.9%) agreeing to participate. The demographic and clinical characteristics of the 877 women who enrolled are outlined in Table I. The majority of patients were ≤24 years old (40.1% ≤19 years old, 35.8% 20-24 years old, and 24.1% ≥25 years old) and of nonwhite ethnicity (white 39.5%, African American 26.1%, Hispanic
Comment
In this randomized controlled study among women not using contraceptives attending an STD clinic, we evaluated the effectiveness of clinic-initiated contraceptive care followed by facilitated referral to a PCP for improving the establishment of contact with a PCP, the use of an effective method of contraception, and the rate of overall and unintended pregnancy. Our results indicate an initial benefit to the intervention, with patients in the intervention transitioning to a PCP earlier than
Acknowledgements
We thank Jennifer Garduno, research assistant for the study, and Cathy Cunningham for her administrative assistance. We thank Sherry Wiggins, RN, nurse manager of the DMHC as well as all the STD clinicians for their support of the study and all the patients who participated in the project.
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Supported by grant No. R01 HD35037 from the National Institute of Child Health and Human Development, National Institutes of Health.