To determine whether the effectiveness of contraceptive services for teenagers is related to the balance of service provision between general practitioners and specialist family planning services.
Design-Cross sectional study with routinely collected data from family planning clinics and family health services authorities and published data on births and abortions.
Setting-Eight health districts in the former Oxford region.
Subjects-Girls aged under 16 and women aged 16-19 who attended a contraceptive service during 1991-2 or who gave birth or had an abortion during 1990-2.
The conception rate : uptake of contraceptive services ratio was used as a measure of effectiveness.
In comparisons between districts the percentage of all users of contraceptive services who attended a clinic varied from 38% (95% confidence interval 28% to 48%) to 79% (72% to 86%) among 13-15 year olds and from 14% (12% to 15%) to 44% (42% to 46%) among women aged 16-19 years.
The conception rate : uptake of contraceptive services ratio varied twofold in the older age group and more than threefold in the younger age group.
It was lowest in districts where clinic attenders comprised a large percentage of all users of contraceptive services.
Conclusion-Contraceptive services for teenagers may be more effective in districts where clinics play a large part in delivering the service, particularly for girls aged under 16.
Mots-clés Pascal : Contraception, Service santé, Planning familial, Médecin généraliste, Evaluation performance, Prévention, Gestation, Adolescent, Angleterre, Homme, Grande Bretagne, Royaume Uni, Europe
Mots-clés Pascal anglais : Contraception, Health service, Family planning, General practitioner, Performance evaluation, Prevention, Pregnancy, Adolescent, England, Human, Great Britain, United Kingdom, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0394493
Code Inist : 002B20A01. Création : 01/03/1996.