為青少年提供以人為本的避孕服務：一項全國家庭調查的結果

Provision of Person-Centered Contraceptive Care to Adolescents: Results from a National Survey of Family

—《兒科和青少年婦科雜誌》第38卷第6期，2025年12月—

Volume 38, Issue 6, December 2025

【摘要】研究目的：獲得避孕服務對於青少年追求性與生殖健康至關重要。公立計劃生育門診是重要的生殖健康安全網提供者，也是青少年獲得避孕服務的重要來源。青少年避孕服務應以青少年的需求為中心，以確保其生殖自主權。方法：我們對美國所有公立計劃生育門診進行了一項全國性調查，並開展了一項橫斷面分析，以了解這些診所提供以青少年為中心的避孕服務的程度。我們還考察了不同類型的門診和各州關於青少年同意接受避孕服務的政策差異。結果：許多門診已努力提供以青少年為中心的避孕服務，但此類服務仍存在不足，尤其是在聯邦認證的醫療中心。結論：應解決以青少年為中心的服務提供方面的不足，以確保青少年群體獲得高質量的避孕服務。

【關鍵詞】青少年、避孕、服務提供

[Abstract] Study Objective: Access to contraceptive services is essential for adolescents to pursue sexual and reproductive well-being. Publicly supported family planning clinics are critical reproductive health safety net providers and are an essential source of contraceptive care for adolescents. Contraceptive care for adolescents should be centered on their needs to ensure reproductive autonomy. Methods: We fielded a national survey of publicly supported family planning clinics in the United States and conducted a cross-sectional analysis to understand the extent to which these clinics provide contraceptive services that are adolescent-centered. We also examined differences by clinic type and by state policies on adolescents’ consent to contraceptive care. Results: Many clinics have taken strides to provide adolescent-centered contraceptive care, but gaps in this care still exist, particularly among federally qualified health centers. Conclusion: Gaps in the provision of adolescent-centered care should be addressed to ensure that adolescent populations are receiving high quality contraceptive care.

[Key words] Adolescents, Contraception, Service provision

論文原文：Jennifer Mueller, Tamrin A. Tchou, Madeleine Haas, Priscille Osias, Laura D. Lindberg, Alicia VandeVusse (2025). Provision of Person-Centered Contraceptive Care to Adolescents: Results from a National Survey of Family. Journal of Pediatric and Adolescent Gynecology, Volume 38, Issue 6, Pages 731-734, December 2025.

https://doi.org/10.1016/j.jpag.2025.07.005

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