为青少年提供以人为本的避孕服务：一项全国家庭调查的结果

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

—《儿科和青少年妇科杂志》第38卷第6期，2025年12月—

Volume 38, Issue 6, December 2025

【摘要】研究目的：获得避孕服务对于青少年追求性与生殖健康至关重要。公立计划生育门诊是重要的生殖健康安全网提供者，也是青少年获得避孕服务的重要来源。青少年避孕服务应以青少年的需求为中心，以确保其生殖自主权。方法：我们对美国所有公立计划生育门诊进行了一项全国性调查，并开展了一项横断面分析，以了解这些诊所提供以青少年为中心的避孕服务的程度。我们还考察了不同类型的门诊和各州关于青少年同意接受避孕服务的政策差异。结果：许多门诊已努力提供以青少年为中心的避孕服务，但此类服务仍存在不足，尤其是在联邦认证的医疗中心。结论：应解决以青少年为中心的服务提供方面的不足，以确保青少年群体获得高质量的避孕服务。

【关键词】青少年、避孕、服务提供

[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

论文原文：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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