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Cited by 87Adolescent Sexual and Reproductive HealthReproductive Health and ContraceptionAdolescent and Pediatric Healthcare

School-Based Health Center Access, Reproductive Health Care, and Contraceptive Use Among Sexually Experienced High School Students

Ethier, Kathleen A., Dittus, Patricia J., DeRosa, Christine J., Chung, Emily Q., Martinez, Esteban, Kerndt, Peter R.·2011·Journal of Adolescent Health
DOI 10.1016/j.jadohealth.2011.01.018
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Abstract

Purpose The current analyses compared receipt of reproductive health care, contraceptive use, and screening for sexually transmitted diseases (STD) among adolescents who are sexually experienced, with or without access to a school clinic. Methods A total of 12 urban California high schools, selected from areas with high teen pregnancy and STD rates, half with school-based health centers (SBHCs), participated in an intervention study designed to improve sexual health among adolescents. Of the participating students, 44% indicated that they had ever had intercourse and were included in these analyses. Results Access to an SBHC did not influence receipt of reproductive health care for either males or females and did not influence contraceptive use, either hormonal or condoms, for males. For females, however, those with access to an SBHC had increased odds of having received pregnancy or disease prevention care (adjusted odds ratio [AOR] = 1.45, 95% confidence interval [CI] = 1.16-1.80), having used hormonal contraceptives at last sex (AOR = 1.68, 95% CI = 1.24-2.28), and were more likely to have ever been screened for an STD (AOR = 1.85, 95% CI = 1.43-2.40). Also among female students, those with access to an SBHC were more likely to have used emergency contraception at last sex (AOR = 2.1, 95% CI = 1.08-4.22). Conclusion Although access to an on-site clinic does not seem to lead to increases in all types of reproductive care in the population as a whole, sexually active females are more likely to have received more specific care and to have used hormonal contraceptives if their school has an SBHC.

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Crossref · 10.1016/j.jadohealth.2011.01.018

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  • Results from this review neither support nor contradict the hypothesis that increased access to contraceptive services increases sexual activity.

    “Another postulated harm involves increased sexual activity owing to increased access to contraceptive services.55 Results from this review neither support nor contradict this hypothesis.”

    From School-Based Health Centers to Advance Health Equity (2016) · cites this paper as [55]

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Authors
Ethier, K. A., Dittus, P. J., DeRosa, C. J., Chung, E. Q., Martinez, E., & Kerndt, P. R.
Affiliations
  • Centers for Disease Control and Prevention (US)
  • Los Angeles County Department of Public Health (US)
Corresponding author
Ethier, Kathleen A.
ORCID
Venue
Journal of Adolescent Health
Publisher
Elsevier BV
Published
2011-06
Volume
48
Issue
6
Pages
562-565
ISSN
1054-139X (ISSN-L)
DOI
10.1016/j.jadohealth.2011.01.018
OpenAlex
W2051959127
Cited by
87
References
11
Citations by year
2026: 4 · 2024: 1 · 2023: 2 · 2022: 7 · 2021: 5 · 2020: 3 · 2019: 10 · 2018: 6 · 2017: 7 · 2016: 5 · 2015: 13 · 2014: 6 · 2013: 6 · 2012: 7
FWCI
14.27
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of Adolescent Health (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Centers for Disease Control and Prevention
  • U.S. Public Health Service (U30/CCU922283-01)
Topics
  • Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
  • Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
Keywords
school-based health centers, reproductive health care, contraceptive use, high school students, STI screening, emergency contraception, hormonal contraception, condom use, adolescent pregnancy prevention, sexual health interventions
MeSH terms
Adolescent, Adolescent Behavior, Coitus, Contraception, Contraception Behavior, Female, Health Services Accessibility, Humans, Male, Pregnancy, Pregnancy in Adolescence, School Health Services, Sex Factors, Sexually Transmitted Diseases, Students, Urban Population, Los Angeles, Reproductive Health Services

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