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Cited by 149Adolescent Sexual and Reproductive HealthReproductive Health and ContraceptionAdolescent Health and Behaviors

Six School-Based Clinics: Their Reproductive Health Services and Impact on Sexual Behavior

Kirby, Douglas, Waszak, Cynthia, Ziegler, Julie·1991·Family Planning Perspectives
DOI 10.2307/2135395
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Abstract

An evaluation of the reproductive health programs of six diverse school-based clinics measured the impact of the clinics on sexual behavior and contraceptive use. All six clinics served low-income populations; at five of them, the great majority of the students served were black. An analysis of student visits by type of care given found that these clinics were not primarily family planning facilities; rather, they provided reproductive health care as one component of a comprehensive health program. Student survey data collected in the clinic schools and nearby comparison schools (four sites) or collected both before the clinic opened and two years later (two sites) indicated that the clinics neither hastened the onset of sexual activity nor increased its frequency. The clinics had varying effects on contraceptive use. Providing contraceptives on site was not enough to significantly increase their use; in only one of the three sites that did so were students in the clinic school significantly more likely than students in the comparison school to have used birth control during last intercourse. However, condom use rose sharply at one clinic school that had a strong AIDS education program and was located in a community where AIDS was a salient issue. At another clinic school, where pregnancy prevention was a high priority and staff issued vouchers for contraceptives, the use of condoms and pills was significantly higher than in the comparison school. A third clinic school--which focused on high-risk youth, emphasized pregnancy prevention and dispensed birth control pills--recorded a significantly higher use of pills than its comparison school. Although the data suggest that the clinics probably prevented small numbers of pregnancies at some schools, none of the clinics had a statistically significant effect on school-wide pregnancy rates.

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  • One study found that onsite access to contraceptives increased female but not male use of contraceptives, with no effect observed for pregnancy outcomes.

    “One study72 compared multiple study sites and found that onsite access to contraceptives increased female but not male use of contraceptives, with no effect observed for pregnancy outcomes.”

    From School-Based Health Centers to Advance Health Equity (2016) · cites this paper as [72]

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Sorted by citations

Authors
Kirby, D., Waszak, C., & Ziegler, J.
Venue
Family Planning Perspectives
Publisher
JSTOR
Published
1991-01
Volume
23
Issue
1
Pages
6
ISSN
0014-7354 (ISSN-L)
DOI
10.2307/2135395
OpenAlex
W1878793550
Cited by
149
References
4
Citations by year
2026: 1 · 2023: 1 · 2019: 1 · 2016: 4 · 2015: 2 · 2014: 1 · 2013: 2 · 2012: 4
FWCI
34.13
Type
journal article
Language
en
Open access
closed
Locations
  • Family Planning Perspectives (publishedVersion)
  • PubMed (publishedVersion)
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 › General Health Professions › Adolescent Health and Behaviors
Keywords
school-based health centers, reproductive health services, adolescent sexual behavior, contraceptive use, condom use, oral contraceptives, contraception, HIV/AIDS education, low-income students, Black adolescents, family planning, at-risk youth, pregnancy rate
MeSH terms
Acquired Immunodeficiency Syndrome, Adolescent, Contraception Behavior, Female, Humans, Health Knowledge, Attitudes, Practice, Male, Medically Underserved Area, Pregnancy, School Health Services, Sex Education, Sexually Transmitted Diseases, United States

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