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

Variations in Measurement of Sexual Activity Based on EHR Definitions

“…40,41 Sites were asked to electronically abstract "clinician documentation of current and past sexual activity status reported by patient." We cannot be certain that this information actually represented patient self-report and does not indicate physician knowledge of patient sexual activity status derived from information other than patient report.…”

173. Does Immediate Access to Birth Control Help Prevent Pregnancy? A Comparison of Onsite Provision Versus Off-Campus Referral for Contraception at Two School-Based Clinics

“…[14][15][16] It also appears that at least half the students are able to follow through with appointments when a successful referral mechanism is in place. However, it is concerning that almost half of the students were unable to follow through, despite indicating their interest in seeking hormonal contraception.…”

“…In 2010, the national birth rate was 39.1 per 1,000 women aged [15][16][17][18][19]. 1 The teen birth rate in Texas is particularly high at 63.4 per 1,000, the third highest rate in the country.…”

“…2 High birth rates are indicative of even higher pregnancy rates, as not all pregnancies are carried to term. In fact, Texas has the fourth highest teen pregnancy rate in the nation at 101 per 1,000 teens ages [15][16][17][18][19], versus the national rate of 84 per 1,000. 3 This rate is projected to increase by 13% by the year 2015, resulting in a projected rate of 127 per 1,000.…”

“…In comparison, after a policy change to dispense hormonal contraceptives on-site, 99% of students received all requested contraceptives. Ethier et al 16 found that female students who had access to a school-based health center were more likely to have received pregnancy and diseaseprevention care, used hormonal contraception and emergency contraception at last sexual encounter than female students who were unable to access a school-based health center.…”