{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T21:54:02Z","timestamp":1781560442349,"version":"3.54.5"},"reference-count":19,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2015,10,26]],"date-time":"2015-10-26T00:00:00Z","timestamp":1445817600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>The current sociopolitical climate and context of the Affordable Care Act have led some to question the future role of family planning clinics in reproductive health care. We explored where women plan to get their future contraception, pelvic exam\/pap smears, and sexually transmitted infection testing, with a focus on the role of family planning clinics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Data were drawn from a study of United States adults conducted in January 2013 from a national online panel. We focused on English-literate women aged 18\u201345 years who answered items on intended sources of care (private office\/health maintenance organization [HMO], family planning clinic, other, would not get care) for reproductive health services. We used Rao-Scott F tests to compare intended sources across sociodemographic groups, and logistic regression to model odds of intending to use family planning clinics. Probability weights were used to adjust for the complex sampling design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The response rate was 61% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20092,182). Of the 723 respondents who met the inclusion criteria, approximately half intended to use private offices\/HMOs. Among some subgroups, including less educated (less than high school), lower annual incomes (&lt;$25,000) and uninsured women, the proportion intending to use family planning clinics was higher than the proportion intending to use private office\/HMO in unadjusted analyses. Across all service types, unmarried and uninsured status were associated with intention to use family planning clinics in multivariable models.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>While many women intend to use private offices\/HMOs for their reproductive health care, family planning clinics continue to play an important role, particularly for socially disadvantaged women.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2014.5116","type":"journal-article","created":{"date-parts":[[2015,10,26]],"date-time":"2015-10-26T16:41:44Z","timestamp":1445877704000},"page":"91-98","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["U.S. Women's Intended Sources for Reproductive Health Care"],"prefix":"10.1177","volume":"25","author":[{"given":"Halley P.","family":"Crissman","sequence":"first","affiliation":[{"name":"University of Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelli Stidham","family":"Hall","sequence":"additional","affiliation":[{"name":"Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, Georgia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth W.","family":"Patton","sequence":"additional","affiliation":[{"name":"University of Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa K.","family":"Zochowski","sequence":"additional","affiliation":[{"name":"University of Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew M.","family":"Davis","sequence":"additional","affiliation":[{"name":"University of Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa K.","family":"Dalton","sequence":"additional","affiliation":[{"name":"University of Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,10,26]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2011.300380"},{"key":"e_1_3_3_3_2","first-page":"254","article-title":"Discouraging trends in reproductive health service use among adolescent and young adult women in the United States: An analysis of data from the National Survey of Family Growth, 2002 to 2008","volume":"26","author":"Hall K","year":"2011","unstructured":"Hall K, , Moreau C, , Trussell J. Discouraging trends in reproductive health service use among adolescent and young adult women in the United States: An analysis of data from the National Survey of Family Growth, 2002 to 2008. Hum Reprod, 2011; 26; 254\u20132548.","journal-title":"Hum Reprod"},{"key":"e_1_3_3_4_2","unstructured":"Fowler CI Gable J Wang J McClure E. Family planning annual report: 2012 Annual summary. Research Triangle Park NC: RTI International 2013."},{"key":"e_1_3_3_5_2","unstructured":"Martinez G Chandra A Febo-Vazquez I Mosher W. Use of family planning and related medical services among women aged 15\u201344 in the United States: National Survey of Family Growth 2006\u20132010. National Health Statistics Reports No. 68. Hyattsville MD: National Center for Health Statistics 2013."},{"key":"e_1_3_3_6_2","first-page":"1648","article-title":"Title X: An essential investment, now more than ever","author":"Hasstedt K","year":"2013","unstructured":"Hasstedt K. Title X: An essential investment, now more than ever. Guttmacher Policy Rev, 2013; 1648\u201355.","journal-title":"Guttmacher Policy Rev"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2013.11.015"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2014.07.004"},{"key":"e_1_3_3_9_2","unstructured":"Salganicoff A Ranji U Beamesderfer A Kurani N. Women and health care in the early years of the Affordable Care Act: Key findings from the 2013 Kaiser Women's Health Survey. Menlo Park CA: Henry J. Kaiser Family Foundation 2014."},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2013.4612"},{"key":"e_1_3_3_11_2","first-page":"59","article-title":"Trends in uninsured clients visiting health centers funded by the Title X Family Planning Program- Massachusetts, 2005\u20132015","volume":"63","author":"Carter M","year":"2014","unstructured":"Carter M, , Desilets K, , Gavin L, , Moskosky S, , Clark J. Trends in uninsured clients visiting health centers funded by the Title X Family Planning Program- Massachusetts, 2005\u20132015. MMWR Morb Mortal Wly Rep, 2014; 63:59\u201362.","journal-title":"MMWR Morb Mortal Wly Rep"},{"key":"e_1_3_3_12_2","first-page":"2","article-title":"Family Planning Centers Meet Health Care Reform: Lessons from Massachusetts","volume":"12","author":"Gold RB","year":"2009","unstructured":"Gold RB. Family Planning Centers Meet Health Care Reform: Lessons from Massachusetts. Guttmacher Policy Rev, 2009; 12:2\u201310.","journal-title":"Guttmacher Policy Rev"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1080\/01621459.1981.10477633"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1201\/9781420080674"},{"key":"e_1_3_3_15_2","volume-title":"Multivariate data analysis","author":"Hair JF","year":"1995","unstructured":"Hair JF, , Anderson RE, , Tatham RL, , Black WC. Multivariate data analysis, 3rd ed. New York: Macmillan, 1995.","edition":"3"},{"key":"e_1_3_3_16_2","unstructured":"United States Census Bureau.. 2010. Annual estimates of the resident population by single year of age and sex for the United States: April 1 2010 to July 1 2013. Available online at: http:\/\/factfinder2.census.gov\/faces\/tableservices\/jsf\/pages\/productview.xhtml?src=bkmk Accessed October11 2014."},{"key":"e_1_3_3_17_2","unstructured":"Congressional Budget Office (CBO). 2013. CBO's Estimate of the net budgetary impact of the Affordable Care Act's health insurance coverage provisions has not changed much over time. Available online at: www.cbo.gov\/publication\/44176 Accessed October11 2014."},{"key":"e_1_3_3_18_2","unstructured":"Bishaw A Fontenot K. Poverty: 2012 and 2013 American community survey briefs. 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