{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:31:08Z","timestamp":1773275468881,"version":"3.50.1"},"reference-count":27,"publisher":"Guttmacher Institute","issue":"4","license":[{"start":{"date-parts":[[2017,10,12]],"date-time":"2017-10-12T00:00:00Z","timestamp":1507766400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Perspect Sexual Reproductive"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:sec><jats:title>CONTEXT<\/jats:title><jats:p>Catholic Church directives restrict family planning service provision at Catholic health care institutions. It is unclear whether obstetrics and gynecology clinics that are owned by or have business affiliations with Catholic hospitals offer family planning appointments.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Mystery callers phoned 144 clinics nationwide that were found on Catholic hospital websites between December 2014 and February 2016, and requested appointments for birth control generally, copper IUD services specifically, tubal ligation and abortion. Chi\u2010square and Fisher's exact tests assessed potential correlates of appointment availability, and multivariable logistic regressions were computed if bivariate testing suggested multiple correlates.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Although 95% of clinics would schedule birth control appointments, smaller proportions would schedule appointments for copper IUDs (68%) or tubal ligation (58%); only 2% would schedule an abortion. Smaller proportions of Catholic\u2010owned than of Catholic\u2010affiliated clinics would schedule appointments for birth control (84% vs. 100%), copper IUDs (4% vs. 97%) and tubal ligation (29% vs. 72%); for birth control and copper IUD services, no other clinic characteristics were related to appointment availability. Multivariable analysis confirmed that tubal ligation appointments were less likely to be offered at Catholic\u2010owned than at Catholic\u2010affiliated clinics (odds ratio. 0.1); location and association with one of the top 10 Catholic health care systems also were significant.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Adherence to church directives is inconsistent at Catholic\u2010associated clinics. Women visiting such clinics who want highly effective methods may need to rely on less effective methods or delay method uptake while seeking services elsewhere.<\/jats:p><\/jats:sec>","DOI":"10.1363\/psrh.12040","type":"journal-article","created":{"date-parts":[[2017,10,12]],"date-time":"2017-10-12T15:22:38Z","timestamp":1507821758000},"page":"207-212","source":"Crossref","is-referenced-by-count":23,"title":["What Are Women Told When Requesting Family Planning Services at Clinics Associated with Catholic Hospitals? A Mystery Caller Study"],"prefix":"10.1363","volume":"49","author":[{"given":"Maryam","family":"Guiahi","sequence":"first","affiliation":[{"name":"assistant professor, Department of Obstetrics and Gynecology, Division of Family Planning University of Colorado Anschutz Medical Campus  Aurora, CO"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie B.","family":"Teal","sequence":"additional","affiliation":[{"name":"professor, Department of Obstetrics and Gynecology, Division of Family Planning University of Colorado Anschutz Medical Campus  Aurora, CO"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maryke","family":"Swartz","sequence":"additional","affiliation":[{"name":"professional research assistant, Department of Obstetrics and Gynecology, Division of Family Planning University of Colorado Anschutz Medical Campus  Aurora, CO"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandy","family":"Huynh","sequence":"additional","affiliation":[{"name":"physician, Department of Obstetrics and Gynecology Loma Linda University Medical Center  Loma Linda, CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgia","family":"Schiller","sequence":"additional","affiliation":[{"name":"physician, Department of Obstetrics and Gynecology University of Maryland Medical Center  Baltimore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeanelle","family":"Sheeder","sequence":"additional","affiliation":[{"name":"associate professor, Department of Obstetrics and Gynecology, Division of Family Planning University of Colorado Anschutz Medical Campus  Aurora, CO"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"259","published-online":{"date-parts":[[2017,10,12]]},"reference":[{"key":"e_1_2_5_2_1","volume-title":"Health Care Denied: Patients and Physicians Speak Out About Catholic Hospitals and the Threat to Women's Health and Lives","author":"Kaye J","year":"2016"},{"key":"e_1_2_5_3_1","volume-title":"Ethical and Religious Directives for Catholic Health Care Services","author":"United States Conference of Catholic Bishops","year":"2009"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2010.12.003"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2005.01.017"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2005.03.001"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2014.04.015"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1197\/j.aem.2005.05.036"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2010.11.006"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2007.126730"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1179\/0024363912Z.0000000003"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1363\/48e10216"},{"key":"e_1_2_5_13_1","volume-title":"Full Frontal with Samantha Bee","year":"2016"},{"key":"e_1_2_5_14_1","volume-title":"Tamesha Means v","author":"ACLU","year":"2015"},{"key":"e_1_2_5_15_1","volume-title":"ACLU files complaint against Catholic health system for denying care to pregnant woman with brain tumor","author":"ACLU","year":"2016"},{"key":"e_1_2_5_16_1","volume-title":"Miscarriage of Medicine: The Growth of Catholic Hospitals and the Threat to Reproductive Health Care","author":"Uttley L","year":"2013"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1049-3867(99)00002-X"},{"key":"e_1_2_5_18_1","volume-title":"Merging Catholic and Non\u2010Sectarian Hospitals: NYS Models for Addressing the Ethical Challenges","author":"Uttley L"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2014.06.035"},{"issue":"2","key":"e_1_2_5_20_1","first-page":"2","article-title":"Religion, reproductive health and access to services: a national survey of women","volume":"21","author":"Miller P","year":"2000","journal-title":"Conscience"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000291561.48203.27"},{"key":"e_1_2_5_22_1","volume-title":"Population density by state: 2000","author":"United States Census Bureau","year":"2014"},{"issue":"162","key":"e_1_2_5_23_1","first-page":"56761","article-title":"Department of Health and Human Services, Medicare program; 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