2023-09-28 14:46:10 +00:00
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abstract: 'Purpose School-based health centers (SBHCs) have traditionally been
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concentrated in urban centers but have increasingly moved to rural and
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suburban settings. Adolescents living outside urban centers continue to
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experience barriers accessing contraceptives and reproductive health
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care. SBHCs are well positioned to reduce these barriers since they
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often offer convenient, in-school reproductive health care services. We
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describe the experiences of adolescents and emerging adults as they
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navigate access to contraceptives at SBHCs and nonschool locations in
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nonurban, low-income communities. Method We interviewed 30 sexually
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active individuals aged 15 to 21 living in rural and suburban
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communities in Colorado where high school SBHCs were recently
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introduced. Participants reflected on their experiences with or without
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in-school access to sexual and reproductive health services. Results
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Overall, young people supported within-school access to contraceptives,
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citing convenience, low cost, and greater confidentiality and privacy
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compared with out-of-school providers, particularly in rural areas. At
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the same time, findings point to the need for SBHCs to overcome
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adolescents'' and emerging adults'' misunderstanding of age requirements
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to access confidential contraceptive services and their remaining
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concerns around confidentiality in the school setting. Conclusions Our
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results indicate that SBHCs in low-income rural and suburban areas
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provide essential contraceptive services that young people access and
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value. Policy makers in nonurban communities should look to the SBHC
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model to reduce barriers for young people accessing reproductive health
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care, and health care providers should work to ensure confidentiality
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and to correct misinformation about their right to access contraceptive
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services.'
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affiliation: 'Westbrook, M (Corresponding Author), Univ Colorado Denver, Dept Hlth
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\& Behav Sci, Campus Box 188,POB 173364, Denver, CO 80217 USA.
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Westbrook, Marisa; Martinez, Lisette; Mechergui, Safa; Scandlyn, Jean; Yeatman,
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Sara, Univ Colorado Denver, Denver, CO USA.'
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article-number: '15248399211026612'
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author: Westbrook, Marisa and Martinez, Lisette and Mechergui, Safa and Scandlyn,
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Jean and Yeatman, Sara
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author-email: marisa.westbrook@ucdenver.edu
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author_list:
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- family: Westbrook
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given: Marisa
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- family: Martinez
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given: Lisette
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- family: Mechergui
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given: Safa
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- family: Scandlyn
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given: Jean
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- family: Yeatman
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given: Sara
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da: '2023-09-28'
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doi: 10.1177/15248399211026612
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earlyaccessdate: JUL 2021
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eissn: 1552-6372
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files: []
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issn: 1524-8399
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journal: HEALTH PROMOTION PRACTICE
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keywords: 'school-based health centers; school health; adolescent health;
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reproductive health; contraception; health care access'
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keywords-plus: 'FAMILY-PLANNING-SERVICES; REPRODUCTIVE HEALTH; CARE; ADOLESCENTS;
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BARRIERS'
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language: English
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month: MAY
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number: '3'
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number-of-cited-references: '25'
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pages: 425-431
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papis_id: bddd0db0fdc0bd66194e9859bf93d137
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ref: Westbrook2022contraceptiveaccess
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times-cited: '1'
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title: 'Contraceptive Access Through School-Based Health Centers: Perceptions of Rural
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and Suburban Young People'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000679713400001
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usage-count-last-180-days: '1'
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usage-count-since-2013: '2'
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volume: '23'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2022'
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