Study Objective

We aimed to determine the acceptability to and satisfaction of high school students receiving an intrauterine device (IUD) at a school-based health center (SBHC).

Design, Setting, Participants, Interventions, and Main Outcome Measures

In this prospective pilot study at a Bronx SBHC, adolescent patients who had an IUD inserted in the SBHC between November 2010 and June 2013 completed a self-administered survey on the day of IUD insertion and a follow-up survey within 6 months. The initial survey addressed patient sexual and contraceptive history, reasons for choosing the IUD, and the insertion experience, whereas the follow-up survey addressed IUD continuation and side effects.

Results

In all, 104 of 139 (75%) eligible patients agreed to participate, and 75 (72%) of those completed the follow-up survey. Respondents chose IUDs because they were long-lasting, effective, private, and easy to remember, and chose the SBHC for services because it was convenient, recommended, free, and a trusted setting. Participants rated their interactions with SBHC staff highly, and almost all described their procedure experience as somewhat or very acceptable. Of the respondents, 92% were still using the IUD at the time of the follow-up survey, with 32% stating that they were somewhat satisfied and 65% stating they were very satisfied with this method of contraception.

Conclusion

Our research demonstrates that IUD services can be integrated into the SBHC setting with high rates of acceptability and satisfaction. Furthermore, SBHCs provide a unique and acceptable option for providing these services and have the potential to increase adolescents’ contraceptive access and choice.

中文翻译：

---

基于学校的医疗中心对IUD服务的患者满意度：一项初步研究。

研究目标

我们旨在确定在校内医疗中心（SBHC）接受宫内节育器（IUD）的高中学生的可接受性和满意度。

设计，设置，参与者，干预措施和主要结果指标

在Bronx SBHC的这项前瞻性先导研究中，在2010年11月至2013年6月之间将IUD插入SBHC的青春期患者在插入IUD当天完成了一项自我管理调查，并在6个月内完成了随访调查。最初的调查涉及患者的性和避孕史，选择宫内节育器的原因以及插入的经历，而后续调查则涉及宫内节育器的持续使用和副作用。

结果

在139名合格患者中，共有104名（75％）同意参加，其中75名（72％）完成了随访调查。受访者选择IUD的原因是它们持久，有效，私密且易于记忆，而选择SBHC则是因为它方便，推荐，免费且受信任的环境来提供服务。与会人员高度评价了他们与SBHC工作人员的互动，几乎所有人都说他们的程序经验有些或非常可以接受。在随访调查中，有92％的被调查者仍在使用宫内节育器，其中32％表示对某种避孕药感到满意，65％表示对这种避孕方法非常满意。

结论

我们的研究表明，宫内节育器服务可以以较高的接受度和满意度集成到SBHC环境中。此外，SBHC为提供这些服务提供了一种独特且可以接受的选择，并有可能增加青少年避孕药具的获取和选择的可能性。