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How commonly do US abortion clinics offer contraceptive services?

机译：美国堕胎诊所多久提供一次避孕服务？

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BACKGROUND: About half of US women having abortions have already had at least one prior abortion. Facilitating access to contraception may help these women avoid subsequent unintended pregnancies. Information is needed to document the availability of contraceptive services in abortion care settings in the United States. STUDY DESIGN: Data for this cross-sectional mixed-methods study were collected between December 2008 and September 2009 and come from two sources: 15 semistructured telephone interviews and 173 structured questionnaires administered to a nationally representative sample of eligible facilities. Respondents were administrators at large (400+ abortions per year), nonhospital facilities that provide abortion services in the United States. RESULTS: Virtually all (96%) abortion clinics incorporate contraceptive education into abortion care, and the three most common methods reported to be distributed are the birth control pill (99%), the vaginal ring (61%) and Depo-Provera (58%). Almost one-third reported being able to offer post-abortion intrauterine device insertion. Most facilities (82%) accept some form of insurance for either contraceptive or abortion services, and those with a broader family planning focus are significantly more likely to do so. Administrators at the majority of facilities (56%) report that patients most commonly do not pay additional fees for contraceptive services because they are included in the cost of abortion services. CONCLUSION: Although almost all large, non-hospital abortion providers in the United States are able to provide some level of contraceptive care to their abortion patients, the degree to which they are able to do so is influenced by a wide range of factors.
机译：背景：美国大约有一半的堕胎妇女已经至少有过一次堕胎。促进避孕措施可以帮助这些妇女避免随后的意外怀孕。在美国，需要信息来记录在流产护理环境中避孕服务的可用性。研究设计：该横断面混合方法研究的数据收集于2008年12月至2009年9月之间，数据来自两个来源：对符合条件的设施的全国代表性样本进行了15次半结构化电话采访和173次结构化问卷。受访者是在美国提供人工流产服务的大型（每年超过400例）人工流产的管理人员。结果：几乎所有流产诊所（96％）都将避孕教育纳入流产护理中，据报道，分布最普遍的三种方法是避孕药（99％），阴道环（61％）和普罗普韦拉（58） ％）。几乎三分之一的人报告说能够提供堕胎后的宫腔内器械插入。大多数机构（82％）接受某种形式的避孕或流产保险，而那些计划生育重点更广的机构则更有可能这样做。大多数机构（56％）的管理者报告说，患者通常不为避孕服务支付额外费用，因为这些费用已包括在堕胎服务费用中。结论：尽管美国几乎所有大型的非医院流产提供者都能够为其流产患者提供一定程度的避孕护理，但他们能否做到这一点受到多种因素的影响。

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