Interventions to Increase Male Attendance and Testing for Sexually Transmitted Infections at Publicly-Funded Family Planning Clinics.
PURPOSE
We assessed the impact of staff, clinic, and community interventions on male and female family planning client visit volume and sexually transmitted infection testing at a multisite community-based health care agency.


METHODS
Staff training, clinic environmental changes, in-reach/outreach, and efficiency assessments were implemented in two Family Health Center (San Diego, CA) family planning clinics during 2010-2012; five Family Health Center family planning programs were identified as comparison clinics. Client visit records were compared between preintervention (2007-2009) and postintervention (2010-2012) for both sets of clinics.


RESULTS
Of 7,826 male client visits during the time before intervention, most were for clients who were aged <30 years (50%), Hispanic (64%), and uninsured (81%). From preintervention to postintervention, intervention clinics significantly increased the number of male visits (4,004 to 8,385; Δ = +109%); for comparison clinics, male visits increased modestly (3,822 to 4,500; Δ = +18%). The proportion of male clinic visits where chlamydia testing was performed increased in intervention clinics (35% to 42%; p < .001) but decreased in comparison clinics (37% to 33%; p < .001). Subgroup analyses conducted among adolescent and young adult males yielded similar findings for male client volume and chlamydia testing. The number of female visits declined nearly 40% in both comparison (21,800 to 13,202; -39%) and intervention clinics (30,830 to 19,971; -35%) between preintervention and postintervention periods.


CONCLUSIONS
Multilevel interventions designed to increase male client volume and sexually transmitted infection testing services in family planning clinics succeeded without affecting female client volume or services.
['Fine|David|D|', 'Warner|Lee|L|', 'Salomon|Sarah|S|', 'Johnson|David M|DM|']
D000293:Adolescent D000328:Adult D017677:Age Distribution D002140:California D002690:Chlamydia Infections D003151:Community Health Centers D005006:Ethnicity D005193:Family Planning Services D005260:Female D006293:Health Promotion D006801:Humans D008297:Male D015999:Multivariate Analysis D012737:Sex Factors D012749:Sexually Transmitted Diseases D055815:Young Adult
Sexually transmitted infections Family planning Chlamydia Adolescents Male reproductive health