title: Providing contraceptive care to low-income, African American teens: the experience of urban community health centers.
abstract: Recently, attention has been drawn to the quality of the patient-provider relationship as a mediator of health outcomes for racial and ethnic minorities. The purpose of this study was to examine the provider-patient relationship in reproductive health care for low income African American teens and to identify effective techniques they use in caring for teens. We conducted focus groups with providers at two clinics serving six low-income neighborhoods on the Southside of Chicago. Sessions were audio-taped then transcribed verbatim. ATLAS/ti 5.0 (a qualitative data analysis software program), was used for coding, text retrieval, data management and analysis of data. Providers in community clinics use a number of tactics when working with teens. First, they forge strong relationships through the use of language, shared background experiences, honesty and spending extra time with teens. Second, clinic employees work collectively to care for the patients with all staff members, both professional and clerical, contributing to the provider-patient relationship. Third, providers seek opportunities for contraceptive counseling even attempting to reach males outside of clinic. Techniques used by providers in neighborhood clinics may provide important insights for providing reproductive health care to low income, African American teens.
authors: Department of Obstetrics and Gynecology, The University of Chicago, 5841 S. Maryland Ave. MC 2050, Chicago, IL 60637, USA. mgilliam@babies.bsd.uchicago.edu
authors: Melissa L
authors: ML
authors: Gilliam
authors: Maida
authors: M
authors: Hernandez
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000208:ethnology*; D016497:Adolescent Health Services / Q000458:organization & administration*; D000328:Adult; D001741:Black or African American; D002641:Chicago; D003151:Community Health Centers / Q000458:organization & administration; D003267:Contraception / Q000191:economics / Q000523:psychology / Q000706:statistics & numerical data*; D018864:Cultural Diversity; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D011204:Poverty Areas; D011369:Professional-Patient Relations; D036301:Qualitative Research; D011787:Quality of Health Care; D034121:Reproductive Health Services / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data*; D013997:Time Factors; D019037:Urban Health Services
references: Arch Pediatr Adolesc Med. 1996 Sep;150(9):906-13
references: 8790119
references: Am J Public Health. 1996 Dec;86(12):1767-72
references: 9003135
references: Cancer Prev Control. 1999 Feb;3(1):25-30
references: 10474749
references: MMWR Surveill Summ. 2002 Jun 28;51(4):1-62
references: 12102329
references: Am J Obstet Gynecol. 1994 May;170(5 Pt 2):1585-90
references: 8178911
references: Arch Intern Med. 1999 May 10;159(9):997-1004
references: 10326942
references: Fam Plann Perspect. 1991 Jan-Feb;23(1):24-30
references: 2029940
references: Obstet Gynecol. 1996 Sep;88(3 Suppl):57S-64S
references: 8752229
references: Perspect Sex Reprod Health. 2003 Sep-Oct;35(5):208-14
references: 14668023
references: JAMA. 1999 Aug 11;282(6):583-9
references: 10450723
references: Fam Plann Perspect. 1996 Nov-Dec;28(6):246-55, 277
references: 8959414
references: J Adolesc Health. 1999 Dec;25(6):371-8
references: 10608576
references: J Adolesc Health. 2001 Sep;29(3):170-6
references: 11524215
references: J Adolesc Health. 2004 Aug;35(2):108-15
references: 15261639
references: Am J Obstet Gynecol. 2003 May;188(5):1202-4
references: 12748478