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Understanding Quality of Care and Satisfaction With Sexual and Reproductive Healthcare Among Young Men

Pilgrim, Nanlesta A.; Jennings, Jacky M.; Sanders, Renata; Page, Kathleen R.; Loosier, Penny S.; Dittus, Patricia J.; Marcell, Arik V.

doi: 10.1097/JHQ.0000000000000149
Original Article
Continuing Education

Introduction: Sexual and reproductive healthcare (SRHC) guidelines recommend the delivery of quality preventive SRHC to males beginning in adolescence. A quality of care (QOC) framework was used to examine factors associated with young male's perceptions of QOC and satisfaction with care, which can influence their use of SRHC.

Methods: Cross-sectional surveys were conducted from August 2014 to September 2016 with 385 male patients aged 15–24 years, recruited from primary care and sexually transmitted disease (STD) clinics. Surveys measured QOC received, satisfaction with care, and domains of a QOC framework. Poisson regression analyses examined associations between the framework domains and perceived QOC as well as satisfaction with care.

Results: Over half of males reported QOC as excellent (59%) and were very satisfied with services (56.7%). Excellent QOC and high satisfaction with services were associated with timely care, higher Clinician-Client Centeredness, and being a bisexual male. Excellent QOC was also associated with greater comfort in the clinic, being tested for human immunodeficiency virus/STDs, attending primary care settings, and receipt of higher number of SRHC services.

Conclusions: Using a QOC framework as part of providing SRHC to young males is important to improving their perceptions of QOC and satisfaction with services.

For more information on this article, contact Nanlesta Pilgrim at

Funders: This study was supported under a cooperative agreement with the Centers for Disease Control and Prevention (CDC 1H25PS003796) and the Secretary's Minority AIDS Initiative Fund. The findings and conclusions in this article are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention or the affiliated institutions.

The authors declare no conflicts of interest. The study sponsor did not have any role in (1) study design; (2) the collection, analysis, and interpretation of data; (3) the writing of the report; and (4) the decision to submit the manuscript for publication. N. Pilgrim wrote the first draft of the manuscript, and no honorarium, grant, or other form of payment was given to anyone else to produce the manuscript.

© 2018 National Association for Healthcare Quality
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