ABSTRACT
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.