From Vital and Health Statistics of the National Center for Health Statistics Number 72 � June 29, 1981 

PROPERTYOF‘RIE “


FWLICATIONS B,RAIWI. 

EDITORIAL
 LIBRARY


Visits to Family Planning Service Sites: United States, 1978 

by Bettie L. Hudson, Division of Health Care Statistics 

@ 

6 

Data highlights 

According to data collected for the National 

Reporting System for Family Planning Services by 

the National Center for Health Statistics, an estimated 7,425,000 medical family planning visits by 

females were made to nonmilitary family planning 

service sites in the United States. Excluded from 

the scope of the National Reporting System for 

Family Planning Services are family planning visits 

that were made to private physicians. Of these 

visits, 38.1 percent were made by females 20-24 

years of age. 

Of the family planning visits made by females, 

estimated 77.6 percent resulted in the adoption 

continuation of an oral contraceptive pill, an 

intrauterine device (IUD), or steriliza~ion, ;ach of 

which is a highly effective contraceptive method 

requiring medical services. 

About 32.7 million medical services were provided to females at an average rate of 4.4 services 

per visit. Four of the 11 medical services specified 

in the National Reporting System for Family Planning Services (the Pap smear, the pelvic examination, 

the breast examination, and the blood pressure 

check) accounted for 56.2 percent of the total 

medical services provided. 

Introduction 

Since 1972 the Division of Health Care Statistics 

of the National Center for Health Statistics (NCHS) 

has used the National Reporting System for Family 

Planning Services (NRSFPS) to obtain data on the 

utilization of family planning services provided by the 

Nation’s family planning program. 1 NRSFPS data are 

also used by the Department of Health and Human 

Services to prepare the annual “Report on FamiIy 

Planning Services and Population Research,” made to 

gress, as required under Section 1009 of the 

lic Health Service Act (Public Law 94-63). 

On July 1, 1977, the NRSFPS was converted 

from a full-count to a sample-based survey. Figure 1 

is a facsimile of the primary data collection form 

used. Estimates in this report are based on a sample 

approach for the entire year. 

A brief description of the sample design and an 

explanation of the sampling error associated with 

the estimates are found in the technical notes in this 

report. 

According to the NRSFPS definition, family 

planning services encompass medical services related 

to contraceptive methods (including sterilization) 

and treatment for infertility. These medical services 

are the Pap smear, pelvic examination, breast examination, blood pressure check, pregnancy testing, 

venereal disease testing, urinalysis, blood test, sterilization, infertility treatment, and other medical 

services. While family planning services are available 

through several components of the Nation’s health 

care delivery system, the Nation’s family planning 

program distinguishes itself from the other components by its commitment to provide family planning 

services to individuals regardless of economic status. 

The Nation’s family planning program, as outlined 

in the 1978 report to Congress, is comprised of 

public and private agencies that provide family planning services through a network of family planning 

service sites. The U.S. Public Health Service provides 

a significant financial base for the provision of family 

planning services through grants for health services 

to many of these agencies. 

Data on family planning services are also collected 

in two other surveys-the National Ambulatory 

Medical Care Survey (NAMCS),Z and the National 

Survey of Family Growth (NSFG).3 NAMCS collects 

data on visits to office-based physicians, and NSFG 

collects data on family planning visits made by married women ages 15-44 years. Because of differences 

in the populations sampled, the deftitions, and the 

data collection procedures, estimates on family planning visits from the three data systems may differ. 

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, Public Health Service, Office of Health Research, Statistics, and Technology 
AN? 1479 O.M.B. 68-IU137 

U.S. DEPARTMENT OF HEALTH, EOUCATION, AND WELFARE 

PUBLIC HEALTH SERVICE ASSURANCE OF CO NF!DENTIALITWAII Information which would LMrmlt idantl- HEALTH RESOURCES ADMINISTRATION flcatlon of an Indh’ldual, a Practice, or �n establishment wIII be held Confidential, 

NATIONAL CENTER FOR HEALTH STATISTICS will be used OnlY by !Jersons engagea ,. and for thepurposes of the survey ana will 

“M m disclosed or released to other Persom or used for any other !mrlmse, Provision 

Clinic Vkit Record for Family Planning services of Services !s In .0 way Contingent on the Vatlent,s Prc.vldlng any Information for 

this form. 

1, SERVICE NUMa ER 11. PREGNANCY HISTORY (Females only) ~ 

A. Have You ever been pregnant? 

a � Yes b � No--&? f0f2 

‘ PAT’’NTNU”’ER ~ 

R How many live buths have You had? 

3.	 DATE OF THIS VISIT nun C. Of these, how many are now living? 

D. How many of Your pregnancies were ended by stillbirth, 

4, PATIENT’S SEX 

a � Female b D Male 

induced abortion, or miscarriage? (If %ro,”go to F ) 

E. How many of these pregnancies were ended by induced 

5. ARE YOU OF HISPANIC ORIGIN OR OESCENT? nbortion since January 1973? 

HAND CARD A a � Ye, b � No F. In what month and year did Your last pregnancy end 

(regardless of how It ended)? I 

Month v*a r 

6. PAT I ENT’S RACE fCf)eCk one fIOX) 

12. CONTRACEPTIVE HISTORY a � while c � Ash” or Paclf{c Islander 

b � Black d � Ameflcan Indian or A!aska. Native 

A. Have You ever used a method of birth control regularly? 

� � Yes b � No_ G002f3 

7.	 WHAT IS YOUR L31RTH OATE? 

HAND CARD D 

a Date —0 n n B. What method did You last use 10EuI8cIY7 (Check all methods that afwiv) 

� � Sterlllzatlon f � Condom 

b � lf unknown ask–’’t+ow old are YOU”? (No. of Ycar5) b � Oral (Pill) 9 � Foam/JellY/Cream 

c � IUD h � Natural (Includlng rhythm)

8.	 PATIENT STATUS 

d � Oiaohragm I � Other 

Have You e~r been a patient of this or MY Other clinic for family e � lnlectlon planning m- services? 

a � Yes baNO C. Do You currently use thst method (primary method checked in 128)? 

If ,, Yes,>> when were YOU ~ ? patient, at anY On a � Ym_Go to E b � No 

clinic for family planning medscal servtces?. - Moth 

D. In what month and year did You stop using that method? I 

9. EOUCATION Month Y9a, 

A.	 What is the highest grade (or year) of regular school You have completed? E. How long did You use that method? 

(Circle one number) 

_ Oays (If less than � month) 

0123456789 1011121314151617+ _ Months Of less than a year) 

(If “zero,”go ro 10) — Years 

B. Are you presently a student in a regular school? F. Where w8s the method prescribed o? obtained? 

a � Yes � � Tt!lsscwvlceSlte e � CIr.g store (nonwescrtptlo”) 

baNO 

b � CllnlC (If other than this site] f � Other 

c � wSPital (If other than this Site] g � Unknown 

10, FAMILY INCOME ANO FAMILY SIZE a D Private phy$lclan 

HAND CAFIO B �nd HAND CARD C 13. MEOICAL SERVICES PROVIDEO AT THIS VISIT 

A.	 Which of the following groups represents your total combined gross * � Pap smear g � u,l”alysls [n.e.s.) (before deductions) family income for the past 12 months? 

t. � FElvlc .xam h � Blood tOSt (n,e. s.) 

all 0-S1 ,249 d � $6.250 ”$e.749 g •1 $18,750+ 

b � 51,250 .$3;749 e � SS,750 -$13,749 h � UnIinOwn c � �reast ex~m J � Sterlllzatlon 

C � S3,750. $6,249 f � $13,750-$18,749 a � �lood Drez$ura k � In fertility treatment 

� � P7egnancy tastln9 m � Other modlcal Swvices 

B.	 How many people are in your family, that is, the number f � V.o. t*~~lng supported by this income? 

C. Ooes this income include any public assistance? 

14. CONTRACEPTIVE METHOO AT THE ENO OF THIS VISIT 

�	 � w,, bnN6 A. Method (check d that #PP/Y) 

D. What is your relationship to the chief earner? a � St.rlllzatlon f Q Condom 

a � Ctllaf earner c � Da”ghter/sQn b n Orll (Ffll) g � FoamlJallY/Craam 

b � wife/Husb*nd d � other relative c � IUD h � Natural [Including rhythm) 

AGENCY uSE ONLY e � DtaDhragm I ~ other 

A a c o E F a � Injection k O None 

1. — B. If ‘sNone,” Cive reason (check one only] 

2. * � F7egnam d � other medical reasons 

3. b R lnf*rtlltty p*tlent e � RaWlng on Partnar”s m.thod 

c � ~*klng pr*gnancy f fJ Otfmr 

4. 

5. 

HRA-192-1 6. 6/77 

Figure 1. Clinic Visit Record for Family Planning Services 
(6 

aduancedata 3 

X, age, race, and ethnicity Table 1. Number and percent distribution of female family planning 

visits by race, ethnicity, and education, according to age: United 

@ In addition to the estimated 7,425,000 medical States, 1978 

family planning visits made by fem~es, “an estimated Age 

27,000 medical family planning visits were made by Race, ethnicity, AII 

males to family planning service sites. Because the and education ages Under 2@24 25-29 30 years 

20 years years years and over size of the NRSFPS sample is not large enough to 

allow a detailed analysis by various sewice and 

Number in thousands sociodemographic characteristics, this report is 

limited to family planning visits made by females. All visits . . . . . . . . . . . . .7,425 2,410 2,831 1321 864 

However, data on family planning visits by males have Percent distribution 

been presented in other NCHS publications.q ~s,6 Total . . . . . . . . . . . . . . . 100.0 100.0 100.0100.0 100.0 

Figure 2 shows that 88.4 percent of the family Race 

planning visits were made by females under 30 years. 

Of these visits made by females in this age range,	 White . . . . . . . . . . . . ...66.5 67.8 68.3 63.7 61.0 

Black . . . . . . . . . . . . . ..3l.7 30.8 30.0 34.0 36.7 32.5 percent were made by those under 20 years, Other . . . . . . . . . . . . . . . 1.8 7.4 1.7 2.3 

38.1 percent were made by those 20-24 years, and 

17.8 percent were made by those 25-29 years. Fe- Ethnicjty 

males aged 30 years and over accounted for 11.6 Hispanic origin or descent . . . 9.9 5.8 9.0 13.6 19.0 

Not of Hispanic origin

percent. descent . . . . . . . 

Education 

)	 Less than 12 years . 

12years . . . . . . . 

13yearsorm0re . . 

Education 

or 

. . . . ..9o.l 94.2 91.0 86.4 81.0 

. . . . . . 39.7 61.4 25.3 28.6 43.5 

. . . . ..3g.o 31.3 43.5 43.1 39.5 

. . . . . . 21.3 7.3 31.2 28.2 17.0 

Table 1 shows that 78.7 percent of the visits 

+	 were made by females with 12 years of education or 

less. For ages 20 years and over, the proportion of 

visits made by females with more than 12 years of 

education decreased with increasing age. 

30 years &rd over Pregnancy history 

11.6 A large proportion (41.8 percent) of the visits I NOTE: Percents are bewd on 7,425,000 female family planning were made by females who had never been pregnant I visits. 

(table 2). As expected, the proportion of visits 

Figure 2. Percent distributirm Of female family planning visits by age: 

United States, 1978 

Table 2. Percent distribution of female family planning visits by number of pregnancies, and number of live births, according to age: 

Pm estimated 66.5 percent of the visits were made Unitad States, 1978 

by white females and 31.7 percent by black females. 

Age The remaining 1.8 percent were made by females Pregnancies and All 

of other races. Data for white femakes (table 1) live births ages Under 2G24 25-29 30 yearn


show that 67.8 percent of the visits were made by 20 yeats years years and over


those under 20 years. In addition, two-thirds of the


visits were made by those aged 20-29 years, and white Total pregnancies . . . . . . . . 100.0 100.0 100.0 100.0 100.0


females also accounted for a large proportion 1.0 Never pregnant . . . . . . . . . 41.8 64.3 41.4 21.8 10.4


TWO pregnancies or more . . . 31.4 s.2 26.9 53.0 77.9 

over. 

An estimated 9.9 percent of the visits were made Total live births . . . . . . . . . 100.0 100.0 100.0100.0 100,0 

females of Hispanic origin or descent. The pro- No live births . . . . . . . . . . 53.2 77.6 55.3 30.4 13.5 

portion of these visits ranged by age from 5.8 per~ent One live birth . . . . . . . . . . 22.6 18.8 26.8 26.0 14.4 

percent) of the visits made by females aged 30 vears 

- One pregnancy . . . . . . . . . 26.8 27.6 31.6 25.1 11.6 

W 

Two live births or more . . . . 24.1 3.6 17.9 43.6 72.0 

to 19.0 percent. 

2.3 
. .

4 

made by females who had never been pregnant 

decreased with age, however, the proportion of visits 

made by females with two or more pregnancies 

increased with age. Approximately 64.3 percent of 

the visits were made by teenagers (under 20 years 

of age) who reported they had never been pregnant, 

however, 8.2 percent were made by teenagers who 

reported two or more pregnancies. Of those visits 

made by females 30 years and over, about 10.4 

percent reported they had never been pregnant, 

compared with 77.9 percent who reported two or 

more pregnancies. The proportion of visits made by 

females who had had one pregnancy was about the 

same for all age groups, except those visits made by 

females aged 30 years and over ( 11.6 percent). 

About 53.2 percent of the reported visits were 

associated with nulliparous females. A large proportion (77.6 percent) of visits by teenagers were made 

by those who had never had a live birth, compared 

with 3.6 percent who reported two live births or 

more (table 2). The proportion of visits made by 

females 30 years and over was larger than visits made 

by those under 30 years who reported one or more 

live births (86.4 percent and 41.6 percent, respecMedical services 

According to the NRSFPS classification of fare” P Y 

planning medical services, there were an estimated 

32.7 million medical services provided during 7.4 

million female family planning visits. 

The vast majority of these visits included services 

related to contraception, and only 0.1 percent of the 

visits included treatment for infertility. 

A Pap smear, a breast examination, and a blood 

pressure check–basic medical services for female 

contraceptors–were provided ~at 48.2 percent, 50.2 

percent, and 86.1 percent of the visits, respectively 

(figure 3). Furthermore, a pelvic examination was 

provided at 63.2 percent of the visits. It should be 

noted that any one family planning visit may involve 

several medical semices. Thus the percentages in 

figures 3 do not add to 100 percent. 

The medical service of sterilization was not 

commonly provided to females at family planning 

visits (0.2 percent) and was not generally available at 

most service sites. 

Venereal disease testing was commonly provided 

at family planning visits (44.1 percent), but the 

tively). NRSFPS did not collect information on test results.

Pap smear 

Pelvic examination 

Breast examination 

Blood pressure check 

Pregnancy testing 

Venereal disease testing 

Urinalysis 

Blood test 

Sterilization 

Infertility 

Other medical services 

‘:; 4%;2 “=.=::~=~:~=~:.-:~~=:= ........................................................................................................................ 

...................................................................................................................................................................................... ~;. 63.2.:	... ................................................................................................................................................................ . . ................................................................................................................................................................ .. ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

~<op.::~.w.*:m.:?w.~w.m:M.w . ...... ...................................................................................................................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

!R!86.I ~z~:cE.mm:m.%wzm<m5~5F:z. 

I 

W79.: P......... ..

r

:: *0.2 

*0.I 

................................................................................................................................ 

t I I I I I I I I 

o 10 20 30 40 50 60 70 BO 9 

Percent ( 

NOTE: Percents are based on 7,425,000 famale family planning visits. 

Figure 3. Percent of female family planning visits, by typa of medical services provided: United States, 1978 
akmdata 5 

* 

a 

* 

regnancy testing was provided at a smaller proporn of the visits (7.9 percent). 

The category “other medical services” comprises 

those medical family planning services not otherwise 

specified by the NRSFPS. Other medical services 

were provided at 51.0 percent of the family planning 

visits. 

Contraceptive method 

adopted or continued 

As noted, virtually all of the visits made by 

females to family planning service sites were to obtain 

medical services related to contraception. The pill 

was adopted or continued for about 67.1 percent 

of the reported visits (figure 4 and table 3). The 

next most popular method was the intrauterine 

device. The diaphragm and foam, jelly, or cream 

(considered as methods used independently) were 

the contraceptive methods adopted or continued at 

6.4 and 4.8 percent of the visits, respectively. Sterilization was the contraceptive method adopted or 

continued at 1.0 percent of the visits; however, it 

should be noted that females who have elected 

sterilization as their method of contraception generally have less need to make routine followup visits 

an females on other methods. Overall, 89.8 percent 

the visits resulted in the continuation or adoption 

of some contraceptive method. 

Table 3 shows that a.lthou@ the Pfi was fie most 

frequently adopted or continued contraceptive 

method in each age interval, generally the proportion 

of visits involving its use declined with increasing 

age, from 77.0 percent of the visits made by females 

under 20 years of age to 45.3 percent of the visits 

made by females 30 years and over. 

While figure 4 shows that 10.2 percent of family 

planning visits resulted in neither the adoption nor 

the continued use of a contraceptive method, table 

3 shows that 3.2 percent of these visits were made by 

References 

lNationfl Center for Health Statistics: Background ~d development 

of the National Reporting System for Family Planning Services, United 

States, by B. J. HaupL Vital and Health Statistics. Series 1- No. 13. 

DHEW Pub. No. (PHS) 78-1313. Public Health Service. Washington. 

U.S. Government Printing Office, Apr. 1978. 

2National Center for Health Statistics: Office visits for family planning, 

ational Ambulatory Medical Care Survey, United States, 1977, by 

K. Cypress. Advance Data from Vital and Health Statistics, No. 49. 

W Pub. No. (PHS) 79-1250. Public Health Service. Hyattaville, Md. 

pr. 16, 1979. 

3National Center for Health Statistics: Use of family planning services 

by currently married women 1544 yearn of age, United States, 1977 

and 1976, by G. E. Hendershot. Advance Data from Vital and Health 

females who relied on their partner’s method for 

contraceptive protection. In addition, about 2.9 

percent of these visits were made by females who 

were pregnant, and the remaining 4.1 percent reported other reasons for no contraceptive method. 

Foam, jelly, or cream+ 

Injection �0.I \ 

F 

Diaphragm- @ 6.L 

I NOTE: Percents are based on 7,425,000 female family planning 

visits. 

Figure 4: Percent distribution of female family planning visits at which 

a contraceptive method was adopted or continued, by method 

chosen: United States, 1978. 

Table 3. Percent distribution of female family planning visits by contraceptive method adopted or continued, eecordi ng to age: United 

States, 1978 

Age 

Method All 

ages Under 2@24 2529 30 years 

20 years years years and over 

Total . . . . . . . . . . . . . . . 100.0 100.0 100.0 100.0 100.0 

Pill . . . . . . . . . . . . . . . . 67.1 77.0 68.6 60.1 45.3 

Intrauterine device . . . . . . . 9.5 4.4 8.9 13.5 20.0 

Diaphragm . . . . . . . . . . . . 6.4 3.7 7.3 8.3 7.8 

Foam, jelly, or cream. . . . . . 4.8 4.2 4.2 5.1 8.3 

Other . . . . . . . . . . . . . . . 2.0 0.8 1.4 2.7 5.8 

None-pregnant. . . . . . . . . . 2.9 3.4 2.9 2.3 1.9 

None-relying on partner . . . . 3.2 2.6 2.8 3.7 5.7 

None-other. . . . . . . . . . . . . 4.1 3.8 3.9 4.2 5.2 

Statistics, No. 45. DHEW Pub. No. (PHS) 79-1250. Public Health


semce.Hyattsville, Md. Feb. 7,1979.


4National Center for Health Statistics: 1974 Annual Report, National


Reporting System for Family Planning Services, by B. J. Haupt. DHEW


Pub. No. (HRA) 77-1238. Health Resources Administration. Wash­


ington. U.S. Government Printing Office, May 1977.


5National Center for Health Statistics: 1975 Annuat Reportj National


Reporting System for Family Planning Services, by B. J. Haupt. DHEW J


Pub. No. (I-IRA) 78-1238. Health Resources Administration. Wash­


ittgton. U.S. Government Printing Office, Sept. 1977.


6Natiottal Center for Health Statistics: 1976 Provisional Data from


the National Reporting System for Family Pk.nning Services, January


1976-Decembez 1976.

6 achmtxedata 

Technical notes 

Sampling design 

The 1978 National Reporting System for Family 

Planning Services estimates are based on a stratified 

two-stage sampling design. The 1978 NRSFPS sample 

for the United States encompassed 276,619 female 

visit records, A clinic visit record was completed for 

each sample family planning visit. A report delineating the NRSFPS background, development, and 

evolution has been published. 1 

Estimation 

The statistics provided by the NRSFPS for 1978 

are derived by a complex estimation procedure. This 

procedure, which was used to produce essentially unbiased national estimates for the NRSFPS has two 

principal components–inflation by the reciprocal of 

the probability of sample selection, and adjustment 

for nonresponse. 

Sampling error 

The statistics presented in this report are based 

on a two-stage stratified sample survey and therefore 

differ from those that would be obtained based on a 

full-count (100 percent) survey using the same data 

collection procedures and definitions. 

The standard error is primarily a measure of the 

variabilityy that occurs by chance because a sample 

rather than the population is surveyed. While the 

standard error as calculated for this report reflects 

some of the random variation inherent in the measurement process, it does not measure any systematic 

error that is present in the NRSFPS data. The reader 

is directed to refer to “Nonsampling Error” in this 

section for additional information on measurement 

error. The relative standard error of an estimate is 

obtained by dividing the standard error of the estimate by the estimate itself and is sometimes expressed as a percentage of the estimate. The chances 

are about 0.68 that the interval specified by the 

estimate plus or minus one standard error of the 

estimate contains the figure which would be obtained 

through a full-count survey of the sampling frame. 

The chances are about 0.95 that the interval specified by the estimate plus or minus two standard errors 

of the estimate contains the figure which would be 

obtained through a full-count survey of the sampling 

frame. 

In order to derive standard errors that would be 

applicable to a wide variety of statistics and that 

could be derived at moderate costs, several approxiA list of references follow text. 

mations were required. For the categories by age of 

female family planning visits presented in this report, 

estimates of totals and relative standard errors of 

totals are shown in table I. The standard errors for 

estimated percentages of visits are shown in table 

II. 

Table 1. Number of family planning visits by women and relative 

standard error, by age: United States, 1978 

Number of ~’~~~~d 

Age visits in error in thousands 

percent 

Alleges . . . . . . . . . . . . . . . . . . . . . . . . 7,425 3.4 

Under 20 years . . . . . . . . . . . . . . . . . . . 2,410 3.7 

20-24 years . . . . . . . . . . . . . . . . . . . . . 2,831 3.5 

25-29 years . . . . . . . . . . . . . . . . . . . . . 1321 3.6 

30 years And over . . . . . . . . . . . . . . . . . . 864 3.3 

Table 11. Approximate standard error of percent of estimated number 

of female family planning vk.its, by age: United States, 1978 

Estimated percent of visits 

Age 

Ior 5or 10or 200r 300r ~ 

99 95 90 80 70 

Standard error in percentage points 

Alleges . . . . . . . . . . . . . . 0.2 0.3 0.5 0.6 0.7 0.8 

Under 20years . . . . . . . . . 0.2 0.5 0.7 0.9 1.0 1.1 

20.24 years . . . . . . . . . . . 0.2 0.5 0.6 0.9 1.0 1.1 “ 

25-29 years . . . . . . . . . . . 0.3 0.7 1.0 1.3 1.5 1.6 

30yeara and over. . . . . . . . 0.4 0.8 1.1 1.4 1.6 1.8 

Example of use of table: An estimate of 90 percent based on all teenage visits has e standard error of 0.7 percent or a relative standard 

error of 0.8 percent (0.7 percent: 90 percent). 

Nonsampling error 

While nonsampling error is present in most 

sample surveys, the NRSFPS was particularly subject to error associated with a gap between the 

survey’s universe and sampling frame. This gap 

existed because the sampling frame did not include 

sites that began providing services after the frame 

was finalized in early 1976. Other nonsampling 

error includes error due to service site nonresponse, 

item nonresponse, information incompletely or 

inaccurately recorded, and processing error. Through 

a study conducted during 1980 which included site 

visits to a probability subsample of the NRSFP 

sample sites, several problems associated with t 

collection of data for the NRSFPS were identifie @ 

While the study results are not applicable to the 1978 

NRSFPS per se, they are probably indicative of the 
---

duan@Ma7 

a 

“ ficulties inherent in the 

Iection efforts. 

‘Rounding 

Aggregate estimates of 

in tables are rounded to the 

percentages were computed 

estimates; thus, the figures 

totals. 

Definitions 

1978 NRSFPS data 

family planning visits 

nearest thousand. The 

based on unrounded 

may not add to the 

family planning services are provided on a regular 

basis under the supervision of a physician. Private 

physician’s offices and group medical practices are 

not considered sites unless they receive support 

through a Department of Health and Human Services grant for the provision of family planning 

services. Military service sites are excluded from 

the survey. 

Family planning visit .–A family planning visit is 

a visit to a family planning service site in which 

medical services related to contraception, infertility treatment, or sterilization are provided. 

Family planning service site.–A family planning 

service site is a location or place where medical 

Symbols 

Data not available 

. . . Category not applicable 

Quantity zero 

0.0 Quantity more than O but less than 0.05 

*	 Figure does not meet standards of 

reliability or precision 
8 adwncedata 

Recent Issues of Advance Data From Vital and Health Statistics 

No. 71. Health Care Coverage Under Private Health Im.urance, No. 68. Stroke Survivors Among the Noninstitutionalized PopMedicare, Medicaid, and Military or Veterans Administration ulation 20 Years of Age and Over: United States, 1977 

Health Benefits: United States, 1978 (h preparation) No. 67. Headache as the Reason for Office Visits National 

No. 70. Utilization of Short-Stay Hospitals in Treatment of Ambulatory Medical Care Survey: United States, 1977-78. 

Mental Disorders (In preparation) (Issued: January 7, 1981) 

No. 69. Office Visits for Preventive Care: National Ambulatory 

Medical Care Survey: United States, 1977-78 (Issued: April 1, 

1981) 

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DHHS Publication No. (PHS) 81-1250