カリフォルニア と テキサス の 若者 たち の 中 で,親密 な 伴侶 の 暴力 と 避妊 手段 の 入手 の 遅延
Sophie M Morse1, Jennifer Yarger2, Kristine Hopkins3
1Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, 490 Illinois St, San Francisco, CA 94158; Bixby Center for Global Reproductive Health, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, 1001 Potrero Ave, UCSF Box 0842, San Francisco, CA 94110.
Contraception
|September 6, 2025
まとめ
近親暴力 (IPV) は,若い女性をかなり遅らせています.
科学分野:
- 生殖 健康
- 公衆衛生
- 社会学
背景:
- 親密なパートナーによる暴力は 生殖自律性に悪影響を及ぼします
- IPVによる避妊手段の利用は 若い人々,特に女性にとって困難です.
- IPVと避妊手段のアクセスの関連性を理解することは公衆衛生の介入にとって極めて重要です.
研究 の 目的:
- 親密なパートナーによる暴力 (IPV) と避妊の遅延との関連を調べる.
- カリフォルニアとテキサスの若い女性を対象に この関係を分析しました
- 脆弱な集団に対する 標的型介入の情報提供
主な方法:
- クラスターランダム化対照試験 (N=1,698) の補足試験のデータを利用した.
- IPVと避妊の遅延の関連性を評価するために,混合効果のロジスティック回帰モデルを使用した.
- 主要な社会人口学的特徴を制御し,場所と個人のランダムな効果を含んだ.
主要な成果:
- 参加者の半数以上 (57%) がIPVを経験したと報告した.
- IPVは,避妊の遅延と有意に関連していた (aOR 1. 50).
- IPVサブタイプ (身体的暴力,脅迫,性的強制) の頻度は,避妊の遅延の確率の増加と相関しています.
結論:
- IPVを経験すると,必要な避妊へのアクセスがかなり遅れます.
- 性生殖保健サービスと トラウマ情報に基づくIPVスクリーニングは 若い人にとって不可欠です
- IPVに対処することは 生殖の自律性,特に制限的な生殖政策を持つ州において 極めて重要です.
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