青少年长期使用可逆避孕药,同日插入,以及在质量倡议之后怀孕
Kelly H Bruce1, Maqdooda A Merchant2, Alexa P Kaskowitz3
1Department of Obstetrics and Gynecology, Kaiser Permanente Santa Clara Medical Center, Santa Clara, California.
概括
一项质量倡议显著提高了青少年使用长效可逆避孕药 (LARC),导致青少年怀孕率减少36%. 进一步的努力可以加强当天LARC插入,并解决种族差异.
科学领域:
- 青少年健康 青少年健康
- 避孕技术是一种避孕技术.
- 公共卫生倡议 公共卫生倡议
背景情况:
- 青少年怀孕仍然是一个重大的公共卫生问题.
- 长效可逆避孕药 (LARCs) 是非常有效的,但在青少年中使用不足.
- 质量改善举措可能会影响避孕措施的获取和结果.
研究的目的:
- 评估质量倡议对青少年LARC使用,怀孕率和同日LARC插入的影响.
- 为了比较计划之前和之后的避孕方法分布.
- 确定影响LARC提供和结果的因素.
主要方法:
- 15-18岁青少年的回顾性队列研究.
- 质量倡议之前 (2014-2015年) 和之后 (2017-2018年) 的避孕药使用数据分析.
- 检查同一天的LARC插入和影响因素的多变量分析.
主要成果:
- 在倡议后,LARC使用率从12.1%增加到23.0% (OR 2.57).
- 青少年总体怀孕率显著下降,从2.2%降至1.4%.
- 同一天LARC插入率保持稳定,因辅导环境和种族而有差异.
结论:
- 一个多方面的质量倡议有效地增加了LARC的吸收率,并减少了青少年怀孕.
- 促进当天LARC插入和解决种族不平等的战略是有必要的.
- 儿童诊所的有针对性的干预措施可能会进一步改善青少年的避孕护理.
关键词:
避孕药是一种避孕药,用于避孕.拉尔克 (LARC) 组织已经开始.长效可逆避孕方法 长效可逆避孕方法预防怀孕 预防怀孕质量改善 质量改善快速启动LARC,可以快速启动.同一天的LARC.青少年怀孕 青少年怀孕更多相关视频
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