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在现役的美国陆军女士中,产后长效可逆避孕药的使用

Ella F Eastin¹, D Alan Nelson², Jonathan G Shaw³

¹Stanford University School of Medicine, Stanford, CA.

American journal of obstetrics and gynecology

|July 17, 2023

概括

近20%的现役美国陆军妇女在分娩后使用长效可逆避孕药,但在分娩后立即使用很少. 在吸收方面观察到显著的种族差异,突出了平等获得生殖健康护理的需要.

科学领域:

生殖健康生殖健康
军事医学军事医学
避孕药是一种避孕药,用于避孕.

背景情况:

长效可逆避孕 (LARC) 对于增加妊娠间隔和减少意外怀孕至关重要.
生殖规划对现役军人至关重要,但产后LARC使用在这个人群中未得到充分研究.

研究的目的:

量化美国陆军现役女士中产后LARC吸收率.
为了确定与产后LARC使用相关的人口和军事特异因素.

主要方法:

追溯性队列研究,利用从2014年至2017年的纵向健康遭遇数据.
纳入标准:现役美国陆军18-44岁的妇女,至少有一次分娩和4个月以上的产后观察.
产后LARC定义为在分娩月内或3个月后的启动;立即产后LARC通过同一月的安置确定.

主要成果:

19.96% (3162/15,843) 的士兵开始产后LARC;不到5%使用了立即产后方法.
年龄较小,白人种族和已婚/以前已婚状态与较高的LARC启动有关.
与白人女性相比,黑人和亚洲/太平洋岛屿妇女的产后LARC使用率调整后明显较低.

结论:

大约五分之一的现役美国陆军妇女使用产后LARC,但产后直接吸收有限.
在这个拥有全民医疗保健的人群中,在种族类别之间存在LARC吸收的显著差异.
需要进一步的研究来解决在获得有效的产后避孕措施方面观察到的不平等问题.

关键词:

避孕药可以作为避孕药.这是一种避孕植入物.产子宫内器械是什么意思长期起作用的可逆避孕方法军事军事军事军事军事军事在分娩后的产后.全民医疗保健是普遍的医疗保健.

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