将长效可逆避孕干预措施映射到社会生态模型:一个范围审查
Ghasi Phillips-Bell1, Maria Roque2, Lisa Romero1
1Centers for Disease Control and Prevention, Chamblee Campus, Atlanta, Georgia.
解决组织和政策因素的干预措施,以及成本支持,最有效地增加了长效可逆避孕药 (LARC) 的使用. 在未来的战略中结合多个社会生态模型 (SEM) 层面,可以在尊重自主性的同时改善避孕措施的获取.
科学领域:
- 生殖健康 生殖健康
- 公共卫生干预 公共卫生干预
- 健康行为理论健康行为理论
背景情况:
- 长效可逆避孕 (LARC) 是防止意外怀孕的关键方法.
- 社会生态模型 (SEM) 提供了一个框架,以了解对健康行为的影响,包括避孕药的使用.
- 之前的研究已经探索了各种干预措施来增加LARC吸收.
研究的目的:
- 总结旨在增加LARC使用的干预措施的发现.
- 将这些干预措施映射到社会生态模型 (SEM) 的不同层次上.
- 确定有效的策略,以改善对LARC的访问.
主要方法:
- 对2010年至2020年间发表的文献进行了范围审查.
- 从PubMed/MEDLINE和Embase数据库中确定了干预措施.
- 干预措施根据其策略 (例如,成本支持,咨询) 进行分类,并将其映射到SEM水平 (个人,人际关系,组织,社区,政策).
主要成果:
- 在27项审查的干预措施中,17项 (63%) 成功增加了LARC使用.
- 在政策 (80%) 和组织 (74%) 层面的SEM干预显示出更高的成功率.
- 成本支持策略 (92%的成功率) 和SEM级别的综合方法 (例如,组织和政策) 特别有效.
结论:
- 组织和政策层面的干预措施,特别是包括成本支持的干预措施,在增加LARC使用方面最有效.
- 未来的干预措施应考虑多层次的SEM方法,以加强避孕措施的获取.
- 在避孕护理策略中,平衡改善准入与患者自主权至关重要.
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