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美国安全网诊所的避孕方法切换和长效可逆避孕去除,2016-2021年
Blair G Darney1, Frances M Biel, Jee Oakley
1Oregon Health & Science University, the OHSU-PSU School of Public Health, and OCHIN, Portland, Oregon; the National Institute of Public Health, Center for Population Health, Cuernavaca, Morelos, Mexico; and the College of Nursing, University of Colorado Anschutz Medical Campus, Aurora, and the University of Colorado Population Center and the Population Program and Geography Department, University of Colorado Boulder, Boulder, Colorado.
避孕药的切换和长效可逆避孕药 (LARC) 的移除在社区卫生中心很常见. 临床医生应该为寻求生殖健康护理的患者规范这些做法.
科学领域:
- 生殖健康 生殖健康
- 公共卫生 公共卫生
- 避孕药是一种避孕药,用于避孕.
背景情况:
- 社区卫生中心对于提供各种避孕方法至关重要.
- 了解避孕方法切换和长效可逆避孕 (LARC) 移除的模式对于有效的生殖健康保健至关重要.
- 以前的研究还没有完全阐明大型社区卫生中心网络中的这些模式.
研究的目的:
- 描述避孕方法切换的模式.
- 描述长效可逆避孕 (LARC) 移除的模式.
- 在社区卫生中心的大型网络中分析这些模式.
主要方法:
- 这是一项回顾性队列研究,利用来自20个州489家诊所的电子健康记录数据 (2016-2021年).
- 使用后勤回归模型来计算调整的赔率比率和预测的概率.
- 共同变量包括个人,临床和州级的因素来分析4年期间的避孕药切换和LARC删除.
主要成果:
- 在4年内,22.1%的患者转换了避孕方法,而LARC使用者 (19.0%) 的转换概率高于适度有效的方法 (16.2%).
- 转换在年轻年龄组中最频繁 (28.6%在12-14岁) 并且随着年龄的增长而减少;拉丁裔和黑人患者,那些有公共/没有保险的人,以及标题X诊所的用户显示了更高的转换率.
- 在4年内,30.1%的基线LARC用户经历了LARC移除,几乎所有提供LARC的诊所也记录了移除.
结论:
- 社区卫生中心在促进转换避孕方法和消除LARC方面发挥着至关重要的作用.
- 在这些环境中,切换避孕药和去除LARC是常见的事件.
- 临床医生应将避孕药切换和LARC移除作为标准患者护理的标准化和支持.
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