患有状细胞病的年轻成年人的计划生育需求
Elizabeth A Linton1, Elizabeth C Williams2, Macy L Early3
1Center on Aging and Health, Department of Epidemiology Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA.
EJHaem
|August 21, 2023
概括
患有状细胞疾病 (SCD) 的年轻人有未满足的性和生殖健康需求. 就业状况影响伴侣的检测需求,妇产科医生护理与避孕药的使用有关.
科学领域:
- 生殖健康 生殖健康
- 血液学 血液学 血液学
- 青少年医学 青少年医学
背景情况:
- 对于患有状细胞疾病 (SCD) 的青少年和年轻成年人来说,缺乏确定的性和生殖健康护理标准.
- 从儿科到成人护理的过渡给患有SCD的年轻人带来了与生殖健康有关的独特挑战.
研究的目的:
- 评估进入成人护理的SCD年轻成年人的性和生殖健康需求.
- 在这个人群中确定临床特征和表达的生殖健康需求之间的关联.
主要方法:
- 在2019年3月至2020年7月期间,对50名患有SCD的年轻人进行了计划生育调查.
- 从电子医疗记录中提取临床数据.
- 使用线性和逻辑回归分析来探索关联.
主要成果:
- 只有8%的受访者希望在接下来的一年内怀孕.
- 46%的人报告至少有一个未满足的生殖健康需求.
- 全职就业与需要对伴侣状细胞特征检测的可能性较低有关 (aOR=9.59,p=0.05).
- 使用避孕药与与妇产科医生相关 (aOR=6.8,p=0.01).
结论:
- 患有SCD的年轻人表现出不同的生殖健康需求.
- 多学科,SCD特定的生殖健康护理是合理的.
- 解决与就业相关的需求和确保获得专门的妇科护理至关重要.
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