避孕计划和诱导堕胎后的购买:芬兰的一项全国性注册研究
Camilla Jäntti1, Elena Toffol2, Timo Partonen3
1Department of Obstetrics and Gynecology, University of Helsinki, Helsinki, Finland; Department of Obstetrics and Gynecology, Hyvinkää Hospital, Hyvinkää, Finland.
Contraception
|October 7, 2023
概括
接受堕胎的女性通常计划在之后使用荷尔蒙避孕药. 堕胎前的计划显著预测了堕胎后购买的方法,如阴道环和避孕贴片.
科学领域:
- 生殖健康 生殖健康
- 公共卫生 公共卫生
- 避孕研究研究 避孕研究
背景情况:
- 对于接受人工流产的女性来说,选择避孕方法至关重要.
- 了解堕胎后的避孕措施的使用对于生殖健康规划至关重要.
研究的目的:
- 检查在堕胎时选择的激素避孕方法的类型.
- 为了确定所选择的方法与堕胎后购买荷尔蒙避孕药之间的相关性.
主要方法:
- 基于登记的前性研究,对8428名接受人工流产的妇女进行了研究 (2017年7月至2018年12月).
- 数据来源于芬兰处方中心,社会保险机构和国家诱导堕胎登记册.
- 分析包括计划避孕,赎回的处方 (随访1年),以及使用Poisson回归影响购买的因素.
主要成果:
- 83%的妇女计划在堕胎后使用荷尔蒙避孕药.
- 计划荷尔蒙避孕措施的购买预测很强 (IRR 2.30),特别是阴道环 (IRR 42.66) 和贴片 (IRR 156.33).
- 较低的购买率与高等教育,已婚/离婚状态以及先前的分娩/堕胎史有关.
结论:
- 大多数接受堕胎的妇女打算使用荷尔蒙避孕药.
- 堕胎前的避孕计划是堕胎后获得避孕方法的关键预测因素.
- 确定影响购买的因素可以为特定群体提供有针对性的咨询.
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